Clinical Biomechanics最新文献

{"title":"Biomechanical analysis of step-up and step-down tasks in knee osteoarthritis: Insights from leading and trailing limbs","authors":"Oliver Roberts ,&nbsp;Tsung-Lin Wu ,&nbsp;Phillis Teng ,&nbsp;Jun Liang Lau ,&nbsp;Yong Hao Pua ,&nbsp;Ross A. Clark ,&nbsp;Yi Hu ,&nbsp;Bryan Yijia Tan","doi":"10.1016/j.clinbiomech.2025.106436","DOIUrl":"10.1016/j.clinbiomech.2025.106436","url":null,"abstract":"<div><h3>Background</h3><div>Stair climbing tests are pivotal when assessing physical performance in knee osteoarthritis patients, yet the biomechanical strategies that underpin poor stair climbing ability are heterogeneously reported. Single step tasks emulate a step-by-step gait pattern, an approach associated with knee pain when stair climbing. The objective of this study is to analyse the biomechanics and electromyography activity of both the leading and trailing limbs during single Step-up and Down tasks in knee osteoarthritis patients.</div></div><div><h3>Methods</h3><div>Three-dimensional motion analysis captured biomechanical data of twenty participants with knee osteoarthritis (<em>n</em> = 20) and twenty four (<em>n</em> = 24) age matched controls completing isolated Step-Up and Step-Down tasks. Data was collected from both the leading and trailing limbs and analysed continuously using One-dimensional Statistical Parametric Mapping (α = 0.05).</div></div><div><h3>Findings</h3><div>During Step-Up, knee osteoarthritis participants demonstrated kinematic (<em>p</em> &lt; 0.001), kinetic (<em>p</em> = 0.045), and electromyography (<em>p</em> &lt; 0.001) variance compared to control participants, whilst Step-Down induced elevated external knee adduction moments (<em>p</em> = 0.042). Across both tasks, knee osteoarthritis participants stood with increased lower limb flexion in quiet standing and spent a proportionally elevated time in transitional double stance during Step-Up (<em>p</em> = 0.02).</div></div><div><h3>Interpretation</h3><div>Our study reveals that knee osteoarthritis patients display distinctive biomechanical strategies during single Step-Up and Down tasks, that deviate depending on whether the osteoarthritic knee is leading or trailing. Single-step tasks are a safer and practical alternative to other stair climbing tests. We hope that clinicians can use these findings to guide treatments that promote less effortful step and stair ambulation in knee osteoarthritis patients with advanced disease.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":"122 ","pages":"Article 106436"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of gait and architecture of the medial gastrocnemius in developmentally delayed children with different muscle tone: A preliminary pilot study","authors":"Sun-Young Ha ,&nbsp;Yun-Hee Sung","doi":"10.1016/j.clinbiomech.2025.106442","DOIUrl":"10.1016/j.clinbiomech.2025.106442","url":null,"abstract":"<div><h3>Background</h3><div>Muscle tone alteration reduces gait and motor function in children with developmental delays. We aimed to determine differences in gait and structure of the medial gastrocnemius muscle between typically developing children and children with developmental delays with different muscle tone.</div></div><div><h3>Methods</h3><div>Forty-nine participants were divided into typically developing children (<em>n</em> = 22), children with spastic hemiplegia (<em>n</em> = 6), children with spastic diplegia (<em>n</em> = 9), and children with central hypotonia (<em>n</em> = 12). A wearable gait analysis system was used to measure spatiotemporal variables and pelvic movement, and ultrasonography was used to measure the pennation angle, thickness, and fascicle length of the medial gastrocnemius.</div></div><div><h3>Finding</h3><div>Children with spastic hemiplegia had significantly smaller total symmetric index and pelvic tilt symmetric index than typically developing children (<em>P</em> &lt; 0.050). Children with spastic diplegia had smaller pennation angle than typically developing children (<em>P</em> &lt; 0.050), and children with central hypotonia had lower velocity than typically developing children (<em>P</em> &lt; 0.050). Children with spastic diplegia had a greater pelvic rotation range than children with central hypotonia (<em>P</em> &lt; 0.050).</div></div><div><h3>Interpretation</h3><div>This study helps to understand gait and muscle structure in central hypotonia and spastic cerebral palsy.