The forces in a knee brace as a function of hinge design and placement

Customized knee braces for three normal subjects were instrumented to monitor the forces and moments across the hinges as the subjects performed various activities. The forces and moments were taken to rep resent a mismatch between actual knee motion and the motion the brace sought to impose. The di...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The American journal of sports medicine 1989-07, Vol.17 (4), p.535-543
Hauptverfasser: Regalbuto, M.A., Rovick, J.S., Walker, P.S.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 543
container_issue 4
container_start_page 535
container_title The American journal of sports medicine
container_volume 17
creator Regalbuto, M.A.
Rovick, J.S.
Walker, P.S.
description Customized knee braces for three normal subjects were instrumented to monitor the forces and moments across the hinges as the subjects performed various activities. The forces and moments were taken to rep resent a mismatch between actual knee motion and the motion the brace sought to impose. The different hinge designs studied were fixed axis, gear-on-gear, rack- and-pinion, and natural 3-D; they showed only moder ate differences in forces. Much larger differences were seen if the hinges were offset 12 mm from the ideal placement. Posterior placement resulted in the least force and anterior placement the highest. The mismatch of knee motion to brace motion would probably lead to abnormal ligament lengths and ten sions and other internal mechanical changes, as well as to pistoning and discomfort. The results of this study have implications on brace design, selection, and place ment.
doi_str_mv 10.1177/036354658901700415
format Article
fullrecord <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_79217539</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A7966693</galeid><sage_id>10.1177_036354658901700415</sage_id><sourcerecordid>A7966693</sourcerecordid><originalsourceid>FETCH-LOGICAL-c466t-a5d4ecbde96ac2b18eed1087ed0682d13ed5e8ef94e69b30d21eb637cc4677383</originalsourceid><addsrcrecordid>eNqFkc1u1DAUhS0EKtPCCyAheQObKtSO479lNaKAVKmbsrYc-yaTwbGHOFHh7XGUERskurKs-53PPwehd5R8olTKG8IE443gShMqCWkof4F2lPO6Ykzwl2i3AtVKvEaXOR8JKZxQF-iilqrmTO3Q3eMBcJcmBxkPEVv8IwLgdrIOsM1l3y3RzUOKOHX4MMQesIc89AWNHp9C4UaI8xv0qrMhw9vzeoW-331-3H-t7h--fNvf3leuEWKuLPcNuNaDFtbVLVUAnhIlwROhak8ZeA4KOt2A0C0jvqbQCiZdiUvJFLtCHzfvaUo_F8izGYfsIAQbIS3ZSF1TyZl-FqwJkaSR7FmQKkk0U6vxegN7G8AM0aU4w6_ZpRCgB1OeuX8wt1ILIfSqrTfaTSnnCTpzmobRTr8NJWYtz_xbXgm9P99laUfwfyPntsr8ZptnW048pmWK5bP_b_ywJQ5Df3gaJjB5tCEUPzP2mKk0jeGMsz-QMKxB</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>18709389</pqid></control><display><type>article</type><title>The forces in a knee brace as a function of hinge design and placement</title><source>Access via SAGE</source><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Regalbuto, M.A. ; Rovick, J.S. ; Walker, P.S.</creator><creatorcontrib>Regalbuto, M.A. ; Rovick, J.S. ; Walker, P.S.</creatorcontrib><description>Customized knee braces for three normal subjects were instrumented to monitor the forces and moments across the hinges as the subjects performed various activities. The forces and moments were taken to rep resent a mismatch between actual knee motion and the motion the brace sought to impose. The different hinge designs studied were fixed axis, gear-on-gear, rack- and-pinion, and natural 3-D; they showed only moder ate differences in forces. Much larger differences were seen if the hinges were offset 12 mm from the ideal placement. Posterior placement resulted in the least force and anterior placement the highest. The mismatch of knee motion to brace motion would probably lead to abnormal ligament lengths and ten sions and other internal mechanical changes, as well as to pistoning and discomfort. The results of this study have implications on brace design, selection, and place ment.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/036354658901700415</identifier><identifier>PMID: 2782538</identifier><language>eng</language><publisher>United States: American Orthopaedic Society for Sports Medicine</publisher><subject>Adult ; Braces - adverse effects ; Equipment Design ; Humans ; Knee Joint - physiology ; Middle Aged ; Movement ; Orthopedic braces ; Stress, Mechanical</subject><ispartof>The American journal of sports medicine, 1989-07, Vol.17 (4), p.535-543</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-a5d4ecbde96ac2b18eed1087ed0682d13ed5e8ef94e69b30d21eb637cc4677383</citedby><cites>FETCH-LOGICAL-c466t-a5d4ecbde96ac2b18eed1087ed0682d13ed5e8ef94e69b30d21eb637cc4677383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/036354658901700415$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/036354658901700415$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2782538$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Regalbuto, M.A.</creatorcontrib><creatorcontrib>Rovick, J.S.</creatorcontrib><creatorcontrib>Walker, P.S.