Knee contact forces and lower extremity support moments during running in young individuals post-partial meniscectomy
Purpose While partial meniscectomy results in a compromised tibiofemoral joint, little is known regarding tibiofemoral joint loading during running in individuals who are post-partial meniscectomy. It was hypothesized that individuals post-partial meniscectomy would run with a greater hip support mo...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2017, Vol.25 (1), p.115-122 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Willy, R. W. Bigelow, M. A. Kolesar, A. Willson, J. D. Thomas, J. S. |
| description | Purpose
While partial meniscectomy results in a compromised tibiofemoral joint, little is known regarding tibiofemoral joint loading during running in individuals who are post-partial meniscectomy. It was hypothesized that individuals post-partial meniscectomy would run with a greater hip support moment, yielding reduced peak knee extension moments and reduced tibiofemoral joint contact forces.
Methods
3-D Treadmill running mechanics were evaluated in 23 athletic individuals post-partial meniscectomy (37.5 ± 19.0 months post-partial meniscectomy) and 23 matched controls. Bilateral hip, knee and ankle contributions to the total support moment and the peak knee extension moment were calculated. A musculoskeletal model estimated peak and impulse tibiofemoral joint contact forces. Knee function was quantified with the Knee injury and Osteoarthritis Outcome Score (KOOS).
Results
During running, the partial meniscectomy group had a greater hip support moment (
p
= 0.002) and a reduced knee support moment (
p
|
| doi_str_mv | 10.1007/s00167-016-4143-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1877851378</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4315215731</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-52052ee26ad982fa101d15749f09e7d7a3b4f3abfd5d17c042b391a0b57301dd3</originalsourceid><addsrcrecordid>eNqNkUtv1TAQhS1ERS8tP6AbZIkNG7d-JY6XVcVLVGLTri0nnlSpEjv4Ab3_vg63oAoJic2cWXxzPOOD0Bmj54xSdZEoZa0itRDJpCD6BdpVFUQJqV6iHdWSE06b9hi9Tume0tpK_Qodc8WE5lzvUPnqAfAQfLZDxmOIAyRsvcNz-AkRw0OOsEx5j1NZ1xAzXsICPifsSpz8HY7F-00nj_eh_Grc9GNyxc4JryFlstqYJzvjOjalAYYclv0pOhorAG-e9ATdfvxwc_WZXH_79OXq8poMkjaZNHV3DsBb63THR8soc6xRUo9Ug3LKil6OwvajaxxTA5W8F5pZ2jdKVNSJE_T-4LvG8L1AymbZdphn6yGUZFinVNcwobr_QHnbqqYVtKLv_kLvQ4m-HlKpVstOMS0rxQ7UEENKEUazxmmxcW8YNVt85hCfqcVs8RldZ94-OZd-Afdn4ndeFeAHIK3b90N89vQ_XR8BDCqmrg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1869487194</pqid></control><display><type>article</type><title>Knee contact forces and lower extremity support moments during running in young individuals post-partial meniscectomy</title><source>Access via Wiley Online Library</source><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Willy, R. W. ; Bigelow, M. A. ; Kolesar, A. ; Willson, J. D. ; Thomas, J. S.</creator><creatorcontrib>Willy, R. W. ; Bigelow, M. A. ; Kolesar, A. ; Willson, J. D. ; Thomas, J. S.</creatorcontrib><description>Purpose
While partial meniscectomy results in a compromised tibiofemoral joint, little is known regarding tibiofemoral joint loading during running in individuals who are post-partial meniscectomy. It was hypothesized that individuals post-partial meniscectomy would run with a greater hip support moment, yielding reduced peak knee extension moments and reduced tibiofemoral joint contact forces.
Methods
3-D Treadmill running mechanics were evaluated in 23 athletic individuals post-partial meniscectomy (37.5 ± 19.0 months post-partial meniscectomy) and 23 matched controls. Bilateral hip, knee and ankle contributions to the total support moment and the peak knee extension moment were calculated. A musculoskeletal model estimated peak and impulse tibiofemoral joint contact forces. Knee function was quantified with the Knee injury and Osteoarthritis Outcome Score (KOOS).
Results
During running, the partial meniscectomy group had a greater hip support moment (
p
= 0.002) and a reduced knee support moment (
p
< 0.001) relative to the total support moment. This movement pattern was associated with a 14.5 % reduction (
p
= 0.019) in the peak knee extension moment. Despite these differences, there were no significant group differences in peak or impulse tibiofemoral joint contact forces. Lower KOOS Quality of Life scores were associated with greater hip support moment (
p
= 0.004,
r
= −0.58), reduced knee support moment (
p
= 0.006,
r
= 0.55) and reduced peak knee extension moment (
p
= 0.01,
r
= 0.52).
Conclusions
Disordered running mechanics are present long term post-partial meniscectomy. A coordination strategy that shifts a proportion of the total support moment away from the knee to the hip reduces the peak knee extension moment, but does not equate to reduced tibiofemoral joint contact forces during running in individuals post-partial meniscectomy.