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":"122 ","pages":"Article 106442"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in kinematics and kinetics during gait between total knee arthroplasty implant designs","authors":"Kohei Nishizawa ,&nbsp;Kengo Harato ,&nbsp;Satoshi Hakukawa ,&nbsp;Shu Kobayashi ,&nbsp;Yasuo Niki ,&nbsp;Takeo Nagura","doi":"10.1016/j.clinbiomech.2024.106404","DOIUrl":"10.1016/j.clinbiomech.2024.106404","url":null,"abstract":"<div><h3>Background</h3><div>Implant design is important for achieving proper knee biomechanics during gait following knee arthroplasty. Bicruciate-stabilized total knee arthroplasty attempts to replicate anterior stability and rotational facilitation. However, its detailed gait biomechanics compared with other implant designs have not been analyzed. The purpose of this study is to compare knee kinematics and kinetics between bicruciate-stabilized total knee arthroplasty, posterior-stabilized total knee arthroplasty, unicompartmental knee arthroplasty, and normal knees.</div></div><div><h3>Methods</h3><div>Ten healthy subjects, 16 who underwent posterior stabilized total knee arthroplasty, 12 who underwent bicruciate-stabilized total knee arthroplasty, and 13 who underwent unicompartmental knee arthroplasty were recruited. The mean follow-up period after arthroplasty was 11.0 months. Three-dimensional kinematics and kinetics were assessed using a motion capture system with subjects walking on a 5-m walkway. Comparisons between groups were conducted using the Kruskal–Wallis test, and <em>post hoc</em> analysis was performed for those parameters that differed significantly.</div></div><div><h3>Findings</h3><div>The bicruciate-stabilized total knee arthroplasty group showed decreased internal rotation compared to the unicompartmental knee arthroplasty group. Compared to the control group, the posterior-stabilized total knee arthroplasty group exhibited reduced knee extension and internal rotation moment.</div></div><div><h3>Interpretation</h3><div>Bicruciate-stabilized total knee arthroplasties exhibited different biomechanical characteristics compared to unicompartmental knee arthroplasties during terminal stance. Postoperative total knee arthroplasty rehabilitation should focus on relieving stiffness owing to insufficient knee flexion-extension motion observed in both bicruciate-stabilized and posterior-stabilized total knee arthroplasties compared with unicompartmental knee arthroplasty, which may be due to a lack of knee rotational motion during gait.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":"122 ","pages":"Article 106404"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of a novel back support device to improve spine stability and muscular activity during trunk flexion: A prospective cross-sectional study with healthy controls and low back pain subjects - preliminary","authors":"Emeric Bernier ,&nbsp;Adi Mithani ,&nbsp;Ahmed Aoude ,&nbsp;Mark Driscoll","doi":"10.1016/j.clinbiomech.2024.106414","DOIUrl":"10.1016/j.clinbiomech.2024.106414","url":null,"abstract":"<div><h3>Background</h3><div>Low back pain is a prevalent global condition often challenging to address due to the absence of a definitive diagnosis in over 80 % of cases. Manual lifting, common in many work environments, contributes to low back pain due to lumbar spine stresses, and existing assistive technologies like abdominal belts and exoskeletons have limitations in managing low back pain effectively. This paper presents a novel back support device designed to generate abdominal compression during flexion activities, potentially enhancing lumbar stability through increased intra-abdominal pressure.</div></div><div><h3>Methods</h3><div>The study involved 14 participants with chronic non-specific low back pain and 18 gender-matched healthy controls doing controlled movement tests with and without the support device.</div></div><div><h3>Findings</h3><div>Results suggest that the back support device increased intra-abdominal pressure in both groups during various functional tasks, more notably in active flexion and lifting tasks (up to +43 %). The device also contributed to decreasing lumbar range of motion during guided flexion (−18 to −37 %, except at the lumbosacral junction in the low back pain group), emphasizing its potential impact in limiting excessive spinal movement. Muscle activity assessments revealed decreased activation during active flexion and lifting movements while wearing the device, suggesting the possibility to assist trunk stabilization without the corresponding antagonistic muscle activation and associated compressive load on the spine.</div></div><div><h3>Interpretation</h3><div>These effects could help workers to maintain their activities in the workplace and help workers suffering from low back pain to gradually reintegrate work or physical activities, contributing to better overall management of back health.