</creatorcontrib><title>The forces in a knee brace as a function of hinge design and placement</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Customized knee braces for three normal subjects were instrumented to monitor the forces and moments across the hinges as the subjects performed various activities. The forces and moments were taken to rep resent a mismatch between actual knee motion and the motion the brace sought to impose. The different hinge designs studied were fixed axis, gear-on-gear, rack- and-pinion, and natural 3-D; they showed only moder ate differences in forces. Much larger differences were seen if the hinges were offset 12 mm from the ideal placement. Posterior placement resulted in the least force and anterior placement the highest. The mismatch of knee motion to brace motion would probably lead to abnormal ligament lengths and ten sions and other internal mechanical changes, as well as to pistoning and discomfort. The results of this study have implications on brace design, selection, and place ment.</description><subject>Adult</subject><subject>Braces - adverse effects</subject><subject>Equipment Design</subject><subject>Humans</subject><subject>Knee Joint - physiology</subject><subject>Middle Aged</subject><subject>Movement</subject><subject>Orthopedic braces</subject><subject>Stress, Mechanical</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1u1DAUhS0EKtPCCyAheQObKtSO479lNaKAVKmbsrYc-yaTwbGHOFHh7XGUERskurKs-53PPwehd5R8olTKG8IE443gShMqCWkof4F2lPO6Ykzwl2i3AtVKvEaXOR8JKZxQF-iilqrmTO3Q3eMBcJcmBxkPEVv8IwLgdrIOsM1l3y3RzUOKOHX4MMQesIc89AWNHp9C4UaI8xv0qrMhw9vzeoW-331-3H-t7h--fNvf3leuEWKuLPcNuNaDFtbVLVUAnhIlwROhak8ZeA4KOt2A0C0jvqbQCiZdiUvJFLtCHzfvaUo_F8izGYfsIAQbIS3ZSF1TyZl-FqwJkaSR7FmQKkk0U6vxegN7G8AM0aU4w6_ZpRCgB1OeuX8wt1ILIfSqrTfaTSnnCTpzmobRTr8NJWYtz_xbXgm9P99laUfwfyPntsr8ZptnW048pmWK5bP_b_ywJQ5Df3gaJjB5tCEUPzP2mKk0jeGMsz-QMKxB</recordid><startdate>19890701</startdate><enddate>19890701</enddate><creator>Regalbuto, M.A.</creator><creator>Rovick, J.S.</creator><creator>Walker, P.S.</creator><general>American Orthopaedic Society for Sports Medicine</general><general>SAGE Publications</general><general>Sage Publications, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7X8</scope></search><sort><creationdate>19890701</creationdate><title>The forces in a knee brace as a function of hinge design and placement</title><author>Regalbuto, M.A. ; Rovick, J.S. ; Walker, P.S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-a5d4ecbde96ac2b18eed1087ed0682d13ed5e8ef94e69b30d21eb637cc4677383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Adult</topic><topic>Braces - adverse effects</topic><topic>Equipment Design</topic><topic>Humans</topic><topic>Knee Joint - physiology</topic><topic>Middle Aged</topic><topic>Movement</topic><topic>Orthopedic braces</topic><topic>Stress, Mechanical</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Regalbuto, M.A.</creatorcontrib><creatorcontrib>Rovick, J.S.</creatorcontrib><creatorcontrib>Walker, P.S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Regalbuto, M.A.</au><au>Rovick, J.S.</au><au>Walker, P.S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The forces in a knee brace as a function of hinge design and placement</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>1989-07-01</date><risdate>1989</risdate><volume>17</volume><issue>4</issue><spage>535</spage><epage>543</epage><pages>535-543</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><abstract>Customized knee braces for three normal subjects were instrumented to monitor the forces and moments across the hinges as the subjects performed various activities. The forces and moments were taken to rep resent a mismatch between actual knee motion and the motion the brace sought to impose. The different hinge designs studied were fixed axis, gear-on-gear, rack- and-pinion, and natural 3-D; they showed only moder ate differences in forces. Much larger differences were seen if the hinges were offset 12 mm from the ideal placement. Posterior placement resulted in the least force and anterior placement the highest. The mismatch of knee motion to brace motion would probably lead to abnormal ligament lengths and ten sions and other internal mechanical changes, as well as to pistoning and discomfort. The results of this study have implications on brace design, selection, and place ment.</abstract><cop>United States</cop><pub>American Orthopaedic Society for Sports Medicine</pub><pmid>2782538</pmid><doi>10.1177/036354658901700415</doi><tpages>9</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0363-5465
ispartof The American journal of sports medicine, 1989-07, Vol.17 (4), p.535-543
issn 0363-5465
1552-3365
language eng
recordid cdi_proquest_miscellaneous_79217539
source Access via SAGE; MEDLINE; Alma/SFX Local Collection
subjects Adult
Braces - adverse effects
Equipment Design
Humans
Knee Joint - physiology
Middle Aged
Movement
Orthopedic braces
Stress, Mechanical
title The forces in a knee brace as a function of hinge design and placement
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T04%3A50%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20forces%20in%20a%20knee%20brace%20as%20a%20function%20of%20hinge%20design%20and%20placement&rft.jtitle=The%20American%20journal%20of%20sports%20medicine&rft.au=Regalbuto,%20M.A.&rft.date=1989-07-01&rft.volume=17&rft.issue=4&rft.spage=535&rft.epage=543&rft.pages=535-543&rft.issn=0363-5465&rft.eissn=1552-3365&rft_id=info:doi/10.1177/036354658901700415&rft_dat=%3Cgale_proqu%3EA7966693%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=18709389&rft_id=info:pmid/2782538&rft_galeid=A7966693&rft_sage_id=10.1177_036354658901700415&rfr_iscdi=true