Knee muscle forces during walking and running in patellofemoral pain patients and pain-free controls
Abstract One proposed mechanism of patellofemoral pain, increased stress in the joint, is dependent on forces generated by the quadriceps muscles. Describing causal relationships between muscle forces, tissue stresses, and pain is difficult due to the inability to directly measure these variables in...
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| Veröffentlicht in: | Journal of biomechanics 2009-05, Vol.42 (7), p.898-905 |
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| creator | Besier, Thor F Fredericson, Michael Gold, Garry E Beaupré, Gary S Delp, Scott L |
| description | Abstract One proposed mechanism of patellofemoral pain, increased stress in the joint, is dependent on forces generated by the quadriceps muscles. Describing causal relationships between muscle forces, tissue stresses, and pain is difficult due to the inability to directly measure these variables in vivo. The purpose of this study was to estimate quadriceps forces during walking and running in a group of male and female patients with patellofemoral pain ( n =27, 16 female; 11 male) and compare these to pain-free controls ( n =16, 8 female; 8 male). Subjects walked and ran at self-selected speeds in a gait laboratory. Lower limb kinematics and electromyography (EMG) data were input to an EMG-driven musculoskeletal model of the knee, which was scaled and calibrated to each individual to estimate forces in 10 muscles surrounding the joint. Compared to controls, the patellofemoral pain group had greater co-contraction of quadriceps and hamstrings ( p =0.025) and greater normalized muscle forces during walking, even though the net knee moment was similar between groups. Muscle forces during running were similar between groups, but the net knee extension moment was less in the patellofemoral pain group compared to controls. Females displayed 30–50% greater normalized hamstring and gastrocnemius muscle forces during both walking and running compared to males ( p |
| doi_str_mv | 10.1016/j.jbiomech.2009.01.032 |
| format | Article |
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Describing causal relationships between muscle forces, tissue stresses, and pain is difficult due to the inability to directly measure these variables in vivo. The purpose of this study was to estimate quadriceps forces during walking and running in a group of male and female patients with patellofemoral pain ( n =27, 16 female; 11 male) and compare these to pain-free controls ( n =16, 8 female; 8 male). Subjects walked and ran at self-selected speeds in a gait laboratory. Lower limb kinematics and electromyography (EMG) data were input to an EMG-driven musculoskeletal model of the knee, which was scaled and calibrated to each individual to estimate forces in 10 muscles surrounding the joint. Compared to controls, the patellofemoral pain group had greater co-contraction of quadriceps and hamstrings ( p =0.025) and greater normalized muscle forces during walking, even though the net knee moment was similar between groups. Muscle forces during running were similar between groups, but the net knee extension moment was less in the patellofemoral pain group compared to controls. Females displayed 30–50% greater normalized hamstring and gastrocnemius muscle forces during both walking and running compared to males ( p <0.05). These results suggest that some patellofemoral pain patients might experience greater joint contact forces and joint stresses than pain-free subjects. The muscle force data are available as supplementary material.</description><identifier>ISSN: 0021-9290</identifier><identifier>EISSN: 1873-2380</identifier><identifier>DOI: 10.1016/j.jbiomech.2009.01.032</identifier><identifier>PMID: 19268945</identifier><language>eng</language><publisher>United States: Elsevier Ltd</publisher><subject>Adult ; Biomechanical Phenomena ; Case-Control Studies ; Female ; Females ; Humans ; Knee ; Knee Joint - physiology ; Male ; Mathematical models ; Muscle force ; Muscles - physiology ; Muscular system ; Pain ; Pain Measurement ; Patellofemoral pain ; Patellofemoral Pain Syndrome - physiopathology ; Physical Medicine and Rehabilitation ; Pressure distribution ; Recruitment ; Running - physiology ; Walking - physiology</subject><ispartof>Journal of biomechanics, 2009-05, Vol.42 (7), p.898-905</ispartof><rights>Elsevier Ltd</rights><rights>2009 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c733t-685c0262326d68a0c13be737837532cbd098e653290a8421203da913e5a20f003</citedby><cites>FETCH-LOGICAL-c733t-685c0262326d68a0c13be737837532cbd098e653290a8421203da913e5a20f003</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0021929009000396$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19268945$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Besier, Thor F</creatorcontrib><creatorcontrib>Fredericson, Michael</creatorcontrib><creatorcontrib>Gold, Garry E</creatorcontrib><creatorcontrib>Beaupré, Gary S</creatorcontrib><creatorcontrib>Delp, Scott L</creatorcontrib><title>Knee muscle forces during walking and running in patellofemoral pain patients and pain-free controls</title><title>Journal of biomechanics</title><addtitle>J Biomech</addtitle><description>Abstract One proposed mechanism of patellofemoral pain, increased stress in the joint, is dependent on forces generated by the quadriceps muscles. Describing causal relationships between muscle forces, tissue stresses, and pain is difficult due