Importance of preswing rectus femoris activity in stiff-knee gait

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Importance of preswing rectus femoris activity in stiff-knee gait.

Stiff-knee gait is characterized by diminished and delayed knee flexion during swing. Rectus femoris transfer surgery, a common treatment for stiff-knee gait, is often recommended when a patient exhibits prolonged activity of the rectus femoris muscle during swing. Treatment outcomes are inconsistent, in part, due to limited understanding of the biomechanical factors contributing to stiff-knee ...

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Effect of the rectus femoris motor branch block on post-stroke stiff-legged gait.

Six hemiparetic stroke patients presenting with a stiff-legged gait underwent a motor branch block of rectus femoris (RF). A gait analysis, including synchronous kinematic, dynamic, energetic recordings was performed before and after motor branch block of RF. The electrical activity of RF, Vastus Medialis, Vastus Lateralis, Vastus Intermedius was also recorded. Before nerve block, the sagittal ...

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Preswing knee flexion assistance is coupled with hip abduction in people with stiff-knee gait after stroke.

BACKGROUND AND PURPOSE Stiff-knee gait is defined as reduced knee flexion during the swing phase. It is accompanied by frontal plane compensatory movements (eg, circumduction and hip hiking) typically thought to result from reduced toe clearance. As such, we examined if knee flexion assistance before foot-off would reduce exaggerated frontal plane movements in people with stiff-knee gait after ...

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Rectus femoris transfer and musculo-skeletal modeling: effect of surgical treatment on gait and on rectus femoris kinematics.

Spasticity of the rectus femoris (RF) is one of the possible causes of stiff knee gait (SKG) in cerebral palsy. Musculoskeletal studies have shown that in SKG, length and speed of the RF are affected. No evaluation had been made to quantify the modifications of those parameters after surgery. The effect of this operation on gait quality and on RF kinematics was assessed in this study in order t...

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Mechanism of Improved Knee Flexion After Rectus Femoris Transfer Surgery

Simulation results suggest that the primary mechanism for improvement in knee flexion after surgery is reduction of the muscle’s knee extension moment, rather than conversion to a knee flexion moment. Scarred transfer simulations resulted in an average peak knee flexion improvement (14° ± 5°) comparable to the average increase in knee flexion range of motion (13° ± 11°) in the subjects’ postope...

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ژورنال

عنوان ژورنال: Journal of Biomechanics

سال: 2008

ISSN: 0021-9290

DOI: 10.1016/j.jbiomech.2008.05.030