ArticleClinical biomechanics (Bristol, Avon)2015
Relationship between biomechanical asymmetries during a step up and over task and stair climbing after total knee arthroplasty.
Article in Clinical biomechanics (Bristol, Avon), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Restoring physical function after knee replacement: a cross sectional comparison of progressive strengthening vs standard physical therapy.Physiotherapy theory and practice · 2020Trial
- The contralateral knee may not be a valid control for biomechanical outcomes after unilateral total knee arthroplasty.Gait & posture · 2019Trial
- Asymmetrical biomechanics in knee osteoarthritis: a review of contralateral risk from primary disease to post-arthroplasty progression.EFORT open reviews · 2026Review
- Neuromuscular and Kinematic Strategies During Step-Up and Down-Forwards Task in Individuals with Knee Osteoarthritis.Journal of clinical medicine · 2026Article
- Peak, cumulative and rate of medial and lateral compartment joint loading during gait following total knee arthroplasty.Gait & posture · 2025Article
- Degenerative Hip Osteoarthritis in Unilateral Knee Osteoarthritis Patients: A Correlation Analysis.Orthopaedic surgery · 2025Article
- The Clinical Assessment of Eccentric and Concentric Stepping Kinetics has Utility in Older African American Men with Knee Arthritis.Current aging science · 2025Article
- Article
- Concurrent Force Feedback on Load Symmetry in Total Knee Arthroplasty Patients.International journal of sports physical therapy · 2023Article
- Knee biomechanics and contralateral knee osteoarthritis progression after total knee arthroplasty.Gait & posture · 2022Article
- α2-macroglobulin-rich serum as a master inhibitor of inflammatory factors attenuates cartilage degeneration in a mini pig model of osteoarthritis induced by "idealized" anterior cruciate ligament reconstruction.Frontiers in pharmacology · 2022Article
- Gait mechanics are influenced by quadriceps strength, age, and sex after total knee arthroplasty.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2021Article
- Falling risk in patients with end-stage knee osteoarthritis.Clinical rheumatology · 2021Review
- Movement asymmetry during low and high demand mobility tasks after dysvascular transtibial amputation.Clinical biomechanics (Bristol, Avon) · 2020Article
- Effects of preoperative low-intensity training with slow movement on early quadriceps weakness after total knee arthroplasty in patients with knee osteoarthritis: a retrospective propensity score-matched study.BMC sports science, medicine & rehabilitation · 2020Article
- Step descent strategy is altered bilaterally despite unilateral muscle strength impairment after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Musculoskeletal Symptomatic Areas After Total Knee Replacement for Osteoarthritis.ACR open rheumatology · 2019Article
- Stiff knee gait may increase risk of second total knee arthroplasty.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2019Article
- Knee motion symmetry was not restored in patients with unilateral bi-cruciate retaining total knee arthroplasty-in vivo three-dimensional kinematic analysis.International orthopaedics · 2018Article
- Biomechanical Gait Variable Estimation Using Wearable Sensors after Unilateral Total Knee Arthroplasty.Sensors (Basel, Switzerland) · 2018Article
Corrections and comments
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3 authors.
Funding
Abstract
backgroundPatients six months after total knee arthroplasty (TKA) demonstrate movement asymmetries and functional deficits, which may be related to poor functional performance. The aims of this study were to 1) compare biomechanical variables between subjects 6 months after TKA and an age-matched healthy control group during a step up and over task and 2) determine the relationship between quadriceps strength, movement patterns and stair climbing performance.
methodsTwenty patients 6 months following unilateral TKA and twenty healthy controls were enrolled. Participants completed questionnaires, isometric quadriceps strength testing and performance based tests to quantify functional performance. Motion analysis was performed during a step up and over task. Functional and biomechanical variables were analyzed using a 2 × 2 ANOVA. The symmetry ratios (operated/non-operated limb*100) for biomechanical variables were analyzed using independent t-tests. Pearson correlations were performed to determine the relationships between biomechanical variables, strength and stair climbing performance.
findingsIn the TKA group, subjects had lower peak moments, power and sagittal plane excursion in the operated knee compared to the contralateral knee (P<0.05), while the hip on the operated side had greater power generation (P = 0.014). Compared to the control group, all symmetry ratios were significantly lower in the surgical group (P < 0.05). Stair climbing time was correlated with quadriceps strength of the operated limb (R = -0.762, P < 0.001).
interpretationIndividuals 6 months after TKA had worse performance with respect to biomechanics, quadriceps strength, and performance-based tests. Biomechanical asymmetries after TKA reduce the demand on the operated knee and increase reliance on the contralateral limb and ipsilateral hip.
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