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":"122 ","pages":"Article 106414"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of different custom-made foot orthotics on foot joint stiffness in individuals with structural hallux limitus: A quasi-experimental study","authors":"Magdalena Martinez-Rico ,&nbsp;Gabriel Gijon-Nogueron ,&nbsp;Ana Belen Ortega-Avila ,&nbsp;Luis Enrique Roche-Seruendo ,&nbsp;Ana Climent-Pedrosa ,&nbsp;Kevin Deschamps ,&nbsp;Enrique Sanchis-Sales","doi":"10.1016/j.clinbiomech.2024.106423","DOIUrl":"10.1016/j.clinbiomech.2024.106423","url":null,"abstract":"<div><h3>Background</h3><div>Normal dorsiflexion of the first metatarsophalangeal joint during dynamic activities is critical for effective propulsion. Therapeutic foot orthotics may address the pathomechanical loading and joint kinematics issues faced by this population. This study aims to evaluate the effect of two different types of Custom-made foot orthosis compared to shod condition on the stiffness of the rearfoot, midfoot, and 1st metatarsophalangeal joint during walking in patients with Structural Hallux Limitus.</div></div><div><h3>Methods</h3><div>This quasi-experimental study used a repeated-measures design with a single cohort. 24 participants with structural hallux limitus were sampled. Two custom-made Foot Orthotics – a cut-out and an anterior forefoot stabiliser element – were compared under three conditions using minimalist SAGURO neoprene shoes: shod, shod with cut-out custom-made foot orthosis, and shod with anterior forefoot stabiliser element foot orthosis. Kinematic data were captured using a modified Bruening model. We examined the variable stiffness (quantified in Nm/Kg/rad).</div></div><div><h3>Findings</h3><div>Significant differences were found in dynamic stiffness only between Anterior forefoot stabiliser element custom-made foot orthosis, and the patient shod during the propulsion phase at the 1st Metatarsophalangeal joint (R² = 0,07 <em>p</em> = 0.027) and a difference of 0,86 Nm/kg/rad. No significant differences were observed for dynamic stiffness in any other phase of the stance period across all conditions.</div></div><div><h3>Interpretation</h3><div>The Anterior forefoot stabiliser element, in particular, significantly increases the stiffness of the 1st Metatarsophalangeal joint compared to walking shod.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":"122 ","pages":"Article 106423"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Female collegiate soccer players post anterior cruciate ligament reconstruction utilize aberrant movement strategies to achieve similar performance to uninjured players","authors":"Kayla M. Kowalczyk,&nbsp;Eric J. Shumski,&nbsp;Caroline Lisee,&nbsp;Robert C. Lynall","doi":"10.1016/j.clinbiomech.2024.106424","DOIUrl":"10.1016/j.clinbiomech.2024.106424","url":null,"abstract":"<div><h3>Background</h3><div>Female soccer athletes with a history of anterior cruciate ligament injury are more susceptible to secondary injuries and potentially worse sport performance. The purpose of this study was to determine if female soccer athletes post anterior cruciate ligament reconstruction demonstrate worse jump height and reactive strength index performance and lower involved limb hip, knee, and ankle joint power and absorption, and larger joint power and absorption asymmetries compared to matched uninjured athletes.</div></div><div><h3>Methods</h3><div>Eleven Division I female soccer athletes post anterior cruciate ligament reconstruction (18.8 ± 1.0 years, 1.72 ± 0.04 m, 66.4 ± 3.4 kg) and twenty-two matched controls (19.2 ± 1.0 years, 1.72 ± 0.05 m, 65.8 ± 5.0 kg) completed three trials of a standard bilateral jump landing. Separate 2 × 2 (group, limb) mixed-model ANOVAs, independent <em>t</em>-tests, and Mann-Whitney <em>U</em> tests (α ≤ 0.05) were used for analysis. Post-hoc t-tests with false discovery rate <em>P</em>-values were used on significant interactions.</div></div><div><h3>Findings</h3><div>We found no differences between groups in jump height, reactive strength index, ankle power and absorption asymmetry, hip power and absorption asymmetry, and knee absorption asymmetry (<em>P</em> &gt; 0.05). Athletes post anterior cruciate ligament reconstruction had decreased knee power in their involved limb compared to their uninvolved limb (<em>P</em> &lt; 0.001). Regardless of limb, athletes post anterior cruciate ligament reconstruction absorbed more at the hip compared to controls (<em>P</em> = 0.013).</div></div><div><h3>Interpretation</h3><div>Female soccer athletes post anterior cruciate ligament reconstruction utilize aberrant strategies to achieve the same level of performance as their uninjured peers. Specifically, the athletes utilized a hip dominant strategy to achieve similar performance outcomes.