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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2010-2-22
pubmed:abstractText
A comparative kinematics study was conducted on six cadaver limbs, comparing tibiofemoral kinematics in five conditions: unloaded, under a constant 130 N ankle load with a variable quadriceps load, with and without a simultaneous constant 50 N medial and lateral hamstrings load. Kinematics were described as translation of the projected centers of the medial (MFT) and lateral femoral condyles (LFT) in the horizontal plane of the tibia, and tibial axial rotation (TR) as a function of flexion angle. In passive conditions, the tibia rotated internally with increasing flexion to an average of -16 degrees (range: -12/-20 degrees , SD = 3.0 degrees ). Between 0 and 40 degrees flexion, the medial condyle translated forwards 4 mm (range: 0.8/5.5 mm, SD = 2.5 mm), followed by a gradual posterior translation, totaling -9 mm (range: -5.8/-18.5 mm, SD = 4.9 mm) between 40-140 degrees flexion. The lateral femoral condyle translated posteriorly with increasing flexion completing -25 mm (range: -22.6 to -28.2 mm, SD = 2.5 mm). Dynamic, loaded measurements simulating a deep knee bend were carried out in a knee rig. Under a fixed ankle load of 130 N and variable quadriceps loading, tibial rotation was inverted, mean TR = 4.7 degrees (range: -3.3 degrees /11.8 degrees SD = 5.4 degrees ), MFT = -0.5 mm (range: = -4.3/2.4 mm, SD = 2.4 mm), LFT = 3.3 mm (range: = -3.6/10.6 mm, SD = 5.1 mm). Compared to the passive condition, all these excursions were significantly different (p < or = 0.015). Adding medial and lateral hamstrings force of 50 N each reduced TR, MFT, and LFT significantly compared to the passive condition. In general, loading the knee with hamstrings and quadriceps reduces rotation and translation compared to the passive condition. Lateral hamstring action is more influential on knee kinematics than medial hamstrings action.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
1554-527X
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
28
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
419-28
pubmed:meshHeading
pubmed:year
2010
pubmed:articleTitle
The influence of muscle load on tibiofemoral knee kinematics.
pubmed:affiliation
Department of Orthopaedics, AZ St-Lucas, St-Lucaslaan 29, 8310 Brugge, Belgium. j.victor@skynet.be
pubmed:publicationType
Journal Article, Comparative Study