Evidence map›Paper›PMID 40334610›Full record

ArticleGait & posture2025

Assessment of hip joint mechanics during walking in people with Marfan syndrome.

Mariana V Jacobs, Justin M Pol, Aaron D Fain, Jody L Clasey, Brecca M M Gaffney, Christopher J McLouth, Mary B Sheppard, Michael A Samaan

Abstract read
In one paragraph

Article in Gait & posture, 2025. 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

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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

8 authors.

Mariana V JacobsDepartment of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY, USA.
Justin M PolDepartment of Biomedical Engineering, University of Kentucky, Lexington, KY, USA.
Aaron D FainDepartment of Radiology, University of Kentucky, Lexington, KY, USA.
Jody L ClaseyDepartment of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY, USA.
Brecca M M GaffneyDepartment of Mechanical Engineering, University of Colorado Denver, Denver, CO, USA; Center for Bioengineering, University of Colorado Denver Anschutz Medical Campus, Aurora, CO, USA; Department of Veterans Affairs Eastern Colorado Healthcare System, Aurora, CO, USA.
Christopher J McLouthDepartment of Biostatistics, University of Kentucky, Lexington, KY, USA.
Mary B SheppardDepartments of Family and Community Medicine, Surgery, and Physiology, University of Kentucky, Lexington, KY, USA; Saha Aortic Center and Saha Cardiovascular Research Center, University of Kentucky, Lexington, KY, USA.
Michael A SamaanDepartment of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY, USA; Department of Biomedical Engineering, University of Kentucky, Lexington, KY, USA. Electronic address: michael.samaan@uky.edu.

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR001998 · NCATS · UNIVERSITY OF KENTUCKY · PI HARTMANN, KATHERINE E, KERN, PHILIP A · 2016 to 2025
$34.2M
Institutional Career Development CoreKL2TR001996 · NCATS · UNIVERSITY OF KENTUCKY · PI BUSH, MATTHEW LEE, KELLY, THOMAS H. · 2016 to 2025
$7.1M
Pharmacological Mechanistic Insights into Thoracic Aortic AneurysmK01HL149984 · NHLBI · UNIVERSITY OF KENTUCKY · PI SHEPPARD, MARY BURCHETT · 2021 to 2025
$886k
Quantifying the Mechanism and Impact of Hip Extensor Muscle Dysfunction During Aerobic Exercise in Hip OsteoarthritisK01AG073698 · NIA · UNIVERSITY OF KENTUCKY · PI Michael A Samaan · 2022 to 2026
$612k
Effect of Osseointegrated Prostheses on the Pathogenesis of Hip Osteoarthritis in Patients with Lower Limb LossK01AR080776 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI Brecca Gaffney · 2023 to 2026
$522k
NCATS NIH HHS KL2 TR001996NCATS NIH HHS UL1 TR001998NHLBI NIH HHS K01 HL149984NIAMS NIH HHS K01 AR080776NIA NIH HHS K01 AG073698
6 · The paper itself

Abstract

backgroundMarfan syndrome (MFS) is an autosomal dominant connective tissue disorder and is associated with muscle dysfunction. Individuals with MFS exhibit quadriceps weakness, hip joint pain, and an increased incidence of hip osteoarthritis (OA) compared to the general population, yet the underlying biomechanical factors associated with these poor hip-related outcomes are not well understood. RESEARCH QUESTION: The purpose of this study was to assess the effects of MFS on gait mechanics and to determine the relationship of gait mechanics with hip-related outcomes within the MFS group.

methodsEighteen people with MFS and 18 healthy, asymptomatic controls underwent 3D gait analysis. All study participants completed the Hip disability and Osteoarthritis Outcome Survey (HOOS) to obtain patient reported outcomes. (PROs). Between group differences in demographics, HOOS scores, and gait mechanics were analyzed via independent t-tests, a Kruskal-Wallis test, and a multi variate analysis of covariance while adjusting for age, respectively. A Spearman's rank-order correlation was used to assess the relationship between HOOS sub-scores and kinetic and kinematic parameters.

resultsThe MFS cohort was significantly older than the control cohort and ambulated with altered sagittal plane pelvis, knee and ankle kinematics as well as ankle kinetics. The MFS cohort ambulated with a higher hip transverse plane range of motion, hip extensor moment impulse (HEMI), peak hip abduction moments and hip abduction moment impulse. The MFS group also exhibited a higher hip internal rotation moment (HIRM) compared to the control group. The MFS cohort also self-reported worse hip-related PRO. Higher HIRM and HEMI were associated with worse hip-related pain and QOL within the MFS group. SIGNIFICANCE: These results suggest that people with MFS walk with altered pelvic and lower extremity joint mechanics which may be associated with the higher incidence rates of hip OA and poor hip-related PRO observed in the MFS population.

Indexed as

GaitHip JointMarfan SyndromeWalkingAdultBiomechanical PhenomenaCase-Control StudiesFemaleGait AnalysisHumansMaleMiddle AgedOsteoarthritis, HipRange of Motion, ArticularYoung AdultConnective tissue disordersGaitHip jointMarfan syndromeOsteoarthritis

Identifiers

PMID40334610
PMCPMC12256194

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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.