Level of evidence
III.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-016-4143-9</identifier><identifier>PMID: 27139229</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Arthritis ; Biomechanical Phenomena ; Biomechanics ; Exercise Test ; Female ; Gait ; Health sciences ; Humans ; Knee ; Knee Injuries - physiopathology ; Knee Injuries - surgery ; Knee Joint - physiopathology ; Knee Joint - surgery ; Lower Extremity - physiopathology ; Male ; Medicine ; Medicine & Public Health ; Menisci, Tibial ; Orthopedics ; Osteoarthritis ; Osteoarthritis, Knee - physiopathology ; Physical therapy ; Quality of life ; Running - physiology ; Tibial Meniscus Injuries ; Young Adult</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017, Vol.25 (1), p.115-122</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2016</rights><rights>Knee Surgery, Sports Traumatology, Arthroscopy is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-52052ee26ad982fa101d15749f09e7d7a3b4f3abfd5d17c042b391a0b57301dd3</citedby><cites>FETCH-LOGICAL-c405t-52052ee26ad982fa101d15749f09e7d7a3b4f3abfd5d17c042b391a0b57301dd3</cites><orcidid>0000-0002-1249-228X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-016-4143-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-016-4143-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27933,27934,41497,42566,51328</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27139229$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Willy, R. W.</creatorcontrib><creatorcontrib>Bigelow, M. A.</creatorcontrib><creatorcontrib>Kolesar, A.</creatorcontrib><creatorcontrib>Willson, J. D.</creatorcontrib><creatorcontrib>Thomas, J. S.</creatorcontrib><title>Knee contact forces and lower extremity support moments during running in young individuals post-partial meniscectomy</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
While partial meniscectomy results in a compromised tibiofemoral joint, little is known regarding tibiofemoral joint loading during running in individuals who are post-partial meniscectomy. It was hypothesized that individuals post-partial meniscectomy would run with a greater hip support moment, yielding reduced peak knee extension moments and reduced tibiofemoral joint contact forces.
Methods
3-D Treadmill running mechanics were evaluated in 23 athletic individuals post-partial meniscectomy (37.5 ± 19.0 months post-partial meniscectomy) and 23 matched controls. Bilateral hip, knee and ankle contributions to the total support moment and the peak knee extension moment were calculated. A musculoskeletal model estimated peak and impulse tibiofemoral joint contact forces. Knee function was quantified with the Knee injury and Osteoarthritis Outcome Score (KOOS).
Results
During running, the partial meniscectomy group had a greater hip support moment (
p
= 0.002) and a reduced knee support moment (
p
< 0.001) relative to the total support moment. This movement pattern was associated with a 14.5 % reduction (
p
= 0.019) in the peak knee extension moment. Despite these differences, there were no significant group differences in peak or impulse tibiofemoral joint contact forces. Lower KOOS Quality of Life scores were associated with greater hip support moment (
p
= 0.004,
r
= −0.58), reduced knee support moment (
p
= 0.006,
r
= 0.55) and reduced peak knee extension moment (
p
= 0.01,
r
= 0.52).
Conclusions
Disordered running mechanics are present long term post-partial meniscectomy. A coordination strategy that shifts a proportion of the total support moment away from the knee to the hip reduces the peak knee extension moment, but does not equate to reduced tibiofemoral joint contact forces during running in individuals post-partial meniscectomy.
Level of evidence
III.</description><subject>Arthritis</subject><subject>Biomechanical Phenomena</subject><subject>Biomechanics</subject><subject>Exercise Test</subject><subject>Female</subject><subject>Gait</subject><subject>Health sciences</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee Injuries - physiopathology</subject><subject>Knee Injuries - surgery</subject><subject>Knee Joint - physiopathology</subject><subject>Knee Joint - surgery</subject><subject>Lower Extremity - physiopathology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Menisci, Tibial</subject><subject>Orthopedics</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Knee - physiopathology</subject><subject>Physical therapy</subject><subject>Quality of life</subject><subject>Running - physiology</subject><subject>Tibial Meniscus Injuries</subject><subject>Young Adult</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkUtv1TAQhS1ERS8tP6AbZIkNG7d-JY6XVcVLVGLTri0nnlSpEjv4Ab3_vg63oAoJic2cWXxzPOOD0Bmj54xSdZEoZa0itRDJpCD6BdpVFUQJqV6iHdWSE06b9hi9Tume0tpK_Qodc8WE5lzvUPnqAfAQfLZDxmOIAyRsvcNz-AkRw0OOsEx5j1NZ1xAzXsICPifsSpz8HY7F-00nj_eh_Grc9GNyxc4JryFlstqYJzvjOjalAYYclv0pOhorAG-e9ATdfvxwc_WZXH_79OXq8poMkjaZNHV3DsBb63THR8soc6xRUo9Ug3LKil6OwvajaxxTA5W8F5pZ2jdKVNSJE_T-4LvG8L1AymbZdphn6yGUZFinVNcwobr_QHnbqqYVtKLv_kLvQ4m-HlKpVstOMS0rxQ7UEENKEUazxmmxcW8YNVt85hCfqcVs8RldZ94-OZd-Afdn4ndeFeAHIK3b90N89vQ_XR8BDCqmrg</recordid><startdate>2017</startdate><enddate>2017</enddate><creator>Willy, R. W.