NDLI: Do patients with knee osteoarthritis perform sit-to-stand motion efficiently?

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Do patients with knee osteoarthritis perform sit-to-stand motion efficiently?

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Anan, Masaya Shinkoda, Koichi Suzuki, Kentaro Yagi, Masahide Ibara, Takuya Kito, Nobuhiro
Description	Author Affiliation: Anan M ( Department of Biomechanics, Institute of Biomedical and Health Sciences, Hiroshima University, 2-3 Kasumi 1-chome, Minami-ku, Hiroshima 734-8553, Japan. Electronic address: anan@hiroshima-u.ac.jp.); Shinkoda K ( Department of Biomechanics, Institute of Biomedical and Health Sciences, Hiroshima University, 2-3 Kasumi 1-chome, Minami-ku, Hiroshima 734-8553, Japan.); Suzuki K ( Nagoya University Hospital, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan.); Yagi M ( Midorii Orthopaedics Joint Reconstruction & Arthroscopy, 35-1 Midorii 6-chome, Asaminami-ku, Hiroshima 731-0103, Japan.); Ibara T ( Kawashima Orthopaedic Hospital, 17 Miyabu, Nakatsu, Oita 871-0012, Japan.); Kito N ( Hiroshima International University, 555-36 Kurosegakuendai, Higashi-Hiroshima, Hiroshima 737-0112, Japan.)
Abstract	The sit-to-stand motion (STS) is a frequently executed activity that is affected by weakness in the quadriceps femoris muscle and knee joint pain in patients with knee osteoarthritis (OA). We investigated whether patients with knee OA can efficiently perform STS through mechanical energy transfer assessments. Participants were 20 women with knee OA and 17 age-matched asymptomatic controls. The center of mass (COM), segment angles, joint moments, and powers during STS were measured. The negative mechanical work in the proximal portion of the shank, negative mean powers in the distal portion of the pelvis and proximal portion of the shank, and the positive mean power in the proximal and distal portions of the thigh were significantly lower in the knee OA group than in the control group. Patients with knee OA primarily performed thoracic forward lean movement, shifting their COM closer to the base of support provided by the feet alone, in an attempt to achieve stability at and after buttocks-off. However, control ability, which generates and absorbs kinetic energy quickly, was not enhanced in these patients, and their motion was unable to increase absorption of the mechanical energy in hip extensors and reduce the load on knee extensors. Furthermore, STS in patients with knee OA had reduced energy absorption in the knee extensors from the shank forward lean movement after buttocks-off, had reduced knee extensor efficiency, and made greater use of physiological energy. These findings suggest that, from the standpoint of mechanical energy transfer, patients with knee OA do not perform STS efficiently.
File Format	HTM / HTML
ISSN	09666362
Issue Number	2
Volume Number	41
e-ISSN	18792219
Journal	Gait & Posture
Language	English
Publisher	Elsevier
Publisher Date	2015-02-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Motion Research Support, Non-u.s. Gov't Discipline Orthopedics Movement Humans Journal Article Physiopathology Posture Biomechanical Phenomena Range Of Motion, Articular Controlled Clinical Trial Exercise Knee Joint Osteoarthritis, Knee Female Physiology Aged
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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