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Understanding the biomechanics of standing-up and sitting-down

Functional Neuromuscular Stimulation (FNS) has been shown to be effective in restoring certain upper and lower limb movements of spinal cord injured patients. The successful application of FNS to achieve standing-up and sitting-down, in persons with lower limb paralysis, depends largely on two facto...

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Main Author: Johnson, David
Other Authors: Mr. B. Davis, Professor G. Jaros and Dr. C. Warton
Format: Thesis
Language:English
Published: Department of Medicine 2024
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access_status_str Open Access
author Johnson, David
author2 Mr. B. Davis, Professor G. Jaros and Dr. C. Warton
author_browse Johnson, David
Mr. B. Davis, Professor G. Jaros and Dr. C. Warton
author_facet Mr. B. Davis, Professor G. Jaros and Dr. C. Warton
Johnson, David
author_sort Johnson, David
collection Thesis
description Functional Neuromuscular Stimulation (FNS) has been shown to be effective in restoring certain upper and lower limb movements of spinal cord injured patients. The successful application of FNS to achieve standing-up and sitting-down, in persons with lower limb paralysis, depends largely on two factors: firstly, the torques generated at the hip, knee and ankle joints during these movements, and secondly, the extent and distribution of the accompanying muscular activity. With this knowledge it is possible to determine the electrical stimulation parameters and sequence required to restore the above movement in spinal cord injured patients. This thesis has a two-fold aim to study these two factors. A mathematical model to predict the torques generated at the hip, knee and ankle joints of individual participants was developed to achieve the first aim. This model is presented in the form of a computer program which requires anthropometrical and experimental data from the subject. The model was developed both from kinematic and kinetic aspects. The kinematic approach requires the varying angles at the hip, knee and ankle joints as inputs, whereas the kinetic approach requires the position of the ground reaction force in relation to the lateral malleolus, together with the ankle angles, as inputs. The various experiments performed to obtain the above mentioned variables are described. The second aim was achieved using electromyography to determine the sequential muscle activity, of the lower limb, during standing-up and sitting-down procedures. A description of the method used to obtain these electromyograms, together with a diagrammatic representation of the results, is presented. i1 As a result of the above mentioned theoretical modelling as well as simulation and validation experiments, the following conclusions can be made: (1) The mathematical model does predict reasonable torque values compared to that obtained in the literature. (2) The diagrammatic representation of the muscular activity is an acceptable reflection of the actual muscle activity. (3) In the light of the various problems encountered, a number of recommendations relating to both the mathematical model and the sequence of muscular activity are made
format Thesis
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:32:47.627Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2024
publishDateRange 2024
publishDateSort 2024
publisher Department of Medicine
publisherStr Department of Medicine
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/40520 Understanding the biomechanics of standing-up and sitting-down Johnson, David Mr. B. Davis, Professor G. Jaros and Dr. C. Warton Biomechanics - Mathematical models</td></tr><tr><td class= Functional Neuromuscular Stimulation (FNS) has been shown to be effective in restoring certain upper and lower limb movements of spinal cord injured patients. The successful application of FNS to achieve standing-up and sitting-down, in persons with lower limb paralysis, depends largely on two factors: firstly, the torques generated at the hip, knee and ankle joints during these movements, and secondly, the extent and distribution of the accompanying muscular activity. With this knowledge it is possible to determine the electrical stimulation parameters and sequence required to restore the above movement in spinal cord injured patients. This thesis has a two-fold aim to study these two factors. A mathematical model to predict the torques generated at the hip, knee and ankle joints of individual participants was developed to achieve the first aim. This model is presented in the form of a computer program which requires anthropometrical and experimental data from the subject. The model was developed both from kinematic and kinetic aspects. The kinematic approach requires the varying angles at the hip, knee and ankle joints as inputs, whereas the kinetic approach requires the position of the ground reaction force in relation to the lateral malleolus, together with the ankle angles, as inputs. The various experiments performed to obtain the above mentioned variables are described. The second aim was achieved using electromyography to determine the sequential muscle activity, of the lower limb, during standing-up and sitting-down procedures. A description of the method used to obtain these electromyograms, together with a diagrammatic representation of the results, is presented. i1 As a result of the above mentioned theoretical modelling as well as simulation and validation experiments, the following conclusions can be made: (1) The mathematical model does predict reasonable torque values compared to that obtained in the literature. (2) The diagrammatic representation of the muscular activity is an acceptable reflection of the actual muscle activity. (3) In the light of the various problems encountered, a number of recommendations relating to both the mathematical model and the sequence of muscular activity are made 2024-08-16T13:14:13Z 2024-08-16T13:14:13Z 1989 2024-08-16T12:52:06Z Thesis / Dissertation Masters Masters http://hdl.handle.net/11427/40520 eng application/pdf Department of Medicine Faculty of Health Sciences
spellingShingle Biomechanics - Mathematical models</td></tr><tr><td class=
Johnson, David
Understanding the biomechanics of standing-up and sitting-down
thesis_degree_str Master's
title Understanding the biomechanics of standing-up and sitting-down
title_full Understanding the biomechanics of standing-up and sitting-down
title_fullStr Understanding the biomechanics of standing-up and sitting-down
title_full_unstemmed Understanding the biomechanics of standing-up and sitting-down
title_short Understanding the biomechanics of standing-up and sitting-down
title_sort understanding the biomechanics of standing up and sitting down
topic Biomechanics - Mathematical models</td></tr><tr><td class=
url http://hdl.handle.net/11427/40520
work_keys_str_mv AT johnsondavid understandingthebiomechanicsofstandingupandsittingdown