Evidence map›Paper›PMID 37272685›Full record

ArticleThe American journal of sports medicine2023

Patellofemoral Joint Loading Progression Across 35 Weightbearing Rehabilitation Exercises and Activities of Daily Living.

Ke Song, Rodrigo Scattone Silva, Todd J Hullfish, Karin Grävare Silbernagel, Josh R Baxter

Open access · hybridAbstract read
In one paragraph

Article in The American journal of sports medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
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

14 citing papers in PubMed, 23 citations in OpenAlex.

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  11. Seven Things to Know About Exercise Classification With Inertial Sensing Wearables.IEEE journal of biomedical and health informatics · 2024
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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

5 authors at 3 institutions in 2 countries.

Ke SongDepartment of Orthopaedic Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-8987-2523
Rodrigo Scattone SilvaDepartment of Physical Therapy, University of Delaware, Newark, Delaware, USA.ORCID 0000-0002-7973-188X
Todd J HullfishDepartment of Orthopaedic Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-3625-1082
Karin Grävare SilbernagelDepartment of Physical Therapy, University of Delaware, Newark, Delaware, USA.ORCID 0000-0001-7566-407X
Josh R BaxterDepartment of Orthopaedic Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-0269-2170
University of Pennsylvania · USUniversidade Federal do Rio Grande do Norte · BRUniversity of Delaware · US

Funding

Dynamic Stability in the ACL Injured KneeR37HD037985 · NICHD · UNIVERSITY OF DELAWARE · PI GRAVARE SILBERNAGEL, KARIN M E · 2012 to 2021
$4.2M
Recovery of symptoms, function, tendon structure and mechanical properties in patients with Achilles Tendinopathy: A comparison between men and womenR01AR072034 · NIAMS · UNIVERSITY OF DELAWARE · PI GRAVARE SILBERNAGEL, KARIN M E · 2018 to 2022
$2.5M
Tendon loading profiles that promote healing in Achilles tendinopathyR01AR078898 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Josh Baxter · 2021 to 2026
$2.5M
NIAMS NIH HHS R01 AR072034NIAMS NIH HHS R01 AR078898NICHD NIH HHS R37 HD037985
6 · The paper itself

Abstract

backgroundExercises that provide progressive therapeutic loading are a central component of patellofemoral pain rehabilitation, but quantitative evidence on patellofemoral joint loading is scarce for a majority of common weightbearing rehabilitation exercises. PURPOSE: To define a loading index to quantify, compare, rank, and categorize overall loading levels in the patellofemoral joint across 35 types of weightbearing rehabilitation exercises and activities of daily living. STUDY

designDescriptive laboratory study.

methodsModel-estimated knee flexion angles and extension moments based on motion capture and ground-reaction force data were used to quantify patellofemoral joint loading in 20 healthy participants who performed each exercise. A loading index was computed via a weighted sum of loading peak and cumulative loading impulse for each exercise. The 35 rehabilitation exercises and daily living activities were then ranked and categorized into low, moderate, and high "loading tiers" according to the loading index.

resultsOverall patellofemoral loading levels varied substantially across the exercises and activities, with loading peak ranging from 0.6 times body weight during walking to 8.2 times body weight during single-leg decline squat. Most rehabilitation exercises generated a moderate level of patellofemoral joint loading. Few weightbearing exercises provided low-level loading that resembled walking or high-level loading with both high magnitude and duration. Exercises with high knee flexion tended to generate higher patellofemoral joint loading compared with high-intensity exercises.

conclusionThis study quantified patellofemoral joint loading across a large collection of weightbearing exercises in the same cohort. CLINICAL RELEVANCE: The visualized loading index ranks and modifiable worksheet may assist clinicians in planning patient-specific exercise programs for patellofemoral pain rehabilitation.

Indexed as

Patellofemoral JointPatellofemoral Pain SyndromeActivities of Daily LivingBiomechanical PhenomenaBody WeightExercise TherapyHumansKnee JointWeight-Bearinganterior knee painbiomechanicskneemotion analysispatellofemoral painphysical therapy

Identifiers

PMID37272685
PMCPMC10315869
OpenAlexW4379377194

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.