Clinical Biomechanics
Volume 24, Issue 10 , Pages 833-841 , December 2009

Knee joint kinematics, kinetics and muscle co-contraction in knee osteoarthritis patient gait

  • Tamika L. Heiden

      Affiliations

    • Corresponding Author InformationCorresponding author. Address: School of Sports Science, Exercise and Health, The University of Western Australia, 35 Stirling Highway, Crawley, Western Australia 6009, Australia.
  • ,
  • David G. Lloyd

      Affiliations

    • Corresponding Author InformationCorresponding author.
  • ,
  • Timothy R. Ackland

Received 10 December 2008 ,Accepted 9 August 2009.

References 

  1. Al-Zahrani KS, Bakheit AMO. A study of the gait characteristics of patients with chronic osteoarthritis of the knee. Disability and Rehabilitation. 2002;24:275–280
  2. Andriacchi TP, Andersson GBJ, Ortengren R, Mikosz RP. A study of the factors influencing muscle activity about the knee joint. Journal of Orthopaedic Research. 1984;1:266–275
  3. Andriacchi TP, Ogle JA, Galante JO. Walking speed as a basis for normal and abnormal gait measurements. Journal of Biomechanics. 1977;10:261–268
  4. Astephen JL, Deluzio J, Caldwell GE, Dunbar M, Hubley-Kozey C. Gait and neuromuscular pattern changes are associated with differences in knee osteoarthritis severity levels. Journal of Biomechanics. 2008;41:868–876
  5. Astephen JL, Deluzio KJ. Changes in frontal plane dynamics and the loading response phase of the gait cycle are characteristic of severe knee osteoarthritis application of a multidimensional analysis technique. Clinical Biomechanics. 2005;20:209–217
  6. Astephen JL, Deluzio KJ, Caldwell GE, Dunbar MJ. Biomechanical changes at the hip, knee, and ankle joints during gait are associated with knee osteoarthritis severity. Journal of Orthopaedic Research. 2007;
  7. Baliunas AJ, Hurwitz DE, Ryals AB, Karrar A, Case JP, Block JA, et al. Increased knee joint loads during walking are present in subjects with knee osteoarthritis. Osteoarthritis and Cartilage. 2002;10:573–579
  8. Besier TF, Lloyd DG, Ackland TR. Muscle activation strategies at the knee during running and cutting maneuvers. Medicine and Science in Sports and Exercise. 2003;35:119–127
  9. Besier TF, Sturnieks DL, Alderson JA, Lloyd DG. Repeatability of gait data using a functional hip joint centre and a mean helical knee axis. Journal of Biomechanics. 2003;36:1159–1168
  10. Brinkmann JR, Perry J. Rate and range of knee motion in healthy and arthritic subjects. Physical Therapy. 1985;65:1055–1060
  11. Buchanan TS, Kim AW, Lloyd DG. Selective muscle activation following rapid varus/valgus perturbations at the knee. Medicine and Science in Sports and Exercise. 1996;28:870–876
  12. Chen CPC, Chen MJL, Pei YC, Lew HL, Wong PY, Tang SFT. Sagittal plane loading response during gait in different age groups and people with knee osteoarthritis. American Journal of Physical Medicine and Rehabilitation. 2003;82:307–312
  13. Childs JD, Sparto PJ, Fitzgerald GK, Bizzini M, Irrgang JJ. Alterations in lower extremity movement and muscle activation patterns in individuals with knee osteoarthritis. Clinical Biomechanics. 2004;19:44–49
  14. de Leva P. Adjustments to Zatsiorsky-Seluyanovs segment inertia parameters. Journal of Biomechanics. 1996;29:1223–1230
  15. Dhaher YY, Tsoumanis AD, Rymer WZ. Reflex muscle contractions can be elicited by valgus positional perturbations of the human knee. Journal of Biomechanics. 2003;36:199–209
  16. Dieppe PA. Relationship between symptoms and structural change in osteoarthritis. What are the important targets for osteoarthritis therapy?. Journal of Rheumatology-Supplement. 2004;70:50–53
  17. Ebert JR, Robertson WB, Lloyd DG, Zheng MH, Wood DJ, Ackland TR. Traditional vs accelerated approaches to post operative rehabilitation following matrix-induced autologous chondrocyte implantation (MACI): comparison of clinical, biomechanical and radiographic outcomes. Osteoarthritis and Cartilage. 2008;16:1131–1140
