Dynamic joint forces during knee isokinetic exercise

Kenton R. Kaufman, Kai Nan An, William J. Litchy, Bernard F. Morrey, Edmund Y.s. Chao

Research output: Contribution to journalArticlepeer-review

130 Scopus citations

Abstract

This study analyzed forces in the tibiofemoral and pa tellofemoral joints during isokinetic exercise using an analytical biomechanical model. The results show that isokinetic exercise can produce large loads on these joints, especially during extension exercises. The tibio femoral compressive force (4.0 body weight) is approx imately equal to that obtained during walking but it occurs at 55° of knee flexion. Anterior shear forces (resisting force to anterior drawer) exist during exten sion exercise at less than 40° of knee flexion, with a maximum of 0.3 body weight. Posterior shear forces (resisting force to posterior drawer) exist during exten sion exercise at knee joint angles greater than 40° and during the flexion portion of isokinetic exercise. The maximum posterior shear force is 1.7 body weight. The patellofemoral joint can encounter loads as high as 5.1 body weight which are 10 times higher than during straight leg raises. These results suggest that isokinetic exercise should be used cautiously in patients with knee lesions.

Original languageEnglish (US)
Pages (from-to)305-316
Number of pages12
JournalThe American Journal of Sports Medicine
Volume19
Issue number3
DOIs
StatePublished - Jun 1991
Externally publishedYes

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

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