</creator><creator>Bigelow, M. A.</creator><creator>Kolesar, A.</creator><creator>Willson, J. D.</creator><creator>Thomas, J. S.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1249-228X</orcidid></search><sort><creationdate>2017</creationdate><title>Knee contact forces and lower extremity support moments during running in young individuals post-partial meniscectomy</title><author>Willy, R. W. ; Bigelow, M. A. ; Kolesar, A. ; Willson, J. D. ; Thomas, J. S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-52052ee26ad982fa101d15749f09e7d7a3b4f3abfd5d17c042b391a0b57301dd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Arthritis</topic><topic>Biomechanical Phenomena</topic><topic>Biomechanics</topic><topic>Exercise Test</topic><topic>Female</topic><topic>Gait</topic><topic>Health sciences</topic><topic>Humans</topic><topic>Knee</topic><topic>Knee Injuries - physiopathology</topic><topic>Knee Injuries - surgery</topic><topic>Knee Joint - physiopathology</topic><topic>Knee Joint - surgery</topic><topic>Lower Extremity - physiopathology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Menisci, Tibial</topic><topic>Orthopedics</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis, Knee - physiopathology</topic><topic>Physical therapy</topic><topic>Quality of life</topic><topic>Running - physiology</topic><topic>Tibial Meniscus Injuries</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Willy, R. W.</creatorcontrib><creatorcontrib>Bigelow, M. A.</creatorcontrib><creatorcontrib>Kolesar, A.</creatorcontrib><creatorcontrib>Willson, J. D.</creatorcontrib><creatorcontrib>Thomas, J. S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Willy, R. W.</au><au>Bigelow, M. A.</au><au>Kolesar, A.</au><au>Willson, J. D.</au><au>Thomas, J. S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Knee contact forces and lower extremity support moments during running in young individuals post-partial meniscectomy</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2017</date><risdate>2017</risdate><volume>25</volume><issue>1</issue><spage>115</spage><epage>122</epage><pages>115-122</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
While partial meniscectomy results in a compromised tibiofemoral joint, little is known regarding tibiofemoral joint loading during running in individuals who are post-partial meniscectomy. It was hypothesized that individuals post-partial meniscectomy would run with a greater hip support moment, yielding reduced peak knee extension moments and reduced tibiofemoral joint contact forces.
Methods
3-D Treadmill running mechanics were evaluated in 23 athletic individuals post-partial meniscectomy (37.5 ± 19.0 months post-partial meniscectomy) and 23 matched controls. Bilateral hip, knee and ankle contributions to the total support moment and the peak knee extension moment were calculated. A musculoskeletal model estimated peak and impulse tibiofemoral joint contact forces. Knee function was quantified with the Knee injury and Osteoarthritis Outcome Score (KOOS).
Results
During running, the partial meniscectomy group had a greater hip support moment (
p
= 0.002) and a reduced knee support moment (
p
< 0.001) relative to the total support moment. This movement pattern was associated with a 14.5 % reduction (
p
= 0.019) in the peak knee extension moment. Despite these differences, there were no significant group differences in peak or impulse tibiofemoral joint contact forces. Lower KOOS Quality of Life scores were associated with greater hip support moment (
p
= 0.004,
r
= −0.58), reduced knee support moment (
p
= 0.006,
r
= 0.55) and reduced peak knee extension moment (
p
= 0.01,
r
= 0.52).
Conclusions
Disordered running mechanics are present long term post-partial meniscectomy. A coordination strategy that shifts a proportion of the total support moment away from the knee to the hip reduces the peak knee extension moment, but does not equate to reduced tibiofemoral joint contact forces during running in individuals post-partial meniscectomy.
Level of evidence
III.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27139229</pmid><doi>10.1007/s00167-016-4143-9</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-1249-228X</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017, Vol.25 (1), p.115-122 |
| issn | 0942-2056 1433-7347 |
| language | eng |
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| source | Access via Wiley Online Library; MEDLINE; SpringerNature Journals |
| subjects | Arthritis Biomechanical Phenomena Biomechanics Exercise Test Female Gait Health sciences Humans Knee Knee Injuries - physiopathology Knee Injuries - surgery Knee Joint - physiopathology Knee Joint - surgery Lower Extremity - physiopathology Male Medicine Medicine & Public Health Menisci, Tibial Orthopedics Osteoarthritis Osteoarthritis, Knee - physiopathology Physical therapy Quality of life Running - physiology Tibial Meniscus Injuries Young Adult |
| title | Knee contact forces and lower extremity support moments during running in young individuals post-partial meniscectomy |
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