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THE ANATOMICAL RECORD 300:932–945 (2017)

Hominin Hip Biomechanics:


Changing Perspectives
ANNA G. WARRENER1,2*
1
Department of Anthropology, University of Colorado Denver, Denver,
Colorado 80217-3364
2
Department of Human Evolutionary Biology, Harvard University, Cambridge,
Massachusetts

ABSTRACT
The shape of the human pelvis reflects the unique demands placed
on the hip abductor muscles (gluteus medius and gluteus minimus),
which stabilize the body in the frontal plane during bipedal locomotion.
This morphological shift occurred early in hominin evolution, yet impor-
tant shape differences between hominin species have led to significant
disagreement about abductor function and locomotor capability in these
extinct taxa. A static biomechanical model that relies on a close associa-
tion between skeletal measurements of the pelvis and femur has tradi-
tionally been used to reconstruct hip biomechanics in these species.
However, experimental biomechanical approaches have highlighted the
dynamic nature of mediolateral balance in walking and running, chal-
lenging the assumptions of the static hip model. This article reviews tra-
ditional approaches for understanding hip abductor function, shows how
they have been applied to the fossil hominin record, and discusses new
techniques that integrate the dynamic nature of mediolateral balance
during human locomotion. Anat Rec, 300:932–945, 2017. V C 2017 Wiley

Periodicals, Inc.

Key words: pelvis; hip; biomechanics; hominin

The adaptation of the human pelvis to the unique Whatever the role of the minor gluteals in chimpanzees,
demands of bipedal locomotion is a frequently repeated in humans, the biomechanical challenge of stabilizing
story told by anthropologists and anatomists. The long, the body in the mediolateral plane during single-leg sup-
anteroposteriorly narrow pelvic girdle characteristic of port phase of bipedal walking and running requires
quadrupeds, and presumably the last common ancestor active muscle management of the mediolateral compo-
of humans and chimpanzees (Lovejoy, 2005), became nent of the ground reaction force (GRF) to maintain the
short and wide to facilitate mediolateral balance of the body center of mass (COM) over the standing limb. The
trunk over a single supporting limb during locomotion. reorientation of the ilium and lateral placement of the
The anterior rotation and broadening of the iliac blades hip abductors on the human pelvis allow these muscles
associated with this restructuring of the pelvis is partic- to provide the single largest contribution to mediolateral
ularly important for human striding bipedalism because GRF during both walking and running gaits (Pandy and
it alters the placement and function of the hip abductor
muscles (gluteus medius and gluteus minimus). In chim-
panzees, the minor gluteal muscles arise from the poste- *Correspondence to: Anna G. Warrener, University of
Colorado Denver, Department of Anthropology, Campus Box
rior surface of the ilium. In such an orientation, their 103, PO Box 173364, Denver, CO 80217-3364.
primary action has often been cited as extensors of the E-mail: awarrener@fas.harvard.edu
lower limb (Lovejoy, 1988), but electromyographic (EMG) Received 22 June 2016; Revised 8 November 2016; Accepted
profiles of gluteal muscle activation in chimpanzees has 26 November 2016.
shown significant gluteus medius activity during bipedal DOI 10.1002/ar.23558
walking, thought to correspond to medial support at the Published online in Wiley Online Library (wileyonlinelibrary.
hip during single-leg stance (Stern and Susman, 1981). com).

C 2017 WILEY PERIODICALS, INC.


V
HOMININ HIP BIOMECHANICS 933
Andriacchi, 2010; John et al., 2012). The importance of mediolateral balance during locomotion. While the static
hip abductor force contribution to normal bipedal loco- model considers only the pelvis segment in determining
motion is evident from the impaired gait of those with the external moment about the hip joint, during locomo-
abductor weakness or paralysis, known as Trendelen- tion moments generated about the ankle and knee are
burg gait (Gottschalk et al., 1989). When the hip abduc- also important contributors to the stability of the body
tors do not function properly, the pelvis rotates away COM over the standing limb (Pandy and Andriacchi,
from the standing limb during single-leg support phase 2010; Pandy et al., 2010; John et al., 2012). Additionally,
of walking, requiring a compensatory trunk tilt toward by assuming the external force vector remains near the
the supporting side to maintain the body COM over the body midline during single-leg support phase of gait, the
supporting foot. static model ignores the mediolateral component of the
Some of the earliest fossil hominins show morphologi- GRF. While small in magnitude compared to the vertical
cal changes in the pelvis to facilitate hip abduction, indi- component, any mediolateral deviation of the GRF will
cating the early evolutionary origin of this adaptation affect the total moment generated about each joint of
and its crucial role in the adoption of bipedalism in our the lower limb, ultimately affecting the force required of
lineage (Lovejoy et al., 2009a). However, while the gen- the hip abductors (Winter, 2009). A more appropriate
erally recognizable form of the hominin pelvis was well model is the link-segment model that includes the foot,
developed by at least 3.2 million years ago, as demon- shank, and thigh segments and requires the external
strated by the relatively complete pelvis of A.L. 288-1 moment about each joint to be simultaneously balanced
(known as “Lucy”), important differences in the width of by internal moments generated by the joints’ muscles
the pelvis, shape of the ilia, and morphology of the proxi- and anatomical structures (Fig. 1b) (Zajac et al., 2002;
mal femur have led to debate about just how the abduc- Winter, 2009). The link segment model is central to tech-
tor mechanism functioned in early hominins (Lovejoy niques for analyzing muscle contributions to walking
et al., 1973; Lovejoy, 1988; Berge, 1994; Ruff, 1995, and running including inverse and forward dynamics
1998; Arsuaga et al., 1999; Lovejoy, 2005; Richmond and solutions (Winter, 2009). These approaches are present-
Jungers, 2008; Ruff and Higgins, 2013). Most analyses ing challenges to our basic understanding of how pelvic
have relied on a static model of hip abductor function morphology relates to dynamic hip abductor function
where the moment generated about the hip is estimated during locomotion, requiring a re-evaluation of tradition-
from skeletal measurements of the pelvis and femur al interpretations of pelvic adaptation in the hominin
(Lovejoy et al., 1973; Lovejoy, 1988; Berge, 1994; Ruff, lineage.
1995, 1998; Lovejoy, 2005; Richmond and Jungers, 2008;
Ruff and Higgins, 2013). The static biomechanical model Early Medical Perspectives and Approaches
determines abductor muscle force, Fm, as the product of
the external force acting on the hip, generally measured Early experimental work on hip abductor function
as body weight minus the weight of the supporting limb, aimed to provide a sound theoretical basis for improving
and the ratio of the moment arm of the external force of impaired gait through surgical intervention at the hip.
body weight acting about the hip, R, to the hip abductor Inman (1947) measured hip abductor muscle activation
muscles’ moment arm, r (Fig. 1a) (Inman, 1947; Osborne in vivo to compare muscle force production to theoretical
and Fahrini, 1950; Denham, 1959; Hirsch and Frankel, calculations of the moment about the hip joint. Using
1960; Merchant, 1965; McLeish and Charnley, 1970; the static abductor muscle force model, the minimum
Pauwels, 1976; Ruff, 1995; Warrener et al., 2015). Hip moment about the hip was calculated as the product of
abductor moment arm length is defined as the perpen- half biacetabular width and body weight (including the
dicular distance from the hip joint center of rotation to weight of the stance limb), while abductor moment arm
the line of action of the hip abductor muscles, with femo- length was measured from X-rays to determine muscle
ral neck length often being used as a proxy for this force (Inman, 1947). Experimental hip abductor force
dimension in skeletal samples (Lovejoy et al., 1973; Ruff, was measured through EMG, with electrical impulse cal-
1995, 1998; Ruff and Higgins, 2013; Warrener et al., ibrated to moment measurements at various levels of
2015). The static model assumes that during single-leg standing hip abduction. Inman (1947) concluded that hip
stance, the external force vector passes nearly vertically abductor force production was approximately 1.65 times
through the mid-sagittal line of the body (Inman, 1947; body weight. The position of the pelvis also played a cru-
Merchant, 1965). Therefore, one-half biacetabular width, cial role in determining the activation of the hip abduc-
or a given proportion of this distance, has frequently tors. When the pelvis was elevated toward the
been used to estimate the length of R during locomotion supporting limb, the experimentally measured moment
(Lovejoy et al., 1973; Lovejoy, 1988; Berge, 1994; Ruff, values agreed closely with those predicted by the static
1995, 1998; Lovejoy, 2005; Richmond and Jungers, theoretical calculations. However, when the pelvis was
2008), leading to greater moment calculations about the allowed to tilt away from the supporting side, the action
hip as biacetabular width increases. Interestingly, the potential of the muscles decreased significantly causing
same static mechanical model has produced significantly Inman (1947) to conclude that the moment about the hip
different interpretations of hip abductor force production was being resisted exclusively by the fasciae latae. While
in Australopithecus and other early hominins (reviewed Inman’s (1947) experimental approach was significant in
below). This static model is also persistent in the medi- its effort to simulate abductor force production in vivo,
cal literature and is often employed to understand the determination of hip force production from EMG is
the effectiveness of orthopedic interventions at the hip problematic. Action potential magnitude to muscle force
(Sariali et al., 2008; Traina et al., 2009). generation is poorly correlated and electormyographic
A significant problem with the static biomechanical readings are difficult to obtain from deep muscles such
model is that it ignores the dynamic nature of as the gluteus minimus (Pandy and Andriacchi, 2010).
934 WARRENER

Fig. 1. Static and link segment models of hip abductor force pro- lower limb assumes that each limb segment has a fixed-point mass at
duction. (A) The standard static biomechanical model of hip abductor its center of mass (m1, m2, m3), as well as a fixed segment length and
force production determines hip abductor muscle force (Fm) as the moment of inertia (I1, I2, I3). The segments articulate at frictionless
product of body weight, minus the weight of the standing limb (BW- hinge or ball and socket joints. Gravitational, ground reaction, and
limb), and the ratio of the external force moment arm (R) to the moment muscle and ligament forces acting on each segment can then be cal-
arm of the hip abductor muscles (r). (B) The link segment model of the culated through inverse dynamic or forward dynamic solutions.
HOMININ HIP BIOMECHANICS 935
Cross-talk from electrical signals produced by muscles more symmetrical placement of the bodyline of action,
near the location of surface electrodes can also produce with R being 120% of half biacetabular width in the
erroneous EMG readings, making interpretation of EMG most adducted position to just over 80% in the most
signals difficult (Disselhortst-Klug et al., 2009). abducted orientation. McLeish and Charnley (1970, p.
Studies by Osborne and Fahrini (1950) and Merchant 208) concluded “all moments and forces are subject to
(1965) used skeletal models to estimate hip abductor considerable variation due to spinal and limb move-
force production using a combination of pulls and load ments which are, to quite a large extent, under volun-
cells to simulate and measure the force of body weight tary control.” This conclusion is particularly important
and the counteracting force of the hip abductors. These in the context of previous analyses, which, while
experiments also explored the role of pelvis abduction acknowledging the dynamic aspects of locomotion and
and femoral rotation (Merchant, 1965) in abductor force the effect on center of mass displacement (Saunders
production. Both authors reported lower hip abductor et al., 1953; Denham, 1959), presumed that dynamic
forces than those found by Inman (1947), approximately shifts in R had to be proportional to pelvic width
1.3 times body weight. Contrary to Inman’s (1947) con- (Inman, 1947; Osborne and Fahrini, 1950; Denham,
clusions, both these studies indicated that hip abductor 1959; Merchant, 1965). Therefore, hip abductor force
force production was greatest with the pelvis in an production could be easily extrapolated for any individu-
adducted position, as the body weight moment arm al based on known skeletal and weight measurements.
moved farther from the hip joint center of rotation Despite McLeish and Charnley’s (1970) conclusions, this
(Osborne and Fahrini, 1950; Merchant, 1965). Inman static approach to modeling hip abductor force produc-
(1947) did not directly account for changes in the exter- tion has been used extensively in the anthropological lit-
nal moment arm, R, of body weight in different pelvic erature to try and understand gait mechanics in extinct
positions, but Osborn and Farhini (1950) directly mea- hominins.
sured this parameter using radiographs. One subject
stood on a single limb with the pelvis in neutral, maxi- Pelvic Shape and Hip Biomechanics in Extinct
mum abduction and maximum adduction with a radio- Hominins
opaque plumb-line centered through the midpoint of the
ankle joint indicating the line of the body center of grav- Biomechanical reconstructions of locomotor perfor-
ity during single leg stance. The results showed that mance in extinct hominins are foundational to under-
during single-leg stance with the pelvis in neutral posi- standing the totality of hominin behavior within a given
tion, the body center of weight did not pass directly ecological context. Feeding behavior, travel distances,
through the mid-sagittal line as previous research had and energy expenditure are all dependent on and inter-
supposed (Inman, 1947), but aligned just lateral to the woven with locomotor strategies. Therefore, the intensity
mid-sagittal line toward the supporting hip (Osborne of study and debate on this topic within anthropology is
and Fahrini, 1950). By incorporating direct measures of not surprising. However, our understanding is often
R into their model, Osborn and Farhini (1950) recog- muddied by the nature of our evidence. While analysis
nized an important dynamic variable in their model. of fossilized skeletons has provided a wealth of informa-
McLeish and Charnley (1970) also directly addressed tion, we must always be careful to not overestimate the
the position of the body center of mass and its relation- strict relationship between form and function (who
ship to hip abductor activation, noting the asymmetrical would predict that goats are such good tree climbers
nature of single-leg stance. In their experiments, sub- from the shape of their hooves?).
jects stood on a single limb while abducting the pelvis In addition to the biomechanical demands placed on
through multiple positions while the force exerted by the the pelvis by bipedalism, hominin pelvic shape has also
standing limb was measured relative to known marker been driven by adaptations for obstetrics and thermoreg-
locations. Radiographs of the pelvis and lower limb were ulation. The large size of the human infant head and
taken simultaneously during limb abduction. From these body has created a tight fit for the fetus through the
measurements and images, the static moment about the maternal pelvis during birth. While encephalization, and
hip joint and hip abductor force were calculated in each therefore fetal head size, likely did not place significant
position of the pelvis. The results from two subjects demands on the shape of the female pelvis until the
clearly demonstrate the variability of hip moments, and Middle Pleistocene (Ruff et al., 1997; Rightmire, 2004),
hence muscle force, relative to pelvic position. For sub- the selective force of obstetrics is clearly evident from
ject A, hip moments decreased rapidly as the pelvis the sexually dimorphic nature of the human pelvis, with
abducted, from nearly 5 times body weight with the pel- females having larger pelvic diameters throughout the
vis tilted away from the stance limb by 8.5 degrees, to true pelvis, as well as the unique rotational mechanics
just 1 times body weight with the pelvis elevated toward that typify human childbirth (Rosenberg, 1992).
the standing limb by 13 degrees. In subject C, pelvic tilt Hominin pelvic shape is also influenced by variation
away from the standing limb of 17.8 degrees produced a in overall body shape associated with the demands of
hip moment of 4 times body weight, while pelvic eleva- thermoregulation. Body heat production is a function of
tion of 17.2 degrees produced a moment nearly 3 times body mass while heat dissipation is a function of body
body weight. These variations were in part attributed to surface area. Because mass is the cube of linear dimen-
postural and contralateral limb placement during single sions, while surface area is the square of linear dimen-
limb stance, but regardless the variability is striking. sions, the surface area-to-body mass ratio of an object
The variation in R is particularly noteworthy. In subject will always decrease as the object gets larger. If the
A, R ranged from 154% of half biacetabular width in the human body is modeled as a cylinder, increasing height
most adducted pelvic position to just 30% when the pel- alone will not affect the surface area-to-mass ratio, but
vis was abducted. However, subject C maintained a an increase in breadth will cause a decrease in the ratio
936 WARRENER

H. sapiens
allowing more heat generation and less heat dissipation

26.9 6 1.8
11.1 6 0.8
13.4 6 0.8

0.8
0.7
0.4
0.9
0.9
Femaleg
for a given body height (Ruff, 1991). Increases in body

6
6
6
6
6

breadth are most profoundly expressed in the size of the

12.7
12.6
10.2

12.0
11.9
pelvis, particularly, the false pelvis at the level of the ili-
ac blades. Greater pelvic breadth has been well docu-
mented across living human populations in high-latitude
cold climates and narrow pelves are characteristic of

H. sapiens

27.7 6 1.5
10.2 6 0.9
13.0 6 0.8

0.7
0.7
0.6
0.8
1.0
populations in low-latitude equatorial areas (Ruff, 1991)

Malef

6
6
6
6
6
reflecting the different thermoregulatory demands of

11.9
11.8
8.6
11.1
10.2
these environments.

Ardipithecus and Australopithecus. The earli-


est good fossil evidence of hominin pelvic shape comes
from Ardipithecus ramidus (4.4mya), which appears to

neanderthalensis
show distinctive features in the false pelvis associated

Kebara
with bipedalism (Lovejoy et al., 2009a). Although the fos-

12.9h
2f H.

0.5

11.8

9.4

8.8
11.4
30.5

14.2
sil was distorted and required significant reconstruction,


TABLE 1. Pelvic dimensions of extinct hominins and modern humans
the ilia are derived in the direction of later hominins,
being laterally broad and more sagittally oriented than
in earlier hominoids. This change indicates that the
reorganization of the minor gluteal muscles may already
have been well underway in this early species despite
still being committed to extensive arboreal behaviors

‘archaic’
Pelvis 1e

Homo
(Lovejoy et al., 2009a, 2009b). However, the true pelvis

0.6

11.6
33.5
10.8
13.9

13.1
13.5

12.7
13.3
remained more primitive with long ape-like ischia and SH
no evidence of hamstring and gluteus maximus expan-
sion seen in later hominins (Lovejoy et al., 2009a).
The pelvis of Australopithecus is known primarily
through two relatively complete specimens: A.L. 288-1,
H. erectus
KNM-ER
15000d

“Lucy,” assigned to Australopithecus afarensis (Johanson


1.5

8.8
22.5

10.0

10.2
10.5

12.6


et al., 1982) from Hadar, Ethiopia, and Sts14, Australo-
pithecus africanus (Lovejoy et al., 1973; Berge and Gou-
laras, 2010), from Sterkfontein, South Africa. Both
individuals are thought to be females (Johanson et al.,
1982; Berge and Goularas, 2010). Additionally, pelvic
BSN49/P27c

fragments recovered from Sterkfontein, South Africa


H. erectus
0.9–1.4

have allowed the reconstruction of the previously known


Gona

9.8

11.1

11.4
28.8

12.4

13.1

13.3
Stw 431 A. africanus male pelvis (Kibii and Clarke,
2003) and a relatively complete innominate and second
sacral segment have recently been described for A. afar-
ensis from Woranso-Mille, Ethiopia (Lovejoy et al.,
2016). Other more fragmentary remains have been
A. africanus

found in South Africa from Makapansgat (MLD7 and


MLD8) and Swartkrans (SK50, SK3155). Although taxo-
Sts 14b

Schmid (1983) (cited in Berge and Goularas, 2010).


8.5g
2.4

8.3
11.6

7.3

9.3
25.6

10.7

10.5

nomic attribution is not clear for all these specimens,


Tague (1989) data for white males and females.

they share morphological characteristics that allow dis-


cussion of overall pelvic morphology in the genus (Kibii
and Clarke, 2003).
Despite their small stature, the australopith pelvis is
most notable for being exceptionally mediolaterally
A. afarensis

Simpson et al. supplemental (2008).


A.L. 288-1a

broad (Tague and Lovejoy, 1986; Kibii and Clarke, 2003;


26.8

12.4
3.2

7.7

8.5
11.8
9.4
8.8
8.7

Berge and Goularas, 2010), particularly in the false pel-


vis, but also at the mid and inferior pelvis (Table 1)
ausler and Schmid (1995).
Berge and Goularas (2010).

Rak and Arensburg (1987).

(Tague and Lovejoy, 1986; Berge and Goularas, 2010).


Walker and Ruff (1993).

Richmond and Jungers (2008) have argued that Orrorin


Bonmatı et al. (2010).

tugenensis femoral morphology indicates that the trans-


versely wide pelvic complex seen in Australopithecus is
False pelvis (cm)

True pelvis (cm)

the ancestral condition for the hominin clade. The recon-


Midplane AP
Biacetabular

structions of Sts14 by Berge and Goularas (2010) and


A.L. 288-1 by Schmid (1983) place these two specimens
Outlet ML
Bispinous
Outlet AP
Date (Ma)

Inlet ML

within one standard deviation of the human means in


Inlet AP
Bi-iliac

bi-iliac, biacetabular, bispinous, and bituberous diame-


ters (Berge and Goularas, 2010). The relative width and
H€

height proportions of the australopith pelvis indicate the


h
d
a
b

g
e
c

f
HOMININ HIP BIOMECHANICS 937
overall shape was both broad and short when compared Goularas, 2010), but whether this affected the function
to modern humans. Pelvic indices of bi-iliac and biace- of the hip abductors is uncertain. Berge (1994) concluded
tabular diameters to pelvic length are 163%–173% and that an ape-like arrangement of the hip musculature in
69%–75%, respectively, across the australopith recon- A.L. 288-1 would have provided better mechanical
structions, while the human mean ratios are 128% and advantage for the hip extensors and facilitated medial
55%, respectively (Berge and Goularas, 2010). In addi- rotation and adduction of the thigh during bipedal loco-
tion, australopiths have a narrow anteroposterior diame- motion. However, other analyses have proposed that a
ter at the pelvic midplane (Tague and Lovejoy, 1986; human-like muscular arrangement was more likely in
Berge and Goularas, 2010) compared to modern humans australopiths (H€ aeusler, 2002). A.L. 288-1 differs from A.
where greater anteroposterior diameters reflect obstetric africanus in other aspects of the pelvis as well, particu-
demands (Tague and Lovejoy, 1986; Ruff, 1995). larly the lack of a well-developed attachment for the ilio-
The pelvis of Australopithecus sediba, the species dis- femoral and sacroiliac ligaments, which stabilize the
covered in Malapa, South Africa in 2008 and dated to femoral head and sacrum during locomotion (Stern and
1.9mya (Pickering et al., 2011), is a partial exception to Susman, 1983; H€ aeusler, 2002). “Lucy’s” pelvis also lacks
the general australopith pelvic type. The best preserved a defined iliopsoas groove inferior to the anterior inferior
specimen, MH2, has been identified as belonging to a iliac spine or iliopectineal eminence, which has been
female and shows a mosaic of primitive hominin and interpreted as compromising bipedal locomotion (Stern
derived Homo-like traits. As in other australopiths, the and Susman, 1983; H€ aeusler, 2002). However, the newly
biacetabular distance is relatively wide, the sacral and described pelvis, KSD-VP 1/1 from Woranso-Mille, Ethio-
acetabular joint surfaces are small, and the pubis is rela- pia has a strong iliopsoas groove, a prominent anterior
tively long (Kibii et al., 2011). However, the iliac blades inferior iliac spine, robust anteriorly placed iliac pillar,
are more sagittally oriented and less flaring than in oth- rugose area of attachment for the sacroiliac and iliofe-
er australopiths, their shape is sigmoid as in later moral ligaments and a robust ischial tuberosity, a pat-
Homo, and the blades are more robust and show a dis- tern more typical of other australopith species (Lovejoy
tinctive iliac tuberosity (Kibii et al., 2011). Additionally, et al., 2016).
the ischium is shorter than in earlier australopiths and Controversy over the “effectiveness” and “efficiency” of
the ischial tuberosities are distinctively everted and the australopith gait could fill an entire manuscript. The
pubis more superiorly oriented (Kibii et al., 2011). The problems in determining locomotor behavior related to
differences in pelvic shape seen in A. sediba have been the function of the hip are numerous, including differing
argued to reflect changes in locomotor biomechanics as reconstructions of the A.L. 288-1 (Tague and Lovejoy,
the species retained the small cranial capacity of other 1986; H€ ausler and Schmid, 1995) and Sts14 pelves (Rob-
australopiths and therefore the obstetric demands for inson, 1972; Abitbol, 1995; H€ ausler and Schmid, 1995;
birthing encephalized infants were not yet acting on pel- Berge and Goularas, 2010), and poorly defined function-
vic shape (Kibii et al., 2011). However, the specific rele- al parameters for efficient and “effective” bipedalism.
vance of each of these morphological changes to the While the overwhelming majority of researchers agree
biomechanics of bipedal locomotion are not well under- that Australopithecus was a habitual biped (see Ward,
stood, and Kibii et al. (2011) do not propose any mechan- 2002 for a full review), the argument remains over the
ical explanations to support their claims. DeSilva et al specific mechanics of bipedal progression in this genus,
(2013) have proposed that A. sediba had a novel form of and whether a shift toward bipedalism reduced arboreal
bipedalism characterized by a fully extended hind limb, practice and competency (Ward, 2002).
inverted foot during swing-phase and initial ground con- In accordance with the divergent views of locomotor
tact, with a large pronatory moment through the ankle behavior, biomechanical analyses of the hip abductors
during stance phase. In the pelvis, the presence of osteo- have produced two very different reconstructions of func-
phytic growths at the origin of the rectus femoris and tion and gait in Australopithecus. In a detailed biome-
the insertion of the biceps femoris are argued to indicate chanical analysis of the A.L. 288-1 pelvic complex, Ruff
increased strain on the hip joint and knee during loco- (1998) calculated potential hip abductor and joint reac-
motion (DeSilva et al., 2013). While no other australo- tion forces as well as mediolateral bending forces of the
piths are thought to have walked with similar bipedal femur based on Charnley’s and McLeish’s (1970) model
kinematics, these features in A. sediba may reflect of hip abductor function during single-leg stance.
greater reliance on arboreal movement requiring a com- Assuming similar stance kinematics as the subjects in
pensatory strategy while on the ground (DeSilva et al., their study, Ruff (1998) determined that joint reaction
2013). force was 12% greater, hip abductor muscle force 27%
Few australopith specimens preserve muscular and higher, and mediolateral bending forces at upper and
ligamentous attachments with sufficient clarity to allow mid-shaft of the femur 36% and 39% greater, respective-
definitive evaluation of muscle placement, but several ly, than in modern humans (Ruff, 1998). Based on these
important characteristics can be assessed. The very measurements, if A.L. 288-1 walked with a normal
broad ilium present in the genera clearly indicates an human gait, Ruff (1998) hypothesized that she would
expanded area of attachment for the minor gluteals have greater femoral head diameter, iliac buttressing,
when compared to chimpanzees (Lovejoy et al., 1973), and mediolateral reinforcement of the femur relative to
and the presence of a posterior gluteal line indicates body mass, than seen in modern humans. Because these
that posterior portions of the gluteus maximus arose features are absent in the skeleton, Ruff (1998) conclud-
directly from the ilium (H€ aeusler and Berger, 2001). The ed that this individual walked with a slightly waddling
orientation of the A.L. 288-1 ilium is slightly different gait, which would have diminished hip joint forces but
from Sts 14 and Sts 431, with the external surface more been energetically costly. Other researchers have drawn
posteriorly oriented (H€ aeusler, 2002; Berge and similar conclusions regarding the kinematics and
938 WARRENER

energetics of australopith locomotion (Napier, 1964; ilia in combination with a long femoral neck (Brown
Stern and Susman, 1983; Berge, 1994; Hunt 1998). et al., 1985; Ruff, 1995) have been interpreted as
In contrast, Lovejoy et al. (1973), Lovejoy (1988, 2005) increasing hip abductor mechanical advantage in Homo
and McHenry (1975) have argued that australopith pel- erectus (Brown et al., 1985), even though the gluteal
vic morphology maintained proper mechanical advan- musculature appears to be very well developed (Rose,
tage of the hip abductor muscles, and differed from the 1984; Simpson et al., 2008) and hip abductor forces have
modern human form because of parturition require- been estimated to be greater than those of modern
ments in Homo, not because of locomotor differences humans based on the traditional static model of abduc-
between the taxa. Although A.L. 288-1 and Sts 14 have tor mechanics (discussed in detail below) (Ruff, 1995).
wide biacetabular dimensions, the ratio of r/R may have Further information about the shape and mechanical
been similar to modern humans due to the very long properties of the pelvis in early Homo has been deduced
femoral necks of this genus (McHenry and Temerin, from femoral morphology, for which there is a signifi-
1979; Lovejoy, 2005). Therefore, the transversely wide cantly larger fossil collection. Ruff (1995) analyzed fem-
pelvis seen in australopiths would not have increased oral cross-sectional geometry in early Homo and argued
hip abductor muscle force production during locomotion. that, based on the increase in mediolateral bending
Based on this analysis of hip mechanics, Lovejoy et al. strength of the proximal femur, the primitive wide pel-
(1973) and Lovejoy (2005) argue a fully striding bipedal vic complex seen in australopiths was maintained until
gait pattern, with effective mediolateral stabilization of 0.5 Ma, although changes in gait altered the biome-
the trunk, would have characterized australopith loco- chanical loading of the lower limbs. The mediolaterally
motion (see also Kimbel and Delezene, 2009 for a review broad pelvic shape would have limited increases in cra-
of the debate). In addition to clear changes in the pelvis nial capacity within the genus until after the advent of
associated with habitual bipedalism (Lovejoy et al., rotational birth, which was facilitated by an increase in
1973; Lovejoy, 1988, 2005; Kimbel and Delezene, 2009; anteroposterior dimensions of the mid-pelvis (Ruff,
Haile-Selassie et al., 2010), Australopithecus displays a 1995). This allowed biacetabular width and femoral
suite of features, including valgus knee (Ward, 2002; neck length to decrease and changed the biomechanical
Haile-Selassie et al., 2010), development of transverse loading of the femur, reducing mediolateral stress (Ruff,
and longitudinal arches (Ward et al., 2011), and adduc- 1995).
tion of the great toe (Latimer and Lovejoy, 1990), which Ruff (1995) excluded KNM-WT 15000 from his analy-
sis of femoral cross-sectional geometry because the indi-
all suggest a form of bipedal progression similar to later
vidual’s femoral morphology likely would not follow
Homo (Ward et al., 2011).
predicted adult patterns due to his young age. Yet, while
conclusions about its adult morphology are necessarily
Homo erectus and Archaic Homo. Pelvic mor-
tentative, the argument that biacetabular width
phology of Homo erectus has been primarily described
remained wide in early Homo is at odds with KNM-WT
based on the reconstructed pelvis of KNM-WT 15000
15000 pelvic morphology as originally reconstructed.
(Walker and Ruff, 1993), the os coxae of KNM-ER 3228
Walker (1993) speculated that the long femoral neck and
(Rose, 1984) from Lake Turkana, Kenya, and the nearly
very narrow biacetabular width of this individual indi-
complete pelvis, BSN49/P27, from Gona, Ethiopia (Simp- cated increased hip abductor leverage in Homo erectus
son et al., 2008). A partial os coxae, OH 28 is also known compared to modern humans. Walker (1993) further
from Olduvai, Tanzania (Day, 1971). The Homo erectus argued that with selection for larger brains in later
pelvis is generally robust with a large iliac tubercle and Homo, which necessitated increases in the size of the
strong iliac pillar, and the lateral surface of the ilium bony birth canal, long femoral necks were maintained
shows a deep fossa for the attachment of gluteus medius only in populations where cold climates allowed for wid-
and minimus muscles (Rose, 1984; Simpson et al., 2008). er body builds. In equatorial regions, femoral neck
The iliac blades also flare laterally but the auricular sur- length was reduced to minimize body breadth, thereby
face is relatively small compared to modern humans sacrificing abductor function (Walker, 1993). These inter-
(Rose, 1984; Ruff, 1995; Simpson et al., 2008). The ischi- pretations may need to be revised in light of the recent
al tuberosity is large and the anterior superior iliac recognition that the original reconstruction of the KNM-
spine is described as being protuberant (Rose, 1984; WT 15000 pelvis likely underestimated the true breadth
Ruff, 1995). KNM-ER 3228 has a clear attachment site (Arsuaga et al., 1999).
for the iliofemoral ligament on the superior aspect of the This picture has been further complicated by the dis-
acetabular margin and a shallow groove for the iliopsoas covery of the Gona pelvis, which is relatively complete,
tendon between the anterior inferior iliac spine and the though slightly distorted (Simpson et al., 2008).
iliopubic eminence (Rose, 1984). The attachments for the Although the Gona pelvis shares many diagnostic fea-
sacroiliac ligaments are well developed and can be seen tures with other Homo erectus specimens (Simpson
in the Gona pelvis (Simpson et al., 2008) OH 28 (Day, et al., 2008, 2014), her extremely small estimated femo-
1971) and KNM-ER 3228 (Rose, 1984). Some of these ral head diameter, 33.4–36.8 mm, (Simpson et al., 2008)
features are missing in KNM-WT 15000, but this is and inferred body size, make her the smallest individual
readily attributable to the young age of that individual of the known Early or Middle Pleistocene Homo speci-
(Walker and Ruff, 1993). mens (Ruff, 2010). The pelvis is also unique in being
There is a general agreement that gait and kinematics extremely mediolaterally broad. In bi-iliac, bispinous,
in Homo erectus were very similar to those of modern biacetabular, and mediolateral outlet diameters, Gona is
humans including the function of the mediolateral bal- larger than the modern female means from human com-
ance mechanisms of the pelvis (Day, 1971; Rose, 1984; parative samples (Tague, 1989; Simpson et al., 2008)
Ruff, 1995; Arsuaga et al., 1999). The laterally flaring (Table 1). The curious combination of very small stature
HOMININ HIP BIOMECHANICS 939
and body mass with very great mediolateral dimen- seen in Neandertals and the broader area characteristic
sions of the pelvis has prompted some to question the of modern humans (Rosenberg 1998; Arsuaga et al.,
assignment of the Gona pelvic specimen to H. erectus 1999). The functional significance of this difference
(Ruff, 2010). However, Simpson et al. (2014) note mul- between the earlier and later “archaic” groups is unclear
tiple morphological features, such as the robusticity (Rosenberg, 1998).
and placement of the iliac pillars, the size of the glute- While the long pubic rami of Neandertals was once
al fossa and ischial tuberosity, orientation of the iliac argued to be an obstetric adaptation (Trinkaus, 1984;
blades, and the derived condition of the pubic symphy- Rosenberg, et al. 1988; Weaver and Hublin, 2009), Rak and
seal face that distinguish the Gona pelvis from those Arensburg (1987) argue that the long pubic bones seen in
of australopiths. Additionally, the enigmatic nature of Kebara 2, place the acetabula more laterally, effectively
the Homo erectus remains from Dmanisi, Georgia, and increasing the body weight moment arm about the hip and
the calvarium from Ileret, Kenya (KNM-ER 42700) are requiring greater hip abduction forces. However, other loco-
expanding the known variability of this species both motor biomechanical interpretations of Neandertal pelvic
cranially and postcranially (Gabunia et al., 2000; morphology have noted that the combination of flared iliac
Spoor et al., 2007). Homo naledi also demonstrates the blades, large biacetabular diameter, and long femoral necks
mosaic nature of hominin pelvic evolution. While no would indicate similar hip abductor mechanics in “archaic”
full reconstructions are yet available, the pelvic frag- Homo and earlier H. erectus specimens (Arsuaga et al.,
ments so far described show a mix of australopith-like 1999). While these biomechanical interpretations may be
features in the ilium, and Homo-like features of the correct, the extremely broad shape of the Neandertal pelvis
lower pelvis (Berger et al., 2015). Regardless of taxo- is either an ancestral morphology shared with early mem-
nomic categorization, the known pelves from Early
bers of the genus Homo (Bonmatı et al., 2010), or reflects
and Middle Pleistocene Homo (except for KNM-WT
adaptation to thermoregulatory demands in this cold
15000) share the ancestral mediolaterally wide pelvis
adapted species (Ruff, 1994).
and long femoral neck of Australopithecus (Arsuaga
The fossil evidence of hominin pelvic shape shows
et al., 1999), which has implications for the interpreta-
that a mediolaterally broad pelvis has been characteris-
tion of hip abductor function through the early evolu-
tion of our genus. tic of many of our extinct ancestors, but biomechanical
The most complete fossil pelves representing “archaic” implications of this general trend are debated. All these
Homo are those from Jinniushan, China, dated to reconstructions rely on the static model of hip abductor
260 ka (Rosenberg, 1998; Rosenberg et al., 2006) and SH function, which is understandable given that kinematics
