Evidence map›Paper›PMID 30783146›Full record

Trial reportScientific reports2019

A New Stress Test for Knee Joint Cartilage.

Chinmay S Paranjape, Hattie C Cutcliffe, Steven C Grambow, Gangadhar M Utturkar, Amber T Collins, William E Garrett, Charles E Spritzer, Louis E DeFrate

Abstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
–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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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  7. Exercise-Induced Changes in Knee Cartilage In Vivo: Comparing MRI Sequences.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
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  10. Walking recovers cartilage compressive strain in vivo.Osteoarthritis and cartilage open · 2024
    Article
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  14. [Role of Piezo mechanosensitive ion channels in the osteoarticular system].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Review
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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

8 authors.

Chinmay S ParanjapeDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Hattie C CutcliffeDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Steven C GrambowDepartment of Biostatistics and Bioinformatics, Duke University, Durham, NC, USA.ORCID 0000-0001-6037-3253
Gangadhar M UtturkarDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Amber T CollinsDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
William E GarrettDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Charles E SpritzerDepartment of Radiology, Duke University, Durham, NC, USA.
Louis E DeFrateDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA. lou.defrate@duke.edu.

Funding

In Vivo Knee Motion and ACL Biomechanics During Dynamic ActivitiesR01AR065527 · NIAMS · DUKE UNIVERSITY · PI DEFRATE, LOUIS E. · 2014 to 2024
$4.8M
Duke CTSA (Composite)TL1TR001116 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, KRAFT, MONICA · 2013 to 2017
$1.2M
Biomechanical Markers of Knee Osteoarthritis and In Vivo Cartilage LoadingF32AR066477 · NIAMS · DUKE UNIVERSITY · PI COLLINS, AMBER T · 2015 to 2017
$185k
NCATS NIH HHS TL1 TR001116NIAMS NIH HHS F32 AR066477NIAMS NIH HHS R01 AR065527U.S. Department of Health & Human Services | National Institutes of Health (NIH) AR065527U.S. Department of Health & Human Services | National Institutes of Health (NIH) AR066477U.S. Department of Health & Human Services | National Institutes of Health (NIH) TL1TR001116
6 · The paper itself

Abstract

Cartilage metabolism-both the synthesis and breakdown of cartilage constituents and architecture-is influenced by its mechanical loading. Therefore, physical activity is often recommended to maintain cartilage health and to treat or slow the progression of osteoarthritis, a debilitating joint disease causing cartilage degeneration. However, the appropriate exercise frequency, intensity, and duration cannot be prescribed because direct in vivo evaluation of cartilage following exercise has not yet been performed. To address this gap in knowledge, we developed a cartilage stress test to measure the in vivo strain response of healthy human subjects' tibial cartilage to walking exercise. We varied both walk duration and speed in a dose-dependent manner to quantify how these variables affect cartilage strain. We found a nonlinear relationship between walk duration and in vivo compressive strain, with compressive strain initially increasing with increasing duration, then leveling off with longer durations. This work provides innovative measurements of cartilage creep behavior (which has been well-documented in vitro but not in vivo) during walking. This study showed that compressive strain increased with increasing walking speed for the speeds tested in this study (0.9-2.0 m/s). Furthermore, our data provide novel measurements of the in vivo strain response of tibial cartilage to various doses of walking as a mechanical stimulus, with maximal strains of 5.0% observed after 60 minutes of walking. These data describe physiological benchmarks for healthy articular cartilage behavior during walking and provide a much-needed baseline for studies investigating the effect of exercise on cartilage health.

Indexed as

Stress, MechanicalWalkingWalk TestAdultCartilage, ArticularFemaleHumansKnee JointMale

Identifiers

PMID30783146
PMCPMC6381136

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.