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PhD Fekete - SZIE version - 2.2 - Szent István Egyetem

PhD Fekete - SZIE version - 2.2 - Szent István Egyetem

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Literature review<br />

Let us follow the description of Mason et al. [Mason et al., 2008]. Note that l 30 represents the<br />

length of the femur (in their actual calculations they considered it 0.45 m) while l 10 represents<br />

the length of the tibia. The flexion angle is denoted as α. The moment arm is represented as d,<br />

while the body weight vector as BW (Figure 2.38):<br />

d ( α)<br />

= l30 ⋅sin(<br />

α / 2)<br />

(2.4)<br />

M N<br />

( α)<br />

= 0.5⋅<br />

BW ⋅d(<br />

α)<br />

= 0.5⋅<br />

BW ⋅l30 ⋅sin(<br />

α / 2)<br />

(2.5)<br />

The quadriceps tendon force (F q ) can be derived from the net knee moment (M N ) and the<br />

effective moment arm (L eff ) of the quadriceps tendon according to Salem and Powers<br />

[Salem and Powers, 2001]:<br />

Where, L eff can be found in Table <strong>2.2</strong>.<br />

M<br />

k<br />

( α)<br />

F<br />

q<br />

( α)<br />

= (2.6)<br />

L ( α)<br />

eff<br />

Several authors have investigated the ratio of the patellofemoral forces under extension and<br />

flexion exercises, and obtained very similar results [Denham and Bishop, 1987, Van Eijden et<br />

al., 1986, Yamaguchi and Zajac, 1989, Hirokawa, 1991, Miller, 1991, Hefzy and Yang, 1993,<br />

Gill and O’Connor, 1996]. These have been gathered and plotted in Figure 2.39 and<br />

Figure 2.40:<br />

Fpt/Fq [-]<br />

1.2<br />

1<br />

0.8<br />

0.6<br />

0.4<br />

0.2<br />

0<br />

Van Eijden et al.<br />

Bishop and Denham<br />

Yamaguchi and Zajac<br />

Gill and O'Connor<br />

Miller et al.<br />

Hirokawa<br />

Flexion angle [˚]<br />

0 20 40 60 80 100 120<br />

Figure 2.39. F pt/F q relationship<br />

– 43 –

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