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Machine Learning-Based Estimation of Knee Joint Mechanics from Kinematic and Neuromuscular Inputs: A Proof-of-Concept
Yara N Derungs1, Martin Bertsch1, Kushal Malla1
1Laboratory for Movement Biomechanics, ETH Zürich, 8092 Zürich, Switzerland.
Bioengineering (Basel, Switzerland)
|February 27, 2026
Summary
Deep learning models can accurately estimate knee contact forces (KCFs) using in vivo biomechanical data. This approach offers a scalable alternative to traditional simulations for personalized knee load analysis.
Area of Science:
- Biomechanics
- Biomedical Engineering
- Machine Learning
Background:
- Estimating tibiofemoral joint contact forces is crucial for understanding knee joint health and disease.
- Traditional musculoskeletal models can be computationally intensive and require extensive input data.
Purpose of the Study:
- To investigate the feasibility of using deep learning models to estimate in vivo tibiofemoral joint contact forces.
- To compare the performance of different deep learning architectures (biLSTM-MLP and TCN) for knee contact force prediction.
Main Methods:
- Developed and evaluated biLSTM-MLP and TCN models using the CAMS-Knee dataset.
- Employed a leave-one-subject-out validation strategy for robust performance assessment.
- Conducted leave-one-feature-out analyses to identify key predictive variables.
Main Results:
- The biLSTM-MLP model achieved high accuracy in predicting total knee contact forces (Ftot) during walking (RMSE: 0.16 BW, R: 0.98).
- Lower-limb kinematics and ground reaction forces were identified as primary predictors, while EMG data had minimal impact.
- The TCN model exhibited more variable performance compared to the biLSTM-MLP.
Conclusions:
- Deep learning models show significant promise for accurate and scalable estimation of knee contact forces.
- This approach provides a reliable alternative to conventional methods for personalized knee load assessment.
- Findings support further research with larger, diverse populations to refine deep learning applications in knee biomechanics.

