Evidence map›Paper›PMID 27258086›Full record

ArticlePloS one2016

Knee Joint Loads and Surrounding Muscle Forces during Stair Ascent in Patients with Total Knee Replacement.

Robert Rasnick, Tyler Standifird, Jeffrey A Reinbolt, Harold E Cates, Songning Zhang

Abstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Comparing kinematic and kinetic demands on the knee joint during selected physiotherapy exercises and activities of daily living.Technology and health care : official journal of the European Society for Engineering and Medicine · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. 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 · 2020
    Article
  6. A load-measuring device can achieve fine-tuning of mediolateral load at knee arthroplasty but may lead to a more lax knee state.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
    Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Robert RasnickDepartment of Kinesiology, Recreation, & Sport Studies, The University of Tennessee, Knoxville, Tennessee, United States of America.
Tyler StandifirdDepartment of Exercise Science & Outdoor Recreation, Utah Valley University, Orem, Utah, United States of America.
Jeffrey A ReinboltDepartment of Mechanical, Aerospace, and Biomedical Engineering, The University of Tennessee, Knoxville, Tennessee, United States of America.
Harold E CatesTennessee Orthopedic Clinics, Knoxville, Tennessee, United States of America.
Songning ZhangDepartment of Kinesiology, Recreation, & Sport Studies, The University of Tennessee, Knoxville, Tennessee, United States of America.ORCID http://orcid.org/0000-0002-3712-9129

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Total knee replacement (TKR) is commonly used to correct end-stage knee osteoarthritis. Unfortunately, difficulty with stair climbing often persists and prolongs the challenges of TKR patents. Complete understanding of loading at the knee is of great interest in order to aid patient populations, implant manufacturers, rehabilitation, and future healthcare research. Musculoskeletal modeling and simulation approximates joint loading and corresponding muscle forces during a movement. The purpose of this study was to determine if knee joint loadings following TKR are recovered to the level of healthy individuals, and determine the differences in muscle forces causing those loadings. Data from five healthy and five TKR patients were selected for musculoskeletal simulation. Variables of interest included knee joint reaction forces (JRF) and the corresponding muscle forces. A paired samples t-test was used to detect differences between groups for each variable of interest (p<0.05). No differences were observed for peak joint compressive forces between groups. Some muscle force compensatory strategies appear to be present in both the loading and push-off phases. Evidence from knee extension moment and muscle forces during the loading response phase indicates the presence of deficits in TKR in quadriceps muscle force production during stair ascent. This result combined with greater flexor muscle forces resulted in similar compressive JRF during loading response between groups.

Indexed as

AgedArthroplasty, Replacement, KneeFemaleGaitHumansKnee JointMaleMiddle AgedMusculoskeletal DiseasesOsteoarthritis, KneeRange of Motion, ArticularWeight-Bearing

Identifiers

PMID27258086
PMCPMC4892639

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.