Quadriceps femoris strength and sagittal-plane knee biomechanics during stair ascent in individuals with articular cartilage defects in the knee

Louise M. Thoma, David C. Flanigan, Ajit M. Chaudhari, Robert A. Siston, Thomas Best, Laura C. Schmitt

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Context: Few objective data are available regarding strength and movement patterns in individuals with articular cartilage defects (ACDs) of the knee. Objectives: To test the following hypotheses: (1) The involved limb of individuals with ACDs would demonstrate lower peak knee-flexion angle, peak internal knee-extension moment, and peak vertical ground-reaction force (vGRF) than the contralateral limb and healthy controls. (2) On the involved limb of individuals with ACDs, quadriceps femoris strength would positively correlate with peak knee-flexion angle, peak internal knee-extension moment, and peak vGRF. Design: Cross-sectional. Setting: Biomechanics research laboratory. Participants: 11 individuals with ACDs in the knee who were eligible for surgical cartilage restoration and 10 healthy controls. Methods: Quadriceps femoris strength was quantified as peak isometric knee-extension torque via an isokinetic dynamometer. Sagittal-plane knee kinematics and kinetics were measured during the stance phase of stair ascent with 3-dimensional motion analysis. Main Outcome Measures: Quadriceps strength and knee biomechanics during stair ascent were compared between the involved and contralateral limbs of participants with ACD (paired t tests) and with a control group (independent-samples t tests). Pearson correlations evaluated relationships between strength and stair-ascent biomechanics. Results: Lower quadriceps strength and peak internal knee-extension moments were observed in the involved limb than in the contralateral limb (P < .01) and the control group (P < .01). For the involved limb of the ACD group, quadriceps femoris strength was strongly correlated (r = .847) with involved-limb peak internal knee-extension moment and inversely correlated (r = -.635) with contralateral peak vGRF. Conclusions: Individuals with ACDs demonstrated deficits in quadriceps femoris strength with associated alterations in movement patterns during stair ascent. The results of this study are not comprehensive; further research is needed to understand the physiological characteristics, activity performance, and movement quality in this population.

Original languageEnglish (US)
Pages (from-to)259-269
Number of pages11
JournalJournal of Sport Rehabilitation
Volume23
Issue number3
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

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Quadriceps Muscle
Articular Cartilage
Biomechanical Phenomena
Knee
Extremities
Control Groups
Torque
Research
Cartilage
Outcome Assessment (Health Care)

Keywords

  • Focal chondral defects
  • Muscle strength
  • Stair climbing

ASJC Scopus subject areas

  • Biophysics
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Quadriceps femoris strength and sagittal-plane knee biomechanics during stair ascent in individuals with articular cartilage defects in the knee. / Thoma, Louise M.; Flanigan, David C.; Chaudhari, Ajit M.; Siston, Robert A.; Best, Thomas; Schmitt, Laura C.

In: Journal of Sport Rehabilitation, Vol. 23, No. 3, 01.01.2014, p. 259-269.

Research output: Contribution to journalArticle

Thoma, Louise M. ; Flanigan, David C. ; Chaudhari, Ajit M. ; Siston, Robert A. ; Best, Thomas ; Schmitt, Laura C. / Quadriceps femoris strength and sagittal-plane knee biomechanics during stair ascent in individuals with articular cartilage defects in the knee. In: Journal of Sport Rehabilitation. 2014 ; Vol. 23, No. 3. pp. 259-269.
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AU - Siston, Robert A.

AU - Best, Thomas

AU - Schmitt, Laura C.

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AB - Context: Few objective data are available regarding strength and movement patterns in individuals with articular cartilage defects (ACDs) of the knee. Objectives: To test the following hypotheses: (1) The involved limb of individuals with ACDs would demonstrate lower peak knee-flexion angle, peak internal knee-extension moment, and peak vertical ground-reaction force (vGRF) than the contralateral limb and healthy controls. (2) On the involved limb of individuals with ACDs, quadriceps femoris strength would positively correlate with peak knee-flexion angle, peak internal knee-extension moment, and peak vGRF. Design: Cross-sectional. Setting: Biomechanics research laboratory. Participants: 11 individuals with ACDs in the knee who were eligible for surgical cartilage restoration and 10 healthy controls. Methods: Quadriceps femoris strength was quantified as peak isometric knee-extension torque via an isokinetic dynamometer. Sagittal-plane knee kinematics and kinetics were measured during the stance phase of stair ascent with 3-dimensional motion analysis. Main Outcome Measures: Quadriceps strength and knee biomechanics during stair ascent were compared between the involved and contralateral limbs of participants with ACD (paired t tests) and with a control group (independent-samples t tests). Pearson correlations evaluated relationships between strength and stair-ascent biomechanics. Results: Lower quadriceps strength and peak internal knee-extension moments were observed in the involved limb than in the contralateral limb (P < .01) and the control group (P < .01). For the involved limb of the ACD group, quadriceps femoris strength was strongly correlated (r = .847) with involved-limb peak internal knee-extension moment and inversely correlated (r = -.635) with contralateral peak vGRF. Conclusions: Individuals with ACDs demonstrated deficits in quadriceps femoris strength with associated alterations in movement patterns during stair ascent. The results of this study are not comprehensive; further research is needed to understand the physiological characteristics, activity performance, and movement quality in this population.

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KW - Muscle strength

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