Evidence map›Paper›PMID 37961759›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2024

Sustained Limb-Level Loading: A Ground Reaction Force Phenotype Common to Individuals at High Risk for and Those With Knee Osteoarthritis.

Elizabeth Bjornsen, David Berkoff, J Troy Blackburn, Hope Davis-Wilson, Alyssa Evans-Pickett, Jason R Franz, Matthew S Harkey, W Zachary Horton, Caroline Lisee, Brittney Luc-Harkey and 4 more

Abstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Peak Vertical Ground Reaction Force Modifies Gait Biomechanics Bilaterally Following ACL Reconstruction: A Randomized Experiment.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Trial
  3. Article
  4. Article
  5. Step-by-step insight into gait analysis: A narrative review unlocking knee biomechanics.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
    Review
  6. Gait Biomechanical Profiles Following Anterior Cruciate Ligament Reconstruction in Sexually-Immature Pediatrics.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  7. Article
  8. Article
  9. Elastic Shape Analysis of Movement Data.Journal of the American Statistical Association · 2025
    Article
  10. Article
  11. Article
  12. Bilateral waveform analysis of gait biomechanics presurgery to 12 months following ACL reconstruction compared to controls.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  13. Article
  14. 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

14 authors.

Elizabeth BjornsenUniversity of North Carolina at Chapel Hill, Chapel Hill.ORCID 0000-0002-8824-9366
David BerkoffUniversity of North Carolina at Chapel Hill, Chapel Hill.
J Troy BlackburnUniversity of North Carolina at Chapel Hill, Chapel Hill.
Hope Davis-WilsonRTI International, Research Triangle Park, North Carolina.
Alyssa Evans-PickettUniversity of North Carolina at Chapel Hill, Chapel Hill.
Jason R FranzUniversity of North Carolina at Chapel Hill, Chapel Hill, and North Carolina State University, Raleigh.
Matthew S HarkeyMichigan State University, East Lansing.ORCID 0000-0002-3480-3173
W Zachary HortonUniversity of California Santa Cruz, Santa Cruz.
Caroline LiseeUniversity of North Carolina at Chapel Hill, Chapel Hill.ORCID 0000-0003-1771-5734
Brittney Luc-HarkeyMassachusetts General Hospital, Boston.
Amanda E MunschUniversity of North Carolina at Chapel Hill, Chapel Hill, and North Carolina State University, Raleigh.
Daniel NissmanUniversity of North Carolina at Chapel Hill, Chapel Hill.
Steven PfeifferHealth Advocate, Plymouth Meeting, Pennsylvania.
Brian PietrosimoneUniversity of North Carolina at Chapel Hill, Chapel Hill.

Funding

UNC Core Center for Clinical ResearchP30AR072580 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LEIGH Fleming CALLAHAN, Amanda E Nelson · 2019 to 2026
$6.1M
Improving Disability in Knee Osteoarthritis by Targeting Neuromuscular DeficitsR21AR067560 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PIETROSIMONE, BRIAN · 2015 to 2016
$368k
In vivo Manipulation of Mechanical Loading: Using Real-time Biofeedback to Strategically Understand the Acute Biomechanical, Biochemical and Structural Changes Induced by Lower Extremity LoadingR21AR074094 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FRANZ, JASON R, PIETROSIMONE, BRIAN · 2018 to 2019
$357k
Posttraumatic Osteoarthritis: Establishing a Comprehensive Evaluation StrategyR03AR066840 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PIETROSIMONE, BRIAN · 2015 to 2016
$152k
NIAMS NIH HHS 1R03AR066840-01A1NIAMS NIH HHS 1R21AR067560 -01NIAMS NIH HHS P30 AR072580NIAMS NIH HHS P30-AR072580NIAMS NIH HHS R03 AR066840NIAMS NIH HHS R21 AR067560NIAMS NIH HHS R21 AR074094
6 · The paper itself

Abstract

objectiveThe objective of this study was to compare the vertical (vGRF), anterior-posterior (apGRF), and medial-lateral (mlGRF) ground reaction force (GRF) profiles throughout the stance phase of gait (1) between individuals 6 to 12 months post-anterior cruciate ligament reconstruction (ACLR) and uninjured matched controls and (2) between ACLR and individuals with differing radiographic severities of knee osteoarthritis (KOA), defined as Kellgren and Lawrence (KL) grades KL2, KL3, and KL4.

methodsA total of 196 participants were included in this retrospective cross-sectional analysis. Gait biomechanics were collected from individuals 6 to 12 months post-ACLR (n = 36), uninjured controls matched to the ACLR group (n = 36), and individuals with KL2 (n = 31), KL3 (n = 67), and KL4 osteoarthritis (OA) (n = 26). Between-group differences in vGRF, apGRF, and mlGRF were assessed in reference to the ACLR group throughout each percentage of stance phase using a functional linear model.

resultsThe ACLR group demonstrated lower vGRF and apGRF in early and late stance compared to the uninjured controls, with large effects (Cohen's d range: 1.35-1.66). Conversely, the ACLR group exhibited greater vGRF (87%-90%; 4.88% body weight [BW]; d = 0.75) and apGRF (84%-94%; 2.41% BW; d = 0.79) than the KL2 group in a small portion of late stance. No differences in mlGRF profiles were observed between the ACLR and either the uninjured controls or the KL2 group. The magnitude of difference in GRF profiles between the ACLR and OA groups increased with OA disease severity.

conclusionIndividuals 6 to 12 months post-ACLR exhibit strikingly similar GRF profiles as individuals with KL2 KOA, suggesting both patient groups may benefit from targeted interventions to address aberrant GRF profiles.

Indexed as

Anterior Cruciate Ligament InjuriesOsteoarthritis, KneeBiomechanical PhenomenaCross-Sectional StudiesGaitHumansKnee JointRetrospective Studies

Identifiers

PMID37961759
PMCPMC10965389

What OpenQuestion holds

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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.