Journal article
Biomechanical differences of Asian knee osteoarthritis patients during standing and walking using statistical parametric mapping: A cross-sectional study
The Knee, Vol.52, pp.155-163
2025
PMID: 39577114
Abstract
Background
Biomechanics of knee osteoarthritis (KOA) patients have been extensively studied using motion capture systems, but less have explored standing knee joint angles with the walking parameters, particularly in Asians. We aim to determine gait biomechanical differences between healthy and KOA participants in an Asian population using One-dimensional Statistical Parametric Mapping (SPM1D) and explore if they are associated with standing joint angles.
Methods
A total of 20 KOA and 24 healthy stood upright and walked 10 m at self-selected speeds. The standing angles, walking kinematic and kinetic parameters of the ankle, knee, hip and trunk were analysed. Lower limb muscle excitation was measured via electromyography. SPM1D was used to compare the healthy group with the KOA group, and for further subgroup analysis.
Results
The all KOA group had significantly greater standing knee flexion angles (KFA) (p < 0.001), standing ankle dorsiflexion angles (ADA) (p < 0.001), walking KFA during terminal stance (p = 0.001) and terminal swing (p = 0.02) and walking ADA during terminal stance (p = 0.02) and mid-swing to terminal swing (p = 0.001). Knee adduction moment (p = 0.04) and knee flexion moment (p = 0.03) were higher in severe KOA. A positive correlation was found between standing KFA and initial KFA (R2 = 0.579), and mean walking KFA (R2 = 0.801) in the KOA group.
Conclusion
The increase in standing KFA was associated with an increase in walking KFA in the KOA group. Static joint angles remain as an essential parameter, although further studies need to be carried out to determine if the increase in standing joint angles can be recommended as an adjunctive measure during gait analysis of KOA using motion capture.
Details
- Title
- Biomechanical differences of Asian knee osteoarthritis patients during standing and walking using statistical parametric mapping: A cross-sectional study
- Authors
- Yi Hu - Nanyang Technological UniversityPhillis Teng - Nanyang Technological UniversityTsung-Lin Wu - Nanyang Technological UniversityRoss Allan Clark - University of the Sunshine Coast, Queensland, School of Health - Sports & Exercise ScienceYong-Hao Pua - Singapore General HospitalOliver Roberts - Nanyang Technological UniversityJia Wei Yong - Nanyang Technological UniversityAmr Alhossary - Nanyang Technological UniversityLek Syn Lim - Rehabilitation Research Institute of Singapore, Nanyang Technological University, 11 Mandalay Rd, #14-03 Clinical Science Building, Singapore 308232, SingaporeDesmond Y.R. Chong - Singapore Institute of TechnologyWei Tech Ang - Nanyang Technological UniversityBryan Yijia Tan (Corresponding Author) - Nanyang Technological University
- Publication details
- The Knee, Vol.52, pp.155-163
- Publisher
- Elsevier BV
- Date published
- 2025
- DOI
- 10.1016/j.knee.2024.10.022
- ISSN
- 1873-5800
- PMID
- 39577114
- Grant note
- This work was supported by the Rehabilitation Research Institute of Singapore [RRG3-19002/CG00].
- Organisation Unit
- School of Health - Sports & Exercise Science; Healthy Ageing Research Cluster
- Language
- English
- Record Identifier
- 991089697502621
- Output Type
- Journal article
Metrics
6 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- International collaboration
- Web Of Science research areas
- Orthopedics
- Sport Sciences
- Surgery
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites