Metabolic cost calculations of gait using musculoskeletal energy models, a comparison study

This paper compares predictions of metabolic energy expenditure in gait using seven metabolic energy expenditure models to assess their correlation with experimental data. Ground reaction forces, marker data, and pulmonary gas exchange data were recorded for six walking trials at combinations of two speeds, 0.8 m/s and 1.3 m/s, and three inclines, −8% (downhill), level, and 8% (uphill). The metabolic cost, calculated with the metabolic energy models was compared to the metabolic cost from the pulmonary gas exchange rates. A repeated measures correlation showed that all models correlated well with experimental data, with correlations of at least 0.9. The model by Bhargava et al. [7] and the model by Lichtwark and Wilson [21] had the highest correlation, 0.96. The model by Margaria [23] predicted the increase in metabolic cost following a change in dynamics best in absolute terms.