Evidence map›Paper›PMID 40772195›Full record

ArticleCureus2025

Biomechanical Changes in the Lower Limb After a Quadriceps Fatigue Task in Association With Dynamic Knee Valgus.

Makoto Asaeda, Yukio Mikami, Akihiro Matsumoto, Takeya Araki, Kiyo Ueda, Noriaki Maeda, Tomoya Onishi, Hideyuki Ito, So Miyahara, Atsuo Nakamae and 1 more

Abstract read
In one paragraph

Article in Cureus, 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

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

11 authors.

Makoto AsaedaDepartment of Rehabilitation Medicine, Hiroshima University Hospital, Hiroshima, JPN.
Yukio MikamiDepartment of Rehabilitation Medicine, Hiroshima University Hospital, Hiroshima, JPN.
Akihiro MatsumotoDepartment of Rehabilitation Medicine, Hiroshima University Hospital, Hiroshima, JPN.
Takeya ArakiDepartment of Rehabilitation Medicine, Hiroshima University Hospital, Hiroshima, JPN.
Kiyo UedaDepartment of Rehabilitation Medicine, Hiroshima University Hospital, Hiroshima, JPN.
Noriaki MaedaDepartment of Sports Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, JPN.
Tomoya OnishiFaculty of Wakayama Health Care Sciences, Takarazuka University of Medical and Health Care, Wakayama, JPN.
Hideyuki ItoFaculty of Wakayama Health Care Sciences, Takarazuka University of Medical and Health Care, Wakayama, JPN.
So MiyaharaFaculty of Wakayama Health Care Sciences, Takarazuka University of Medical and Health Care, Wakayama, JPN.
Atsuo NakamaeDepartment of Orthopedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, JPN.
Nobuo AdachiDepartment of Orthopedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDynamic knee valgus (DKV), characterized by knee abduction and external rotation, has been associated with anterior cruciate ligament (ACL) injury, but the predictive accuracy of DKV for ACL injury remains unclear.

methodsThis controlled laboratory study examined fatigue effects on lower limb biomechanics and electromyography (EMG) during jump landing in healthy men. Participants were categorized into induced (n=11) and non-induced (n=8) DKV groups based on changes in knee abduction moment after a fatigue task.

resultsCompared to the non-induced DKV group, the induced group exhibited a significantly reduced hip flexion angle (p=0.030), lower vertical ground reaction force (p=0.040), and decreased quadriceps peak EMG amplitude (p=0.008), along with a significant increase in hip internal rotation moment (p=0.001). Receiver operating characteristic analysis revealed that hip internal rotation moment had the highest discriminative power for classifying DKV occurrence, with an area under the curve (AUC) of 0.994 (95% CI: 0.960-1.000), followed by hip adduction moment (AUC = 0.896) and quadriceps peak amplitude (AUC = 0.883).

conclusionsFindings suggest that DKV occurrence after fatigue is associated with altered quadriceps activity and hip rotation mechanics. These insights may inform ACL injury prevention strategies.

Indexed as

anterior cruciate ligamentelectromyographyfatigueknee valguslower limb biomechanics

Identifiers

PMID40772195
PMCPMC12324981

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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.