to the inability to directly measure these variables in vivo. The purpose of this study was to estimate quadriceps forces during walking and running in a group of male and female patients with patellofemoral pain ( n =27, 16 female; 11 male) and compare these to pain-free controls ( n =16, 8 female; 8 male). Subjects walked and ran at self-selected speeds in a gait laboratory. Lower limb kinematics and electromyography (EMG) data were input to an EMG-driven musculoskeletal model of the knee, which was scaled and calibrated to each individual to estimate forces in 10 muscles surrounding the joint. Compared to controls, the patellofemoral pain group had greater co-contraction of quadriceps and hamstrings ( p =0.025) and greater normalized muscle forces during walking, even though the net knee moment was similar between groups. Muscle forces during running were similar between groups, but the net knee extension moment was less in the patellofemoral pain group compared to controls. Females displayed 30–50% greater normalized hamstring and gastrocnemius muscle forces during both walking and running compared to males ( p <0.05). These results suggest that some patellofemoral pain patients might experience greater joint contact forces and joint stresses than pain-free subjects. The muscle force data are available as supplementary material.</description><subject>Adult</subject><subject>Biomechanical Phenomena</subject><subject>Case-Control Studies</subject><subject>Female</subject><subject>Females</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee Joint - physiology</subject><subject>Male</subject><subject>Mathematical models</subject><subject>Muscle force</subject><subject>Muscles - physiology</subject><subject>Muscular system</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Patellofemoral pain</subject><subject>Patellofemoral Pain Syndrome - physiopathology</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Pressure distribution</subject><subject>Recruitment</subject><subject>Running - physiology</subject><subject>Walking - physiology</subject><issn>0021-9290</issn><issn>1873-2380</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkk1v1DAQhi1ERbcLf6GKhMQtYWwnTnypQBVQRKUegLPldSatQ2IvdtKq_x6nu1Day0qW_PXMa8_MS8gphYICFe_7ot9YP6K5KRiALIAWwNkLsqJNzXPGG3hJVgCM5pJJOCYnMfYAUJe1fEWOqWSikWW1Iu03h5iNczQDZp0PBmPWzsG66-xOD7-WWbs2C7Nzy9q6bKsnHAbf4eiDHtJ2d2bRTfGBXU7yLiRZ490U_BBfk6NODxHf7Oc1-fn504_zi_zy6svX84-Xuak5n3LRVAaYYJyJVjQaDOUbrHnd8LrizGxakA2KtJSgm5JRBrzVknKsNIMOgK_J2U53O29GbE36Uvqi2gY76nCvvLbq6Y2zN-ra3yomalrVi8C7vUDwv2eMkxptNCld7dDPUSWslEuFD4G8LGWqMD0IpuY1jKX01-TtM7D3c3CpXIoCL2XFAcpEiR1lgo8xYPcvOQpqMYbq1V9jLNpSAVXJGCnw9P_SPIbtnZCADzsAU4NuLQYVTeqpwdYGNJNqvT38xtkzCTNYZ03yEd5jfMxHRaZAfV_subgT0gAuBf8DXQ3hmg</recordid><startdate>20090511</startdate><enddate>20090511</enddate><creator>Besier, Thor F</creator><creator>Fredericson, Michael</creator><creator>Gold, Garry E</creator><creator>Beaupré, Gary S</creator><creator>Delp, Scott L</creator><general>Elsevier Ltd</general><general>Elsevier Limited</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>7QP</scope><scope>7TB</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20090511</creationdate><title>Knee muscle forces during walking and running in patellofemoral pain patients and pain-free controls</title><author>Besier, Thor F ; 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Describing causal relationships between muscle forces, tissue stresses, and pain is difficult due to the inability to directly measure these variables in vivo. The purpose of this study was to estimate quadriceps forces during walking and running in a group of male and female patients with patellofemoral pain ( n =27, 16 female; 11 male) and compare these to pain-free controls ( n =16, 8 female; 8 male). Subjects walked and ran at self-selected speeds in a gait laboratory. Lower limb kinematics and electromyography (EMG) data were input to an EMG-driven musculoskeletal model of the knee, which was scaled and calibrated to each individual to estimate forces in 10 muscles surrounding the joint. Compared to controls, the patellofemoral pain group had greater co-contraction of quadriceps and hamstrings ( p =0.025) and greater normalized muscle forces during walking, even though the net knee moment was similar between groups. Muscle forces during running were similar between groups, but the net knee extension moment was less in the patellofemoral pain group compared to controls. Females displayed 30–50% greater normalized hamstring and gastrocnemius muscle forces during both walking and running compared to males ( p <0.05). These results suggest that some patellofemoral pain patients might experience greater joint contact forces and joint stresses than pain-free subjects. The muscle force data are available as supplementary material.</abstract><cop>United States</cop><pub>Elsevier Ltd</pub><pmid>19268945</pmid><doi>10.1016/j.jbiomech.2009.01.032</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Biomechanical Phenomena Case-Control Studies Female Females Humans Knee Knee Joint - physiology Male Mathematical models Muscle force Muscles - physiology Muscular system Pain Pain Measurement Patellofemoral pain Patellofemoral Pain Syndrome - physiopathology Physical Medicine and Rehabilitation Pressure distribution Recruitment Running - physiology Walking - physiology |
| title | Knee muscle forces during walking and running in patellofemoral pain patients and pain-free controls |
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