Abstract: Knee joint forces are available by in vivo measurement
using an instrumented knee prosthesis for small to moderate knee
flexion but not for high flexion yet. We created a 2D mathematical
model of the lower limb incorporating several new features such as a
patello-femoral mechanism, a thigh-calf contact at high knee flexion
and co-contracting muscles' force ratio, then used it to determine knee
joint forces arising from high knee flexions in four kneeling
conditions: rising with legs in parallel, with one foot forward, with or
without arm use. With arms used, the maximum values of knee joint
force decreased to about 60% of those with arms not used. When rising
with one foot forward, if arms are not used, the forward leg sustains a
force as large as that sustained when rising with legs parallel.