ArticleThe Journal of orthopaedic and sports physical therapy2015
Higher Knee Flexion Moment During the Second Half of the Stance Phase of Gait Is Associated With the Progression of Osteoarthritis of the Patellofemoral Joint on Magnetic Resonance Imaging.
Article in The Journal of orthopaedic and sports physical therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03663790 (Comparison of the Effects of Gait Modification Strategies on Knee Adduction Moment in Patients With Medial Knee Osteoarthritis), which is not on this map. Cited by 31 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Comparison of the Effects of Gait Modification Strategies on Knee Adduction Moment in Patients With Medial Knee Osteoarthritis: Randomized Controlled Trial
Who cites it
31 citing papers in PubMed.
- Minimalist Footwear and Knee Joint Loading During Walking in Healthy Adults: A Systematic Review of Evidence for Osteoarthritis Prevention.Journal of functional morphology and kinesiology · 2026Review
- Agreement between markerless and marker-based motion capture for knee kinematics and kinetics during functional activities in knee osteoarthritis.Osteoarthritis and cartilage open · 2026Article
- Predictors of pain and cartilage damage in patellofemoral joint osteoarthritis: stair descent knee kinematics and kinetics.BMJ open · 2025Observational
- The Correlation Between Knee Pain Severity During Early Rehabilitation Exercise After Anterior Cruciate Ligament Reconstruction and Presence of Patellofemoral Joint Degeneration.Orthopaedic journal of sports medicine · 2025Article
- The relation of walking forces to structural damage in the knee: The Multicenter Osteoarthritis Study.Osteoarthritis and cartilage · 2025Article
- Relation of pain sensitization to knee loading during walking in people with knee osteoarthritis.Osteoarthritis and cartilage · 2025Article
- Abnormal patellar sagittal spatial kinematics in patients with patellofemoral pain: an in vivo dynamic CT study.Journal of orthopaedic surgery and research · 2025Article
- Gait Asymmetry and Post-Traumatic Osteoarthritis Following Anterior Cruciate Ligament Rupture: A Preliminary Study.Biology · 2025Article
- Article
- Errors in Estimating Lower-Limb Joint Angles and Moments during Walking Based on Pelvic Accelerations: Influence of Virtual Inertial Measurement Unit's Frontal Plane Misalignment.Sensors (Basel, Switzerland) · 2024Article
- Effects of TJournal of magnetic resonance imaging : JMRI · 2024Article
- Inter-joint coordination variability is associated with pain severity and joint loading in persons with knee osteoarthritis.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023Article
- Influence of individual quadriceps and hamstrings muscle architecture and quality on knee adduction and flexion moment in gait.Scientific reports · 2023Article
- Unique patterns of medial meniscus extrusion during walking and its association with limb kinematics in patients with knee osteoarthritis.Scientific reports · 2023Article
- Ambulatory support moment contribution patterns and MRI-detected tibiofemoral and patellofemoral disease worsening in adults with knee osteoarthritis: A preliminary study.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023Article
- Simulated Tibiofemoral Joint Reaction Forces for Three Previously Studied Gait Modifications in Healthy Controls.Journal of biomechanical engineering · 2023Article
- The effect of biomechanical foot-based interventions on patellofemoral joint loads during gait in adults with and without patellofemoral pain or osteoarthritis: a systematic review protocol.Journal of foot and ankle research · 2022Article
- Effects of Limb Dominance on Patellofemoral Joint Loading During Gait at 12 Weeks After Anterior Cruciate Ligament Reconstruction.Orthopaedic journal of sports medicine · 2022Article
- Article
- Patient-Reported Outcomes and Knee Mechanics Correlate With Patellofemoral Deep Cartilage UTE-T2* 2 Years After Anterior Cruciate Ligament Reconstruction.The American journal of sports medicine · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
STUDY
designControlled laboratory study, longitudinal design.
objectiveTo examine whether baseline knee flexion moment or impulse during walking is associated with the progression of osteoarthritis (OA) with magnetic resonance imaging of the patellofemoral joint (PFJ) at 1 year.
backgroundPatellofemoral joint OA is highly prevalent and a major source of pain and dysfunction. The biomechanical factors associated with the progression of PFJ OA remain unclear.
methodsThree-dimensional gait analyses were performed at baseline. Magnetic resonance imaging of the knee (high-resolution, 3-D, fast spin-echo sequence) was used to identify PFJ cartilage and bone marrow edema-like lesions at baseline and a 1-year follow-up. The severity of PFJ OA progression was defined using the modified Whole-Organ Magnetic Resonance Imaging Score when new or increased cartilage or bone marrow edema-like lesions were observed at 1 year. Peak external knee flexion moment and flexion moment impulse during the first and second halves of the stance phase of gait were compared between progressors and nonprogressors, and used to predict progression after adjusting for age, sex, body mass index, and presence of baseline PFJ OA.
resultsSixty-one participants with no knee OA or isolated PFJ OA were included. Patellofemoral joint OA progressors (n = 10) demonstrated significantly higher peak knee flexion moment (P = .01) and flexion moment impulse (P = .04) during the second half of stance at baseline compared to nonprogressors. Logistic regression showed that higher peak knee flexion moment during the second half of the stance phase was significantly associated with progression at 1 year (adjusted odds ratio = 3.3, P = .01).
conclusionPeak knee flexion moment and flexion moment impulse during the second half of stance are related to the progression of PFJ OA and may need to be considered when treating individuals who are at risk of or who have PFJ OA.
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Registered trials
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