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Received 6 September 1995: received in revised form 21 November 1996: accepted 17 February IYJ”
Abstract
To study how walking speeds influence joint power and determine normal mechanical power output by the muscles about the
hip, knee and ankle joints, we investigated ten healthy children in our gait laboratory. We found that walking speed does influence
the mechanical work at the hip, knee and ankle. The work generated at the knee had the greatest increase with speed. The work
at the hip was also sensitive to speed changes but to a lesser degree. Surprisingly, the joint power at the ankle remained constant
despite increasing speed. This also supports the theory that the role of the calf muscle in propulsion is related to walking speed.
CC1997 Elsevier Science B.V.
walking the length of a 10 m walkway. The subjects work was expressed as a percent of the total work.
were randomly instructed to walk at various walking Similarly, the positive, negative components of the total
speeds. The subjects were observed bilaterally. The work were summed at the hip, knee and ankle to obtain
resulting protocol provided 60 trials over a range of a parameter representing total mechanical work contri-
walking speeds which were subsequently classified into bution at each joint from over stance phase [13]. The
three categories based on the actual walking speed mechanical work W was normalized to total stance
rather than the speed based on the instruction. Slow time and described as work rate. Mechanical power and
was considered to be less than 0.9 m/s, normal was work were normalized to the subjects’ weight and ex-
between 0.9- 1.2 m/s and fast was greater than 1.2 m/s. pressed as watt per kilogram and joules per kilogram,
The instrumentation included a video based system respectively. Subsequently, two work-related variables
for motion analysis (CFTC), a force plate (Bertec) and were analyzed, work-rate and work-contribution. Each
a computer for data acquisition and processing [g-11]. of these variables were tested for correlations with
The video system utilizes two cameras to obtain three walking speed using Pearsons correlation co-efficient at
dimensional reconstruction of reflective markers placed a level of P < 0.05 as significant.
along the lower extremities. The experimental observa-
tions were based on an idealization that considered the
lower extremities as a three-dimensional linkage with 3. Results
movable joints at the hip, knee and ankle. The joints
were assumed to have axes fixed in the distal segment The pattern of the curves of instantaneous power
[12]. The location of the joint centers and motion of over the stance phase had several characteristics that
each limb segment were monitored by observing the were common to all subjects (Fig. 1). At the hip, the
spatial position of reflective markers placed on the skin mechanical power was positive during the first half of
of the anterior superior iliac spine, at the center of the stance phase, while in late stance phase, the hip power
greater trochanter, over the mid-point of the lateral curve became negative. At the knee, the mechanical
joint line of the knee, on the lateral aspect of the lateral power was primarily negative throughout stance phase.
malleolus of the ankle, the base of the calcaneus and At the ankle, the mechanical power was negative during
the head of the fifth metatarsal. the early and middle portion of stance phase with a
large positive peak during late stance phase. The me-
2.1. Joint power and work calculation chanical power measurements were classified on the
basis of speed by selecting measurements grouped as
At a given joint, the instantaneous flexion-extension slow (less than 0.9 m/s), normal (0.9- 1.2 m/s) or fast
power is the product of the net flexion-extension mo- (greater than 1.2 m/s). The average power curves at the
ment and angular velocity [5]: hip, knee and ankle were analyzed on the basis of these
speed groupings (Fig. 1). The curves at the hip, knee
Pi = Aqi (1)
and ankle did not substantially change their phasic
where Pi is power, Mj is the flexion-extension moment characteristics over the range of walking speed. The
and Wj is the joint angular velocity (rad/sec) for joint j. peak magnitudes (both negative and positive) of the
Where j is an index representing the hip, knee or ankle. power curves at the hip and knee increased with walk-
Mechanical work at joint j was described as the time ing speed. However, at the ankle, the peak positive
integration of the power [5]: magnitude decreased with walking speed.
f2 ‘3 The integral of the positive, negative and total stance
WT = Pj dt W,- = Pi dt (2) phase of the power curve provided the mechanical work
s*I s*2 at the hip, knee and ankle (Fig. 2). The largest positive
The limits tl to t, and t2 to t3 of the integrals shown in work at all walking speeds was generated at the ankle.
Eq. (2) were determined by the time intervals of the For the slow speed group (0.78 m/s), more than 60% of
positive and negative regions of the power curve, re- the total positive work was generated at the ankle,
spectively. The total mechanical work during stance whereas at the fast speed, 42% of the total positive
phase was defined as: work was generated at the ankle.
The largest increase in negative work absorbed with
W; = 0* IPj)dt (3) increasing speed was at the knee. The greatest percent-
s ages of mechanical work was absorbed at the knee at
where the limits from 0 to T represent the total stance the normal and fastest speeds.
phase time. Mechanical work was correlated with walking speed.