Pelvis 1 from Sima de los Huesos, Spain (Arsuaga et al., in extinct species is unknowable. However, new techni-
1999; Bonmatı et al., 2010). Originally thought to be ques are demonstrating that mediolateral stability of the
around 200 ka (Arsuaga et al., 1999), more recent mass- body during locomotion is significantly more complex
spectrometer analysis has shown the Sima de los Huesos than this model allows, bringing into question previous
hominin deposit to be approximately 600 ka (Bischoff conclusions about hominin pelvic biomechanics. While
et al., 2007), placing these hominins at the very begin- we can never know how these species moved on the
ning of the Neandertal ancestral lineage (Bischoff et al., ground with certainty, increasing our understanding of
2007). The pelves of Kebara 2 from Mt. Carmel, Israel the relationship between anatomical structure and func-
(65 ka) (Rak and Arensburg, 1987; Gr€ un and Stringer, tion in species that we can test experimentally (humans
1991) and the recently virtually reconstructed pelvis of and some primates) may provide new insights into the
Tabun C1 (110 ka) (Ponce de Leon et al., 2008; Weaver evolution of hominin locomotor behavior.
and Hublin, 2009) provide important insights into
derived Neandertal pelvic morphology. Fragmentary Alternative Approaches to Hip Biomechanics
remains from Shanidar, Tabun, Krapina and La Ferras-
Inverse dynamics. Analysis of dynamic body
sie also highlight differences in Neandertal pubic mor-
movement is generally performed using either Newton–
phology compared to modern humans (Rosenberg, 1998).
Morphologically, these pelves share many similarities Euler inverse dynamics or through model-based simula-
with those of Early and Middle Pleistocene Homo, tions (Zajac et al., 2002, 2003; Winter, 2009). Inverse
including a mediolaterally broad false pelvis with flaring dynamics can be characterized as a ground up approach
ilia, a general platypelloid shape, developed iliac but- where the resolution of unknown forces acting on a
tress and tubercle, and prominent anterior superior iliac body can be resolved from the known resultant force
spines (Rosenberg, 1998; Arsuaga et al., 1999; Rosenberg (GRF) and the kinematic and inertial properties of the
et al., 2006). The extremely long and thin pubic ramus body itself. These data are now relatively easy to obtain
of the Neandertal specimens (Trinkaus, 1976; Rak, 1990) using force-platforms and high-speed motion capture
has historically been interpreted as part of a suite of systems to monitor the movement of body segments
obstetric and fetal developmental features thought to be during locomotion. Inertial properties of the body seg-
unique to this group (Rosenberg, 1998). However, Nean- ments are generally obtained by scaling subject body
dertal males have longer pubic rami than females, which dimensions to those from cadavers where segment cen-
is at odds with an obstetrical interpretation of this trait ter of mass and inertial properties can be directly mea-
(Rosenberg, 1998). Additionally, both Pelvis 1 and Jin- sured (Dempster, 1955; de Leva Paolo, 2004; Winter,
niushan share this pubic elongation, which is probably 2009). Assuming the foot, shank, and thigh are rigid
an ancestral characteristic that has been lost in modern bodies articulating at frictionless joints, the net joint
humans (Rosenberg, 1998; Arsuaga et al., 1999). In moments about the ankle, knee, and hip can be
cross-section, the pubic rami of these earlier specimens resolved sequentially using the Newton–Euler equa-
is intermediate between the reduced cross-sectional area tions of motion:
940 WARRENER
X introduced either through instrument error (poor camera
Fx 5max coverage of body markers) or the movement of body
X markers from anatomical landmarks, which can affect
Fz 5maz body segment measurements during locomotion (Zajac
X et al., 2002). Such errors can dramatically alter net
M5I / joint moments because acceleration calculations expo-
nentially amplify such errors. Care must be taken to
where m is the mass of the segment, Fx is the force of
properly filter and gap fill kinematic data to prevent
the segment COM in the plane of movement (horizontal
erroneous calculations through later analysis (Winter,
or mediolateral), ax is the linear acceleration of the seg-
2009; Christodoulakis et al., 2010).
ment COM in that plane, Fz is the vertical force of the
segment COM, az is the vertical linear accelertation of
the segment COM, I is the moment of inertia, and a is Forward dynamics. Another powerful technique
the angular acceleration of the body segment about its for understanding human movement is forward dynam-
COM. The resulting net joint moments represent the ics. Forward dynamics is a model-based approach where
total moment about a joint generated by all the anatomi- the movement of a multisegment body is driven by simu-
cal structures acting on the adjoining body segments. lated forces. These models can be actuated through net
Joint contact forces can also be calculated using inverse joint moments or based on individual muscular contribu-
dynamics. With additional anatomical data on muscle tions to segmental accelerations (Zajac et al., 2003). For-
moment arms and cross-sectional area obtained through ward dynamics simulations must include a full body
imaging, muscle force and effective mechanical advan- link-segment model that incorporates all degrees of free-
tage (EMA) of individual muscles and muscle groups act- dom and physical constraints at each joint (Winter,
ing to generate the measured net joint moments can also 2009). The initial positions and velocity of each segment
be estimated (Zajac et al., 2002; Biewener, 2004; Winter, must be known, with the only inputs being the external-
2009). ly applied and internally generated moments and forces
One advantage of inverse dynamics analysis for deter- (Winter, 2009). As an internal check, the model must be
mining lower limb mechanics is that upper body seg- validated against kinematic and kinetic data collected in
ment kinematics do not have to be included in the the lab to demonstrate the reliability of the simulated
biomechanical model because their contribution to body forces in producing the observed subject movement (Win-
kinetics is represented in the measured GRF (Zajac ter, 2009).
et al., 2002). This allows resolution of ankle, knee, and Forward dynamics solutions are most useful for ask-
hip moments without the inclusion of a body segment ing “what if questions” to understand how changes in
representing the pelvis or torso. Inverse dynamics has the action of a particular muscle or anatomical structure
been shown to provide accurate measurements of hip may affect the entire system (Winter, 2009). This tech-
joint contact forces measured through instrumented nique allows clinicians to test the effectiveness of tar-
prostheses (Brand et al., 1994; Zajac et al., 2002), dem- geted anatomical interventions on subjects with
onstrating the general reliability of the method. Addi- pathological gait (Zajac et al., 2003) and has been used
tionally, as computational power has increased and to model walking dynamics in extinct hominins (Nagano
commercially available biomechanics analysis software et al., 2005; Sellers et al., 2005). Forward dynamics mod-
has become available in the past 15 years, inverse els have helped elucidate the contribution of individual
dynamics data has become significantly easier to collect, muscles to forward progression and vertical support of
and computation time has decreased, allowing larger
the body during walking (Zajac et al., 2003; Liu et al.,
studies to be conducted (Otten, 2003).
2006), as well as partitioning the contribution of elastic
One limitation of inverse dynamics is that net joint
energy storage to body accelerations (Zajac et al., 2003).
moments cannot be easily decomposed into individual
muscle or ligament forces at the joint (Zajac et al., 2002; Forward dynamics has also significantly increased our
Robertson et al., 2004). While individual muscle contri- understanding of joint coupling, demonstrating that
butions can be estimated from static anatomical data muscles that do not cross a joint can contribute to
(see above), muscle EMA and mechanical properties moments generated about that joint, thus redistributing
change with movement, influencing the muscle’s force their mechanical energy across the body segments (Zajac
producing capacity and therefore its contribution and et al., 2003; Pandy and Andriacchi, 2010).
coordination to the net joint moment (Anderson and The most significant drawback of forward dynamics
Pandy, 2001; Pandy, 2001). Nevertheless, Anderson and solutions is that the resolved muscle forces cannot be
Pandy (2001) report that muscle forces derived from experimentally validated in living subjects by noninva-
inverse dynamics were nearly identical to muscle forces sive means (Pandy and Andriacchi, 2010). The kinemat-
predicted from dynamic optimization models during ics and GRF produced by the model simulation can be
normal walking. However, the close match between compared to gait data obtained from subjects in the lab,
inverse dynamics and simulation derived muscle forces but because the musculoskeletal system is redundant,
may not hold for running or impaired gaits (Zajac et al., with many muscles crossing each joint, the observed
2002). In addition, the contribution of individual muscles motion can be the product of many different combina-
to segment accelerations and joint contact forces are not tions of muscle forces. Therefore, the forward dynamics
deducible from the inverse dynamics equations (Zajac solution may or may not accurately replicate the specific
et al., 2002). Another potential limitation of inverse muscle activation responsible for the observed movement
dynamics solutions for understanding gait mechanics is (Pandy and Andriacchi, 2010), and sensitivity studies
the sensitivity of the calculations to kinematics noise must be used to judge the acceptable limits of a
HOMININ HIP BIOMECHANICS 941

