Evidence map›Paper›PMID 39461281›Full record

ArticleClinical biomechanics (Bristol, Avon)2024

Joint reaction and simulated muscle forces during squatting and walking in persons with hemophilia.

Joseph Mah, Caden Robertson, Niamh Mah, Joanna Roybal, Dianne Thornhill, Sharon Funk, Marilyn J Manco-Johnson, James Carollo, Brecca M M Gaffney, Beth Boulden Warren

Abstract read
In one paragraph

Article in Clinical biomechanics (Bristol, Avon), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Joseph MahHemophilia and Thrombosis Center, University of Colorado Anschutz Medical Campus, 13199 E Montview Blvd, Aurora, CO 80045, United States of America.
Caden RobertsonHemophilia and Thrombosis Center, University of Colorado Anschutz Medical Campus, 13199 E Montview Blvd, Aurora, CO 80045, United States of America.
Niamh MahHemophilia and Thrombosis Center, University of Colorado Anschutz Medical Campus, 13199 E Montview Blvd, Aurora, CO 80045, United States of America.
Joanna RoybalHemophilia and Thrombosis Center, University of Colorado Anschutz Medical Campus, 13199 E Montview Blvd, Aurora, CO 80045, United States of America.
Dianne ThornhillHemophilia and Thrombosis Center, University of Colorado Anschutz Medical Campus, 13199 E Montview Blvd, Aurora, CO 80045, United States of America.
Sharon FunkHemophilia and Thrombosis Center, University of Colorado Anschutz Medical Campus, 13199 E Montview Blvd, Aurora, CO 80045, United States of America.
Marilyn J Manco-JohnsonHemophilia and Thrombosis Center, University of Colorado Anschutz Medical Campus, 13199 E Montview Blvd, Aurora, CO 80045, United States of America.
James CarolloCenter for Gait and Movement Analysis, Children's Hospital Colorado, 13123 E 16th Ave, Aurora, CO 80045, United States of America.
Brecca M M GaffneyDepartment of Mechanical Engineering, University of Colorado Denver, 1200 Larimer Street, Denver, CO 80204, United States of America; Center for Bioengineering, University of Colorado Anschutz Medical Campus,12705 E Montview Blvd, Aurora, CO 80045, United States of America.
Beth Boulden WarrenHemophilia and Thrombosis Center, University of Colorado Anschutz Medical Campus, 13199 E Montview Blvd, Aurora, CO 80045, United States of America. Electronic address: beth.warren@cuanschutz.edu.

Funding

Exploring the Biomechanics of Joint Bleeding in Persons with Hemophilia to BetterK23HL151886 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI WARREN, BETH BOULDEN · 2021 to 2025
$912k
NHLBI NIH HHS K23 HL151886
6 · The paper itself

Abstract

backgroundPersons with hemophilia experience joint bleeding that can lead to debilitating arthropathy, most commonly seen in ankles, knees, and elbows. Arthropathy can hinder participation in daily and athletic activities. We explored how hemophilic arthropathy impacts movement patterns in walking and bilateral squatting tasks in persons with hemophilia compared to healthy controls.

methodsPersons with hemophilia and healthy controls completed walking and squatting tasks while kinematic and kinetic motion capture data were collected. The Hemophilia Joint Health Score exam was performed to measure hemophiliac arthropathy. OpenSim was used to model muscle and joint reaction forces and calculate moments and angles. Peak values were compared using Cohen's d to estimate effect sizes of hemophilia on movement parameters.

findingsNine persons with hemophilia and eight age-matched controls were analyzed. Temporal-spatial metrics were similar between hemophilia and control groups in both tasks. In walking, persons with hemophilia had higher peak ankle dorsiflexion angles, vertical ground reaction force weight acceptance peaks, and hip extension and flexion moments compared to controls. In squatting, persons with hemophilia had lower knee extension moments, ankle joint reaction force, and knee extensor forces, but had higher hip extension moments.

interpretationTemporal-spatial metric similarity between hemophilia and controls suggests that kinetic and kinematic analyses are needed to identify movement pattern differences. These data identify potential compensatory strategies at the hip that may be used by persons with hemophilia to mitigate impact on the knee and ankle. Future work will confirm these data in a larger sample size and be used to develop physical therapy strategies.

Indexed as

Hemophilia AKnee JointMuscle, SkeletalRange of Motion, ArticularWalkingAdultAnkle JointBiomechanical PhenomenaCase-Control StudiesComputer SimulationHumansJointsMaleModels, BiologicalYoung AdultArthropathyBilateral squatGait analysisHemophiliaMusculoskeletal model

Identifiers

PMID39461281
PMCPMC13318163

What OpenQuestion holds

Textmetadata
LicenceTDM
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.