Control of Joint Reaction Forces During Single-Joint Strengthening Exercises via Adaptive Electromechanical...

Background: Modern electromechanical technologies can be integrated into strength training machines to regulate the magnitude, direction, and point of application of resistance during exercise, either through preprogrammed settings or adaptively in response to real-time kinematic data. However, this potential remains largely unexplored. The objective of this study was to investigate how these new-generation devices may be managed to enable precise control of the mechanical load applied to specific joint structures during strengthening exercises. Methods: A foundational framework of biomechanical equations was developed to establish the functional relationships between joint reaction forces and key variables, including kinematic parameters (joint angle, angular velocity, and angular acceleration) and resistance characteristics (magnitude, direction, and point of application). The analysis focused on analytically determined single-joint exercises, which are commonly employed in early-stage rehabilitation and athletic conditioning programs. Results: Application of the model to single-joint knee extension exercises demonstrated that the anterior cruciate ligament (ACL)-loading shear tibiofemoral force can be entirely eliminated throughout the full range of knee motion, without increasing either the tibiofemoral compressive force or the posterior cruciate ligament (PCL)-loading shear component, while preserving the desired peak and profile of the resistance torque. Conclusion: The proposed analytical framework enables a comprehensive understanding of how to regulate resistance parameters through advanced electromechanical technologies to minimize joint stress during single-joint strengthening exercises. Precise control of joint reaction forces during exercise is critical for the design of therapeutic and safety-enhanced training protocols.