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":"122 ","pages":"Article 106424"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Numerical comparison of the intramedullary nail for the fixation of different proximal femoral fractures","authors":"Yen-Nien Chen PhD ,&nbsp;Chih-Wei Chang PhD ,&nbsp;Kuo-Chih Su PhD ,&nbsp;Chia-Jung Chang PhD","doi":"10.1016/j.clinbiomech.2025.106438","DOIUrl":"10.1016/j.clinbiomech.2025.106438","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to compare the mechanical responses, including the stability and implant stress, of different proximal femoral fractures stabilized with an intramedullary system by finite element simulation. Furthermore, the effect of number of the lag screws, including one and two screws, was also investigated.</div></div><div><h3>Methods</h3><div>A numerical hip model was created first, and then four different types of proximal femoral fractures—namely femoral neck, intertrochanteric, reverse intertrochanteric, and subtrochanteric fractures—were employed in this study. An intramedullary nail system was used to fix the four fracture types. Furthermore, two different number of lag screws, either one bigger or two smaller, was also compared. The peak loading of the femur in level walking was used for comparison.</div></div><div><h3>Findings</h3><div>The results showed that both the peak displacement and the gap opening distance in the reversed intertrochanteric fracture were obviously higher than in the other fractures. Additionally, the peak equivalent stress of the intramedullary nail in the reversed intertrochanteric fracture was the highest among all the fractures. The stress on the nail in cases of reversed intertrochanteric fracture was 4.6 times (ranging from 132.9 to 616.8 MPa) and 4.4 times (ranging from 126 to 556 MPa) higher than in intertrochanteric fractures with one and two lag screws, respectively.</div></div><div><h3>Interpretation</h3><div>The intramedullary nail is a mechanically effective device for the fixation of proximal femoral fractures. However, to avoid the nail breakage the postoperative rehabilitation process for reversed intertrochanteric fracture should be slower compared to the neck, intertrochanteric and subtrochanteric fractures.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":"122 ","pages":"Article 106438"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A novel skin temperature estimation system for predicting pressure injury occurrence based on continuous body sensor data: A pilot study","authors":"Minami Shinkawa ,&nbsp;Yuko Mugita ,&nbsp;Toshiaki Takahashi ,&nbsp;Daijiro Haba ,&nbsp;Hiromi Sanada ,&nbsp;Gojiro Nakagami","doi":"10.1016/j.clinbiomech.2024.106413","DOIUrl":"10.1016/j.clinbiomech.2024.106413","url":null,"abstract":"<div><h3>Background</h3><div>Pressure injury prevention is important in older patients with immobility. This requires an accurate and efficient prediction of the development of pressure injuries. We aimed to develop a method for estimating skin temperature changes due to ischemia and inflammation using temperature sensors placed under bedsheets to provide an objective, non-invasive, and non-constrained risk assessment tool.</div></div><div><h3>Methods</h3><div>This study consisted of a thermal skin simulation study and a descriptive correlation study in healthy participants. A thermal skin simulation study was conducted using a model reproducing the body surface (underwear, diaper, or wet diaper conditions) and bed environment. In a descriptive-correlational study, the participants lay supine on a mattress with a temperature sensor attached to their sacral skin.</div></div><div><h3>Findings</h3><div>The thermal skin simulation study showed that temperature changes in the skin can be estimated under the sheets by inputting time-shifted temperature data into machine learning (R² = 0.9967 for underwear, 0.9950 for diapers, and 0.9869 for wet diapers). It was also demonstrated that the absolute skin temperature of a healthy individual (<em>N</em> = 17) could be estimated with the best accuracy by inputting time-shifted data into an extra-tree regressor (R² = 0.8145).</div></div><div><h3>Interpretation</h3><div>A combination of interface pressure and temperature sensors can be used to estimate skin temperature changes. These findings contribute to the development of a skin temperature measurement method that can capture temperature changes over time in clinical settings.