Predicting the effects of knee extensor muscle weakening and strengthening on a post-stroke gait



Gilmar F. Santos Eike Jakubowitz Nicolas Pronost Thomas Bonis Christof Hurschler
Department of Orthopedics, Hannover Medical School Department of Orthopedics, Hannover Medical School Université de Lyon, Université Lyon 1 Université de Lyon, Université Lyon 1 Department of Orthopedics, Hannover Medical School
Laboratory for Biomechanics and Biomaterials Laboratory for Biomechanics and Biomaterials LIRIS CNRS UMR5205 LIRIS CNRS UMR5205 Laboratory for Biomechanics and Biomaterials





Abstract :
Stroke may cause different gait abnormalities, such as knee hyperextension and stiff-knee gait. This study used predictive simulation to investigate how the weakening and strengthening of the knee extensor muscles affect the gait pattern of a post-stoke patient. The prediction result showed impairments similar to those observed in the gait obtained by the inverse dynamics. While the predictive simulation of muscle weakening corrected the stiff-knee gait, the gait prediction of muscle strengthening decreased the knee hyperextension exhibited in the gait pattern of the patient.

Paper :
Paper presented at XXVIII Congress of the International Society of Biomechanics (ISB2021). Download the paper