Archives of Orthopaedic and Trauma Surgery

, Volume 135, Issue 9, pp 1217–1226 | Cite as

Pelvic movement strategies and leg extension power in patients with end-stage medial compartment knee osteoarthritis: a cross-sectional study

  • Signe Kierkegaard
  • Peter Bo Jørgensen
  • Ulrik Dalgas
  • Kjeld Søballe
  • Inger Mechlenburg
Orthopaedic Surgery
First Online:
Received:

Abstract

Introduction

During movement tasks, patients with medial compartment knee osteoarthritis use compensatory strategies to minimise the joint load of the affected leg. Movement strategies of the knees and trunk have been investigated, but less is known about movement strategies of the pelvis during advancing functional tasks, and how these strategies are associated with leg extension power. The aim of the study was to investigate pelvic movement strategies and leg extension power in patients with end-stage medial compartment knee osteoarthritis compared with controls.

Materials and methods

57 patients (mean age 65.6 years) scheduled for medial uni-compartmental knee arthroplasty, and 29 age and gender matched controls were included in this cross-sectional study. Leg extension power was tested with the Nottingham Leg Extension Power-Rig. Pelvic range of motion was derived from an inertia-based measurement unit placed over the sacrum bone during walking, stair climbing and stepping.

Results

Patients had lower leg extension power than controls (20–39 %, P < 0.01) and used greater pelvic range of motion during stair and step ascending and descending (P ≤ 0.03, except for pelvic range of motion in the frontal plane during ascending, P > 0.06). Furthermore, an inverse association (coefficient: −0.03 to −0.04; R 2 = 13–22 %) between leg extension power and pelvic range of motion during stair and step descending was found in the patients.

Conclusions

Compared to controls, patients with medial compartment knee osteoarthritis use greater pelvic movements during advanced functional performance tests, particularly when these involve descending tasks. Further studies should investigate if it is possible to alter these movement strategies by an intervention aimed at increasing strength and power for the patients.

Keywords

Knee osteoarthritis Movement strategies Pelvic movements Leg extension power Walking Stair climbing 
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Notes

Acknowledgments

Supported by the Bevica Foundation, provided inertia measurement unit for measurement of pelvic motion.

Conflict of interest

None.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Signe Kierkegaard
    • 1
    • 2
  • Peter Bo Jørgensen
    • 1
  • Ulrik Dalgas
    • 3
  • Kjeld Søballe
    • 1
  • Inger Mechlenburg
    • 1
    • 4
  1. 1.Orthopaedic ResearchAarhus University HospitalAarhus CDenmark
  2. 2.Department of Orthopaedic SurgeryHorsens Regional HospitalHorsensDenmark
  3. 3.Section of Sports Science, Department of Public HealthAarhus UniversityAarhus CDenmark
  4. 4.Centre of Research in Rehabilitation (CORIR), Department of Clinical MedicineAarhus University Hospital and Aarhus UniversityAarhus CDenmark

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