Effect of the hip motion on the body kinematics in the sagittal plane during human quiet standing.

Human quiet stance is often modeled as a single-link inverted pendulum pivoting only around the ankle joints in the sagittal plane. However, several recent studies have shown that movement around the hip joint cannot be negligible, and the body behaves like a double-link inverted pendulum. The purpose of this study was to examine how the hip motion affects the body kinematics in the sagittal plane during quiet standing. Ten healthy subjects were requested to keep a quiet stance for 30s on a force platform. The angular displacements of the ankle and hip joints were measured using two highly sensitive CCD laser sensors. By taking the second derivative of the angular displacements, the angular accelerations of both joints were obtained. As for the angular displacements, there was no clear correlation between the ankle and hip joints. On the other hand, the angular accelerations of both joints were found to be modulated in a consistent anti-phase pattern. Then we estimated the anterior-posterior (A-P) acceleration of the center of mass (CoM) as a linear summation of the angular acceleration data. Simultaneously, we derived the actual CoM acceleration by dividing A-P share force by body mass. When we estimated CoM acceleration using only the angular acceleration of the ankle joint under the assumption that movement of the CoM is merely a scaled reflection of the motion of the ankle, it was largely overestimated as compared to the actual CoM acceleration. Whereas, when we take the angular acceleration of the hip joint into the calculation, it showed good coincidence with the actual CoM acceleration. These results indicate that the movement around the hip joint has a substantial effect on the body kinematics in the sagittal plane even during quiet standing.