Prediction of thigh-calf contact parameters from anthropometric regression.

Abstract

High knee flexion postures are common in industry and cultural practices, but the mechanical effect of intersegmental force, particularly thigh-calf contact force, on knee joint compressive force is poorly understood. Although some studies have measured thigh-calf contact parameters occurring in a number of high flexion postures, joint contact modeling would benefit from efforts to predict thigh-calf contact force for use in computational models. Therefore, this study assessed the strength of correlations and linear multiple regression models on the following five high flexion thigh-calf contact parameters in a young, healthy population: the onset angle of thigh-calf contact, maximum flexion angle, total thigh-calf contact force, center of force, and contact area at maximum flexion. Regressions used anthropometric values (and in some cases, maximum flexion angle). Overall, maximum flexion angle and center of force location had the most significant correlates and strong linear fits with regressive models. Thigh-calf contact onset, total force magnitude, and contact area had only moderate to weak relationships. An exploratory attempt at regression using grouped movements into gross patterns (e.g. two types of squatting were grouped into a general squatting category) using maximum flexion angle and center of force location as dependent variables resulted in similar model fitting. These findings suggest that a causal relationship between select anthropometrics and lower limb range of motion may exist, but further exploration is necessary to determine clinically reliable predictive models.