title: Knee flexion during stance as a determinant of inefficient walking.
abstract: A biomechanical analysis of normal walking assessed the mechanical work cost in joules per unit mass and distance walked. For 21 walking trials--seven subjects at slow, natural, and fast cadences--these work costs (min = .73 J/kg.m, max = 1.65 J/kg.m) were correlated with maximum knee flexion during stance (min=6 degrees, max=33 degrees). The results were contrary to the predictions of previous researchers who claimed that the energy cost would increase as the knee became more rigid during stance. This study showed a significant positive correlation between work cost and maximum knee flexion. The implications of these findings and the predicted increase of bone-on-bone forces as knee flexion increases are discussed relative to the gait training of certain patient populations.
mesh_terms: D000328:Adult; D001696:Biomechanical Phenomena; D004734:Energy Metabolism; D005260:Female; D005684:Gait; D006801:Humans; D007717:Knee / Q000502:physiology*; D008124:Locomotion; D008297:Male; D009068:Movement