Running with an exotendon reduces compressive knee contact force
Jon Stingel1, Nicos Haralabidis2, Jennifer Hicks2
1Department of Mechanical Engineering, Stanford University, Stanford 94305, USA.
Journal of Biomechanics
|February 25, 2026
Summary
Running with an exotendon, a spring device, reduces running's energetic cost. It also significantly lowers peak knee compressive forces by reducing quadriceps muscle load.
Area of Science:
- Biomechanics
- Human Movement Science
- Sports Engineering
Background:
- Exotendons are designed to reduce the energetic cost of running by coupling the legs.
- The impact of exotendon use on joint contact forces, particularly in the lower extremities, remains largely uninvestigated.
Purpose of the Study:
- To determine if using an exotendon affects hip, knee, and ankle joint contact forces during running.
- To quantify changes in compressive and shear forces at these joints.
Main Methods:
- Muscle-driven simulations were employed using experimental data from seven participants.
- Simulations analyzed running at 2.7 m/s with and without an attached exotendon.
- Compressive and shear contact forces at the hip, knee, and ankle were computed.
Main Results:
- Running with an exotendon resulted in an 8.4% reduction in peak knee compressive contact force.
- This reduction was primarily attributed to decreased forces in the quadriceps muscles.
- No significant changes were observed in peak hip or ankle joint contact forces (compressive or shear).
Conclusions:
- The exotendon, while not designed for this purpose, can reduce peak knee compressive forces during running.
- The device alters gait mechanics to decrease both energetic cost and knee joint loading.
- Further research could explore optimizing exotendon design for joint force mitigation.
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