ArticleThe Knee2014
What predicts the first peak of the knee adduction moment?
Article in The Knee, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Effects of increasing walking cadence on gait biomechanics in adults with knee osteoarthritis.Journal of biomechanics · 2024Trial
- Predictors of knee joint loading after anterior cruciate ligament reconstruction.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2017Trial
- Kinematic and Kinetic Variables Associated With the Contralateral Knee Adduction Moment During Walking After Medial Open-Wedge High Tibial Osteotomy.Orthopaedic journal of sports medicine · 2026Article
- Relation of vertical ground reaction forces while walking to contralateral structural worsening in adults with unilateral knee osteoarthritis: the Multicenter Osteoarthritis Study.Clinical biomechanics (Bristol, Avon) · 2026Article
- Estimation of the External Knee Adduction Moment Using Inertial Measurement Unit Sensors on the Shank and Lower Back: A Pilot Study.Journal of functional morphology and kinesiology · 2025Article
- Lateral Instability 13 Years After Kinematically Aligned Total Knee Arthroplasty.Arthroplasty today · 2025Article
- Association of tibial acceleration during walking to pain and impact loading in adults with knee osteoarthritis.Clinical biomechanics (Bristol, Avon) · 2023Article
- Vertical ground reaction force 2 years after anterior cruciate ligament reconstruction predicts 10-year patient-reported outcomes.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022Article
- Gait kinematics of the hip, pelvis, and trunk associated with external hip adduction moment in patients with secondary hip osteoarthritis: toward determination of the key point in gait modification.BMC musculoskeletal disorders · 2020Article
- The Relationship between Knee Adduction Moment and Knee Osteoarthritis Symptoms according to Static Alignment and Pelvic Drop.BioMed research international · 2019Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundThe first peak of the knee adduction moment curve during walking has been shown to be a good clinical surrogate measure of medial tibiofemoral joint loading and osteoarthritis. Defining the relative contributions of the variables that dictate the knee adduction moment, such as center of mass, center of pressure, vertical ground reaction force, and knee adduction angle (i.e. lower limb alignment), has not been formally investigated within the same cohort of individuals. Therefore, the goal of this study was to determine which of these variables is the biggest determinant of the first peak of knee adduction moment curve.
methodsInstrumented gait analysis was collected for 30 individuals. Variables significantly correlated with the peak knee adduction moment were input into a stepwise multi-variable linear regression model.
resultsThe knee adduction angle predicted 58% of the variance in the first peak knee adduction moment and the vertical ground reaction force magnitude predicted the second most variance (20%).
conclusionsThe most effective way to modify the peak knee adduction moment may be to change the knee adduction angle (e.g. off loader brace), followed by changing the vertical magnitude of the ground reaction force (e.g. cane use). CLINICAL RELEVANCE: Defining the major determinants of the knee adduction moment may help guide clinicians in choosing conservative interventions to reduce it in conditions such as medial tibiofemoral osteoarthritis.
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