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":"122 ","pages":"Article 106413"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Squatting in adolescents with unilateral and bilateral hip dysplasia","authors":"Nicholas R. Anable ,&nbsp;Lauren A. Luginsland ,&nbsp;Wilshaw R. Stevens Jr ,&nbsp;Alex M. Loewen ,&nbsp;Chanhee Jo ,&nbsp;Yuhan Ma ,&nbsp;Kelly A. Jeans","doi":"10.1016/j.clinbiomech.2024.106426","DOIUrl":"10.1016/j.clinbiomech.2024.106426","url":null,"abstract":"<div><h3>Background</h3><div>Adolescent hip dysplasia is a condition that often affects hip mechanics, leading to loss of function, pain, and early onset osteoarthritis. Objective literature investigating functional activities remains sparse within this population. A traditional body weight deep squat has translation to everyday tasks, is a clinical screening tool, and is also a common pre/rehabilitation exercise. However, the biomechanical approach and potential movement compensations have not been investigated in this population.</div></div><div><h3>Methods</h3><div>Thirty patients diagnosed with dysplasia from a pediatric hip registry were included. Each patient completed 3D motion capture with minimal instructions during the squat. Wilcoxon signed-rank tests were conducted to compare differences between: affected and unaffected limbs, unilateral and bilateral patients, patients and controls. A Spearman correlation assessed the relationship between symptom severity (modified Harris Hip Score) and squat depth.</div></div><div><h3>Findings</h3><div>Unilateral and bilateral patients demonstrated similar biomechanical movement patterns across both limbs (<em>p</em> &gt; 0.05). When compared to controls, dysplasia patients squatted with less sagittal plane range of motion throughout the lower extremities, reducing achievable squat depth (<em>p</em> &lt; 0.05). Upright trunk positioning was identified as a movement compensation that led to a reduction in the hip flexor moment. Symptom severity was not associated with squat depth (<em>r</em> = −0.282, <em>p</em> = 0.058).</div></div><div><h3>Interpretation</h3><div>An upright trunk compensation (i.e. knee dominant squat) may be utilized by adolescent hip dysplasia patients. When incorporating squats for targeted hip strengthening in this population, it may be advisable for clinicians to encourage greater trunk flexion to effectively engage the hip musculature.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":"122 ","pages":"Article 106426"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mild-to-moderate hip osteoarthritis and hip bracing influence hip and knee biomechanics during 90° turns while walking","authors":"Hannah Steingrebe ,&nbsp;Stefan Sell ,&nbsp;Thorsten Stein","doi":"10.1016/j.clinbiomech.2024.106420","DOIUrl":"10.1016/j.clinbiomech.2024.106420","url":null,"abstract":"<div><h3>Background</h3><div>Turning movements are frequently encountered during daily life and require more frontal and transverse hip mobility than straight walking. Thus, analysis of turning might be an insightful addition in the evaluation of conservative treatment approaches for hip osteoarthritis patients. The study objective was to quantify the effects of mild-to-moderate symptomatic hip osteoarthritis on lower-body turning biomechanics and evaluate the effects of hip bracing in this cohort.</div></div><div><h3>Methods</h3><div>Biomechanical analysis of 90° step and spin turns in 21 persons with hip osteoarthritis and 21 healthy controls (case-control-study) and intervention study on the effects of hip bracing in hip osteoarthritis participants. Hip and knee kinematics and dynamics were compared using independent sample <em>t</em>-tests or one-way repeated measure ANOVAs.</div></div><div><h3>Findings</h3><div>Persons with hip osteoarthritis have reduced peak hip extension and sagittal and transverse hip range of motion during turning. During the spin turn reduced hip adduction and frontal hip range of motion were found. Bracing increased the movement velocity at turn initiation and limited the transverse hip range of motion during both turns but increased knee peak adduction and internal rotation moments during spin turns.</div></div><div><h3>Interpretation</h3><div>Persons with hip osteoarthritis present altered hip kinematics during 90° spin turns in all movement planes. Their inclusion during clinical movement analysis might facilitate the detection of mobility deficits at an early disease stage. Bracing led to higher movement velocity at turn initiation without increasing load at the hip joint and reduced transverse hip range of motion, avoiding the painful reaching of range of motion endpoints.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":"122 ","pages":"Article 106420"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}