The WjT represented the absolute sum of both the The work ratio had significant positive correlation with
negative and positive portion of the power curve. At walking speed at the hip joint and knee joint, but not at
each joint, the positive and negative components of the the ankle joint (R = 0.72, R = 0.80, R = 0.032, respec-
I.H. Uwn et al. /‘Gait und P~~.~turt~ 6 (1997) 171 170 / 7,:
tively) (Fig. 3). The contribution of work about individ- hand, quantifies the peak of the power starves as well as
ual joints, expressed as percentages of mechanical work, the time by integrating the power curve 12ver time.
also changed with speed: The contribution from the Walking speed influenced the mechanical work that
muscles about the hip and knee showed significant was performed by the muscles acting at the hip. knee,
increases with increasing speed, while the contribution and ankle. The work rate at the knee increased most in
of work from the muscles about the ankle substantially response to speed changes, suggesting that the human
decreased with speed (R = 0.41, R= 0.58, R= - 0.63, body tends to utilize the quadriceps muscle first to
respectively) (Fig. 4). The curves of joint power and the increase overall speed on level walking. The work rate
mechanical work calculated about the hip, knee and at the hip was also increased with walking speed, but to
ankle were related to walking speed. The joint power a lesser extent than at the knee. The work at the ankle.
calculated about the hip and knee increased with in- however, did not change with speed changes When
creasing walking speed. whereas the power generated expressed as a percentage of work contribution, the
by the muscles about the ankle remains statistically diverse behavior between the work generated at the
unchanged. The characteristics of the joint power ankle, hip or knee becomes even more obvious: At a
curves about the hip and knee remained basically the slow walking speed. e.g. 0.6 m.‘s, 6.J”<, of the total
same over a range of walking speeds. At the ankle, the mechanical work comes from the muscles about the
negative power phase was composed of two waves and ankle; when the speed is up to 1.8 m/s, only i8’!~ of the
a relatively longer duration during slower gait and, as total mechanical work comes from the muscles about
the speed increased, the negative power phase consisted the ankle. The transition between work generated at the
of only one peak (Table 1j. ankle, knee and hip musculature with speed suggests a
transfer of work to larger muscle groups wheE walking
at faster speeds. This transfer of work to larger and
4. Discussion more proximal muscle groups would permit the muscles
to work at a lower percentage of their maximum cdpac-
This study demonstrated that mechanical power and ity and therefore optimize energy consumption during
work about the joints of the lower extremity are influ- gait.
enced by walking speed. Thus, in comparing power As for the unique behavior of muscles of the ankle.
calculated among different walking trials, speed differ- there are parallel findings in the literature. Brandell.
ences should be minimized. [ 151 in his electromyographic study. showed that the
The usual method to assess different power curves muscle activities of the triceps surae were insensitive tc
include observing curve patterns and comparing peak the change of walking speed. Andriacchi I.161 in 1985.
values. These methods do not account for the time the also demonstrated that the muscle moment about the
peak value must be maintained. Work. on the other hip and knee showed great dependem>) :~n speed.
174 I.H. Chen et al. /Gait and Posture 6 (1997) 171-I 76
ANKLE
Y=421+USX
R-e.72 pc0.001 R=e.@32 p-o.41
Y----l-
$--I-
1.8 I 1 I
1.5 - 1.5 .
0.0 - A A A 0.8
.
0.6 . .
' f
&A A
0.3 - * . AA
12-/ A4 i
Fig. 3. Different effect of walking speeds on work rate in the hip, knee and ankle in 58 measurements. Data were analyzed by Pearson correlation
coefficient.
I. H. Chen et al. i Gait and Posture 6 (1997) 171 ! 76
Y =0.06+12.75x Y - 7.64+23.lox
R-O.41 p - 0.001 R10.58 pea001
100 ----T--
90
80
70
60
I------
01 1 , I I ol~J
0.6 0.9 1.2 1.5 1.8 0.6 0.9 1.2 1.5 1.8 0.8 0.9 1.2 1.5 1.8
Velocity (mhec) Velocity (mhec)
Fig. 4. Effect of walking speeds on work contribution in the hip, knee, and ankle in 58 measurements. There IS II neg~at~vc~5)::~Lttton of the work
to walking speeds in the ankle
Table I
Joint mechanical work tJ,kg) per step in three walking groups
---.-..-_-.-~. -... .__--_ ___. _--- .-- --..--~ --.---~. ..-.-
Hip Knee Ankle SUtll
--- -.~---l_.-l_ ---.~--.~.
PO% Neg. Total Pos. Neg. Total Pos. Neg. Total PO%
Slow”
Mean 0.08 0.03 0.11 0.04 0.11
STD 0.(1? 0.01 0.02 0.02 0.05
'I II 13 4 18 7 17
Norm&
Mean 0.12 0.04 0.16 0.06 0.18
STD 0.05 0.02 0.05 0.04 0.06
'?/I 17 s 2.1 8 25
Fast’
Mean 0.15 O.Oh 0.22 0.10 0.23
STD 0.07 0.03 0.07 0.07 0.05
+, , 19 8 27 12 27
---- _--- .---- -__
Pas.. positive work: Neg., negative work.
d Average speed: 0.78m:s, average cadence: 115, n = 16.
h Average speed: 1.03 m/s. average cadence: 136, n = 28
’ Average speed: I .37m&, average cadence: 149, n = 14.
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