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Test–retest reliability and variability of knee adduction moment peak, impulse and loading rate during walking
Journal article   Peer reviewed

Test–retest reliability and variability of knee adduction moment peak, impulse and loading rate during walking

Hong Han Tan, Benjamin Mentiplay, Joshua Jia-En Quek, Asher Chi Weng Tham, Leon Zhi Xia Lim, Ross Allan Clark, Ee Lin Woon, Ting Ting Yeh, Celia Ia Choo Tan and Yong-Hao Pua
Gait & Posture, Vol.80, pp.113-116
2020
PMID: 32502793
url
https://doi.org/10.1016/j.gaitpost.2020.05.029View
Published Version

Abstract

Knee adduction moment Motion capture Reliability Gait analysis
Background: Previous studies have reported good test-retest reliability for peak knee adduction moment (KAM) during walking. However, reliability of other KAM measurements has not been established. Research question: What is the test-retest reliability of peak KAM, KAM impulse, and KAM loading rate measurements during walking in knee-healthy individuals? Methods: Data from 32 knee-healthy participants were analysed in this test-retest reliability study. Various KAM measurements were reported for two sessions with kinematic and kinetic data obtained from a motion capture system synchronised with force plates, with a median of 1 week between sessions. Results: For all KAM measures, intra-class correlation coefficients were above 0.90 and their lower bound 95 % confidence limits exceeded 0.81. However, absolute measurement variability differed across measures, with normalized SEM (8 %–15 %), normalized MDC95 (20 %–40 %), intra-session MAD (10 %–18 %), and inter-session MAD (12 %–22 %) varying over a 2-fold range. Overall and first peak KAM, KAM impulse over 50 % stance, and KAM loading rate (15 frame window) showed ≤10 % and ≤15 % intra- and inter-session MAD, respectively. Significance: This study provided previously undefined test-retest reliability estimates for various KAM measures during walking. Researchers and clinicians should not assume that the various aspects of the KAM curve share similar reliability.

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