  18. Hanlon M, Anderson R. Prediction methods to account for the effect of gait speed on lower limb angular kinematics. Gait Posture. 2006;24:280–287
  19. Hortobagyi T, Westerkamp L, Beam S, Moody J, Garry J, Holbert D, et al. Altered hamstring-quadriceps muscle balance in patients with knee osteoarthritis. Clinical Biomechanics. 2005;20:97–104
  20. Hubley-Kozey C, Deluzio KJ, Dunbar M. Muscle co-activation patterns during walking in those with severe knee osteoarthritis. Clinical Biomechanics. 2008;23:71–80
  21. Hubley-Kozey CL, Deluzio KJ, Landry SC, McNutt JS, Stanish WD. Neuromuscular alterations during walking in persons with moderate knee osteoarthritis. Journal of Electromyography and Kinesiology. 2006;16:365–378
  22. Hurwitz DE, Ryals AB, Case JP, Block JA, Andriacchi TP. The knee adduction moment during gait in subjects with knee osteoarthritis is more closely correlated with static alignment than radiographic disease severity, toe out angle and pain. Journal of Orthopaedic Research. 2002;20:101–107
  23. Hurwitz DE, Ryals AR, Block JA, Sharma L, Schnitzer TJ, Andriacchi TP. Knee pain and joint loading in subjects with osteoarthritis of the knee. Journal of Orthopaedic Research. 2000;18:572–579
  24. Joss, B.K., 2006. Clincal and biomechanical outcomes following unicondylar knee arthroplasty with preservation fixed and mobile bearing tibial components, thesis. University of Western Australia, Perth.
  25. Kadaba MP, Ramakrishnan HK, Wootten ME. Measurement of lower extremity kinematics during level walking. Journal of Orthopaedic Research. 1990;8:383–392
  26. Kaufman KR, Hughes C, Morrey BF, Morrey M, An K-N. Gait characteristics of patients with knee osteoarthritis. Journal of Biomechanics. 2001;34:907–915
  27. Kerrigan DC, Todd MK, Riley PO. Knee osteoarthritis and high heeled shoes. Lancet. 1998;351:1399–1401
  28. Kirtley C, Whittle MW, Jefferson RJ. Influence of walking speed on gait parameters. Journal of Biomedical Engineering. 1985;7:282–288
  29. Lelas JL, Merriman GJ, Riley PO, Kerrigan DC. Predicting peak kinematic and kinetic parameters from gait speed. Gait and Posture. 2003;17:106–112
  30. Lewek MD, Rudolph KS, Snyder-Mackler L. Control of frontal plane knee laxity during gait in patients with medial compartment knee osteoarthritis. Osteoarthritis and Cartilage. 2004;12:745–751
  31. Lewek MD, Scholz J, Rudolph KS, Snyder-Mackler L. Stride-to-stride variability of knee motion in patients with knee osteoarthritis. Gait Posture. 2006;23:
  32. Lloyd DG, Besier TF, Winby CR, Buchanan TS. Neuromusculoskeletal modelling and simulation of tissue load in the lower extremities. In:  Hong Y,  Bartlett R editor. Routledge Handbook of Biomechanics and Human Movement Science. Oxford UK: Taylor & Francis Books Ltd.; 2008;p. 3–17
  33. Lloyd DG, Buchanan TS. Strategies of the muscular contributions to the support of static varus and valgus loads at the human knee. Journal of Biomechanics. 2001;34:1257–1267
  34. Lloyd DG, Buchanan TS, Besier TF. Neuromuscular biomechanical modelling to understand knee ligament loading. Medicine and Science in Sports and Exercise. 2005;37:1939–1947
  35. Maly MR, Costigan PA, Olney SJ. Determinants of self-report outcome measures in people with knee osteoarthritis. Archives of Physical Medicine and Rehabilitation. 2006;87:96–104
  36. Martin DF. Pathomechanics of knee osteoarthritis. Medicine and Science in Sports and Exercise. 1994;26:1429–1434
  37. Messier SP, DeVita P, Cowan RE, Seay J, Young HC, Marsh AP. Do older adults with knee osteoarthritis place greater loads on the knee during gait? A preliminary study. Archives of Physical Medicine and Rehabilitation. 2005;86:703–709
  38. Miyazaki T, Wada M, Kawahara H, Sato M, Baba H, Shimada S. Dynamic load at baseline can predict radiographic disease progression in medial compartment knee osteoarthritis. Annals of the Rheumatic Diseases. 2002;61:617–622
