Giulia Grenno
How predictions of medial and lateral knee contact forces during walking, stair ascent and stair descent are affected by tibiofemoral alignment and contact locations in patients with knee osteoarthritis: a musculoskeletal modeling analysis.
Rel. Cristina Bignardi, Giovanni Putame, Giordano Valente. Politecnico di Torino, Corso di laurea magistrale in Ingegneria Biomedica, 2023
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Abstract
The onset and progression of knee osteoarthritis and the cartilage degenerative process are related, among biological and mechanical factors, to the knee contact forces of the medial compartment, where the major percentage of the total contact force is transferred. Musculoskeletal modeling represents a state-of-the-art tool to predict knee contact forces, which are affected by two major geometric parameters: tibiofemoral alignment and contact point locations. Recent research show that medial contact force has a controversial level of correlation with tibiofemoral alignment and a marked correlation with contact points. However, there are limited and controversial data on osteoarthritis subjects, and few studies analyzing activities different from walking and without the inclusion of the geometric parameters.
Therefore, the aim of this thesis is to evaluate how medial and lateral knee contact forces during walking, stair ascent and stair descent are affected by the inclusion of personalized tibiofemoral alignment and contact points in knee osteoarthritis patients, and to analyze the relationship between the knee contact forces and the geometric parameters
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