Fig. 2. Skeletal dimensions of the hip and pelvis versus external and length (y 5 1.0x 2 0.62, R2 5 0.62, P < 0.0001). (C) Hip abductor
hip abductor moment arm lengths. (A) Biacetabular width, defined as moment arm length, r, is also significantly correlated with bi-iliac width
the distance between the centers of the femoral heads, is not signifi- (y 5 0.32x 2 2.9, R2 5 0.51, P < 0.001) in males (N 5 13) and females
cantly correlated with R at mid-stance during walking (dashed line, (N 5 13). Lines indicate OLS regressions. Circles 5 walk, square 5 run,
y 5 0.51x 2 3.7, R2 5 0.05, P 5 0.28, N 5 25) or running gaits (solid open symbols 5 female, closed symbols 5 male. Data and methods
line, y 5 0.65x 2 5.7, R2 5 0.06, P 5 0.28, N 5 21). (B) Hip abductor are available in Warrener et al. (2015).
moment arm length, r, is significantly correlated with femoral neck

particular forward dynamics solution to support its con- abductor moment arm, r, is strongly correlated with
clusions (Zajac et al., 2003). femoral neck length and bi-iliac width (Fig. 2b and c)
(Dunsworth et al., 2013; Warrener et al., 2015). Further-
Skeletal anatomy and hip abductor function. more, the variability of dynamic measures of R during
Using these new techniques, our understanding of the walking and running across subjects demonstrates that
relationship between hip abductor mechanics and skele- lower limb kinetics and kinematics unrelated to skeletal
tal anatomy has been challenged in recent years. War- measures influence forces experienced at the hip (War-
rener et al. (2015) explicitly tested the relationship rener et al., 2015). Baggaley et al. (2015) also report no
between skeletal estimates of hip abductor EMA and significant correlation between measures of pelvic width
measures of EMA and locomotor cost determined during relative to lower limb length and hip kinematics during
walking and running. Kinematics, kinetics, and MRI walking.
data were collected for 26 males and females, as well as The results of these studies have important implica-
oxygen consumption data for this sample and an addi- tions for interpreting variation in pelvic shape both in
tional fifteen subjects (Warrener et al., 2015). An inverse the hominin fossil record and also in living humans. Our
dynamics approach was used to determine joint analysis of dynamic hip abductor function using inverse
moments at the hip, knee, and ankle and muscle forces dynamics demonstrates that greater biacetabular width
and EMA were resolved using subject-specific anatomical in early hominins cannot be assumed to decrease hip
data from MRI as well as muscle fascicle lengths derived abductor EMA (Berge, 1994; Hunt, 1998; Ruff, 1998).
from cadaver dissection (Warrener et al., 2015). Our Longer femoral neck lengths and greater bi-iliac width
results show that biacetabular width is a poor predictor in australopiths, early Homo, and later Neandertals like-
of R during walking and running (Fig. 2a), but the hip ly indicate a long hip abductor muscle moment arm, r,
942 WARRENER