  39. Mundermann A, Dyrby CO, Andriacchi TP. Secondary gait changes in patients with medial compartment knee osteoarthritis: increased load at the ankle, knee, and hip during walking. Arthritis & Rheumatism. 2005;52:2835–2844
  40. Mundermann A, Dyrby CO, Hurwitz DE, Sharma L, Andriacchi TP. Potential strategies to reduce medial compartment loading in patients with knee osteoarthritis of varying severity: reduced walking speed. Arthritis & Rheumatism. 2004;50:1172–1178
  41. Roos EM, Lohmander LS. The knee injury and osteoarthritis outcome score (KOOS): from joint injury to osteoarthritis. Health and Quality of Life Outcomes. 2003;1:64–72
  42. Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee injury and osteoarthritis outcome score (KOOS) – development of a self administered outcome measure. Journal of Orthopaedic and Sports Physical Therapy. 1998;28:88–96
  43. Roos EM, Toksvig-Larsen S. Knee injury and osteoarthritis outcome score (KOOS) – validation and comparison to the WOMAC in total knee replacement. Health and Quality of Life Outcomes. 2003;1:17
  44. Rudolph KS, Schmitt LC, Lewek MD. Age-related changes in strength, joint laxity, and walking patterns: are they related to knee osteoarthritis?. Physical Therapy. 2007;87:1422–1432
  45. Schipplein OD, Andriacchi TP. Interaction between active and passive knee stabilizers during level walking. Journal of Orthopaedic Research. 1991;9:113–119
  46. Schmitt LC, Rudolph KS. Influences on knee movement strategies during walking in persons with medial knee osteoarthritis. Arthritis & Rheumatism. 2007;57:1018–1026
  47. Shakoor N, Lidtke RH, Sengupta M, Fogg LF, Block JA. Effects of specialized footwear on joint loads in osteoarthritis of the knee. Arthritis & Rheumatism. 2008;59:1214–1220
  48. Sharma L, Hurwitz DE, Thonar EA, Sum JA, Lenz ME, Dunlop DD, et al. Knee adduction moment, serum hyaluronan level, and disease severity in medial tibial femoral osteoarthritis. Arthritis & Rheumatism. 1998;41:1233–1240
  49. Smith AJ, Lloyd DG, Wood DJ. Pre-surgery knee joint loading patterns during walking predict the presence and severity of anterior knee pain after total knee arthroplasty. Journal of Orthopaedic Research. 2004;22:260–266
  50. Stauffer RN, Chao EYS, Gyory AN. Biomechanical gait analysis of the diseased knee joint. Clinical Orthopaedics. 1977;126:246–255
  51. Tax AA, Denier van der Gon JJ, Erkelens CJ. Differences in coordination of elbow flexor muscles in force tasks and movement tasks. Experimental Brain Research. 1990;81:567–572
  52. Thorstensson CA, Roos EM, Petersson IF, Ekdahl C. Six-week high-intensity exercise program for middle-aged patients with knee osteoarthritis: a randomized control trial. BMC Musculoskeletal Disorders. 2005;6:27
  53. Ware JE, Kosinski MA, Dewey JE. How to Score Version 2 of the SF-36 Health Survey (Standard and Acute Forms). Lincoln, RI: QualityMetric Incorporated; 2002;
  54. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care. 1992;30:473–483
  55. Wu G, Cavanagh PR. ISB recommendations for standardization in the reporting of kinematic data. Journal of Biomechanics. 1995;28:1257–1261
  56. Zeni JA, Higginson JS. Differences in gait parameters between healthy subjects and persons with moderate and severe knee osteoarthritis: a result of altered walking speed?. Clinical Biomechanics. 2009;24:372–378
  57. Zeni, J.A., Rudolph, K., Higginson, J.S., 2009. Alterations in quadriceps and hamstrings coordination in persons with medial compartment knee osteoarthritis. Journal of Electromyography and Kinesiology, in press, doi:10.1016/j.jelekin.2008.12.003.
  58. Zhang LQ, Xu D, Wang G, Hendrix RW. Muscle strength in knee varus and valgus. Medicine & Science in Sports & Exercise. 2001;33:1194–1199

PII: S0268-0033(09)00193-4

doi: 10.1016/j.clinbiomech.2009.08.005

Clinical Biomechanics
Volume 24, Issue 10 , Pages 833-841 , December 2009