Evidence map›Paper›PMID 40466588›Full record

ArticleClinical biomechanics (Bristol, Avon)2025

Alterations of the hip total joint moment occur during walking in individuals with Marfan syndrome.

Amara G Sharp, Mariana V Jacobs, Anthony A Mangino, Jody L Clasey, Mary B Sheppard, Michael A Samaan

Abstract read
In one paragraph

Article in Clinical biomechanics (Bristol, Avon), 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

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

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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. Assessment of Hip Joint Articular Cartilage Composition in People with Marfan Syndrome Utilizing T1ρ and T2 Mapping.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2026
    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

6 authors.

Amara G SharpDepartment of Kinesiology & Health Promotion, University of Kentucky, Lexington, KY, USA.
Mariana V JacobsDepartment of Kinesiology & Health Promotion, University of Kentucky, Lexington, KY, USA.
Anthony A ManginoDepartment of Biostatistics, University of Kentucky, Lexington, KY, USA.
Jody L ClaseyDepartment of Kinesiology & Health Promotion, University of Kentucky, Lexington, KY, USA.
Mary B SheppardDepartments of Family and Community Medicine, Surgery, & 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 & Health Promotion, 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
NCATS NIH HHS KL2 TR001996NCATS NIH HHS UL1 TR001998NHLBI NIH HHS K01 HL149984NIA NIH HHS K01 AG073698
6 · The paper itself

Abstract

backgroundMarfan Syndrome is an inherited connective tissue disorder associated with musculoskeletal weakness, ligamentous laxity, and lower extremity joint pain. Approximately 46 % of individuals with Marfan Syndrome report hip-related pain yet the underlying alterations that occur in hip joint moments during gait in the Marfan population is not well understood. The purpose of this study was to assess the hip total joint moment during walking in individuals with Marfan Syndrome compared to healthy controls.

methodsOverground 3D gait analysis at a fixed walking speed was conducted for eighteen individuals with Marfan Syndrome and eighteen sex and BMI matched, asymptomatic controls. The total joint moment was calculated as the square root of the sum of the squared planar internal sagittal, frontal, and transverse plane hip moments across the stance phase. Between group differences in peak hip total joint moment and the planar contributions to the peak hip total joint moments during the first and second halves of stance were assessed using an analysis of covariance.

findingsCompared to the control group, the Marfan group walked with greater first peak total hip joint moments (p = 0.01), greater sagittal plane percent contribution (p = 0.03), and greater frontal plane moments (p = 0.02), and frontal plane contributions (p = 0.02) to the hip total joint moment in the first and second half of stance.

interpretationHigher internal abduction moments at the first and second peak total joint moment may serve as a biomechanical target for gait interventions to reduce hip joint loading that may be associated with hip-related pain in the Marfan population.

Indexed as

ArthralgiaHip JointMarfan SyndromeWalkingAdultCase-Control StudiesFemaleGait AnalysisHumansMaleMiddle AgedRange of Motion, ArticularRetrospective StudiesConnective tissue disordersGaitMarfan syndromeTotal joint moment

Identifiers

PMID40466588
PMCPMC12255518

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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.