which may have increased EMA of this muscle group. mediolateral balance during locomotion. While the hip
However, without a clear understanding of what (if any) abductor muscles are the primary producers of the medi-
skeletal anatomical traits influence the deviations of the al component of the GRF during walking and running,
GRF from the body midline during locomotion, our under- other muscles of the lower limb, and gravity provide
standing of mediolateral stabilization mechanisms at the important contributions to both the medial and lateral
hip in extinct hominins remains frustratingly unclear. movement of the body COM, altering the force required
The lack of correlation between pelvic width and hip by the hip abductors (Pandy and Andriacchi, 2010; Pan-
abductor function also suggests that traditional interpreta- dy et al., 2010). Peak hip abduction force during walking
tions of the effect of sexual dimorphism on locomotor perfor- has been measured between one and two times body
mance in modern humans are incorrect. The increased weight (Pandy and Andriacchi, 2010; Warrener et al.,
width of the human female pelvis to accommodate a neonate 2015, unpublished data) and up to four times body
has long been argued to reduce locomotor efficiency by weight at moderate running speeds (Pandy and Andriac-
increasing the metabolic cost of hip abductor activation chi, 2010; Lenhart et al., 2014; Warrener et al., 2015,
because of reduced EMA in women (Zihlman and Brunker, unpublished data). During early stance phase of both
1979; Meindl et al., 1985; Rosenberg, 1992). Warrener et al. walking and running, the body center of mass moves lat-
(2015) show that while hip abductor EMA is slightly lower erally through the action of gravitational forces and the
in women during both walking and running, these differ- activity of the vasti muscles, which also decelerate the
ences are driven by shorter r in women compared to men body’s forward progression until midstance (Pandy and
due to shorter femoral neck lengths. Because femoral neck Andriacchi, 2010; Pandy et al., 2010). During the second
length is strongly correlated with overall femoral length, half of stance, the soleus and gastrocnemius accelerate
and thus height, the reduction in EMA in women can be the body laterally, with peak forces of roughly 5% and
seen primarily as a consequence of smaller body size. Fur- 10% of body weight (Pandy and Andriacchi, 2010).
thermore, any increase in hip abductor force production in Throughout stance phase, the primary contributors to
women does not translate into greater overall locomotor the medial component of the GRF are the minor gluteal
cost, which is not significantly different between the sexes muscles, but the plantar inverters also contribute medi-
(Bunc and Heller, 1989; Bourdin et al., 1993; Hall et al., ally directed forces. However, the minor gluteals are also
2004; Warrener et al., 2015). important for vertical support of the body, particularly
In recent years, forward dynamics simulations have during walking, and forward progression during running
been used to address locomotor performance in A. afar- (Pandy and Andriacchi, 2010; Pandy et al., 2010). The
ensis based on the relatively complete skeleton of “Lucy” contribution of so many muscles of the lower limb to
(Nagano et al., 2005; Sellers et al., 2005). Nagano et al. mediolateral body stability, and the coupling of joint
(2005) generated a neuromusculo-activated model where moments, helps to explain why hip abductor mechanics
cannot be simply explained through a static lever model
the muscle activation profiles were optimized to mini-
system at the hip.
mize energy expenditure. Their results show that
Because of the multijoint effect of muscle force produc-
smooth, striding gait kinematics can be generated with
tion, the hip abductors have been a primary focus in
“Lucy’s” skeletal anatomy, and muscle activation pat-
attempts to understand frontal plane knee moments.
terns in the sagittal plane were generally comparable to
Abnormal moments about the knee joint are thought to
those from modern humans (Nagano et al., 2005). In the
be responsible for several chronic knee injuries including
mediolateral plane, Nagano et al. (2005) report higher
medial compartment osteoarthritis (Valente et al., 2013;
muscle activation in the hip abductors and a tendency Shull et al., 2015), patellofemoral pain syndrome, and
for the swing leg to move away from the midsagittal line anteriocruciate ligament injuries (Powers, 2010). Howev-
during locomotion, with the swing leg abducted to nearly er, the specific effects of body kinetics and force profiles
10 degrees throughout most of the step. They attribute with injury occurrence have been difficult to determine.
these distinctive kinematics and muscle activation pro- During locomotion, the medially directed GRF vector
files to “Lucy’s” greater pelvic width, concluding that acts to adduct the tibia, thereby generating a large
greater moments must be generated at the hip to main- external knee adduction moment and placing the medial
tain trunk stability. However, their model reconstruction knee compartment into compression (Pandy and
does not include a torso or upper extremities, so evaluat- Andriacchi, 2010; Shull et al., 2015). Because the hip
ing the effect of a wider pelvis on trunk stability is diffi- abductors are the primary muscles producing the medi-
cult. Additionally, the ankle joint was represented as a ally directed GRF, hip abductor forces have the potential
monoaxial hinge joint prohibiting any mediolateral to increase external knee adduction moments (Pandy
moment contributions at the ankle to frontal plane sta- and Andriacchi, 2010). Conversely, individuals with
bility. In modern humans, the ankle plantarflexors and increased dynamic genu valgus, a complex alignment
everters generate substantial lateral moments on the issue that involves hip placement and tibial orientation,
body COM during stance phase, and the plantar inver- may have reduced external knee adduction moments,
ters assist the minor gluteal muscles in generating medi- placing more stress on the lateral compartment of the
al moments (Pandy and Andriacchi, 2010). Ignoring knee and increasing lateral displacement of the patella
these moment contributions on body COM movement in during stance phase (Barrios et al., 2016). Large dynam-
the mediolateral plane may cause erroneous kinematic ic knee adduction angles during locomotion are often
and kinetics in the simulated A. afarensis model. associated with hip abductor weakness (Hewett, 2006;
Powers, 2010). However, therapies targeted at increasing
Dynamic mechanics of mediolateral balance hip abductor strength to prevent knee adduction during
during locomotion. Biomechanical analyses over stance have had mixed results (Kean et al., 2015; Shull
the last 10 years have demonstrated the complexity of et al., 2015).
HOMININ HIP BIOMECHANICS 943
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