Abstract
Stair climbing is a demanding locomotor task frequently performed during daily activities. It is well-known from a functional point of view that going up and down stairs, requiring high levels of quadriceps activity, is one of the most painful and challenging activities of daily living for subjects with anterior knee pain. Moreover, it is universally accepted that going downstairs is more challenging that going upstairs due to the level of eccentriccontrol required during step descent.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
Kinematic parameters are those used in the description of movement without consideration for the causes of movement. These parameters include linear and angular displacements, velocities, and accelerations.
- 2.
Motion analysis. Interpretation of computerized data that documents an individual’s lower and upper extremities, pelvis, trunk, and head motion during ambulation.
- 3.
Passive markers. Joint and segment markers used during motion analysis that reflect visible or infrared light in contrast with active markers that emit a signal.
- 4.
The forces are measured in N and they have been normalized for the subject’s weight; therefore, it is a dimensionless magnitude.
- 5.
The moment is measured in N·m, it has been normalized for subject’s weight and knee height; therefore, it is a dimensionless value.
- 6.
Coronal plane. The plane that divides the body or body segment into anterior and posterior parts.
- 7.
Sagittal plane. The plane that divides the body or body segment into the right and left parts.
- 8.
External moment. The load applied to the human body due to the ground reaction forces, gravity, and external forces.
- 9.
Internal joint moment. The net result of all the internal forces acting about the joint, which include moments due to the muscles, ligaments, joint friction, and structural constraints.
- 10.
Stance phase. Period of time when the foot is in contact with the first step.
- 11.
Shock absorption. The progressive damping of an applied force. Damping is a complex, generally nonlinear, phenomenon that exists whenever energy is dissipated.
References
Brechter JH, Powers ChM. Patellofemoral joint stress during stair ascent and descent in persons with and without patellofemoral joint. Gait Posture. 2002;16:115-123.
Costigan PA, Deluzio KJ, Wyss UP. Knee and hip kinetics during normal stair climbing. Gait Posture. 2002;16:31-37.
Crossley KM, Cowan SM, Bennell KL, et al. Knee flexion during stair ambulation is altered in individuals with patellofemoral pain. J Orthop Res. 2004;22:267-274.
Crossley KM, Cowan SM, McConnell J, et al. Physical therapy improves knee flexion during stair ambulation in patellofemoral pain. Med Sci Sports Exerc. 2005;37:176-183.
Davies G, Newman JH. Does adolescent anterior knee pain lead to patello femoral arthritis?. 10th Congress European Society of Sports Traumatology, Knee Surgery and Arthroscopy, Rome, Book of Abstracts. 2002:353.
Elahi S, Cahue S, Felson DT, et al. The association between varus-valgus alignment and patellofemoral osteoarthritis. Arthritis Rheum. 2000;43:1874-1880.
Fulkerson JP. Disorders of the Patellofemopral Joint. Philadelphia: Lippincott Williams & Wilkins; 2004.
Greenwald AE, Bagley AM, France EP, et al. A biomechanical and clinical evaluation of a patellofemoral knee brace. Clin Orthop Relat Res. 1996;324:187-195.
Grenholm A, Stensdotter AK, Hager-Ross Ch. Kinematic analyses during stair descent in young women with patellofemoral pain. Clin Biomech. 2009;24:88-94.
Grood ES, Noyes FR. Diagnosis of knee ligament injuries: biomechanical precepts. In: Feagin JA, ed. The Crucial Ligaments. New York: Churchill Livingstone; 1988.
Hinman RS, Crossley KM, McConnell J, et al. Does the application of tape influence quadriceps sensorimotor function in knee osteoarthritis? Rheumatology. 2004;43:331-336.
Kowalk DL, Duncan JA, Vaughan CL. Abduction-adduction moments at the knee during stair ascent and descent. J Biomech. 1996;29:383-388.
Näslund J, Odenbring S, Näslund UB, et al. Diffusely increased bone scintigraphic uptake in patellofemoral pain syndrome. Br J Sports Med. 2005;39:162-165.
Page A, Candelas P, Belmar F. On the use of local fitting techniques for the analysis of physical dynamic systems. Eur J Phys. 2006;27:273-279.
Page A, De Rosario H, Mata V, et al. Effect of marker cluster desig on the accuracy of human movement analysis using stereophotogrammetry. Med Biol Eng Comput. 2006;44:1113-1119.
Powers CM, Landel R, Perry J. Timing and intensity of vastus muscle activity during functional activities in subjects with and without patellofemoral pain. Phys Ther. 1996;76: 946-955.
Powers CM, Perry J, Hsu A, et al. Are patellofemoral pain and quadriceps femori muscle torque associated with locomotor function? Phys Ther. 1997;77:1063-1075.
Salsich GB, Brechter JH, Powers ChM. Lower extremity kinetics during stair ambulation in patients with and without patellofemoral joint. Clin Biomech. 2001;16:906-912.
Woltring H. 3-D attitude representation: a standardization proposal. J Biomech. 1994;27:1399-1414.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer-Verlag London Limited
About this chapter
Cite this chapter
Sanchis-Alfonso, V., Marín-Roca, S., Montesinos-Berry, E., Baydal-Bertomeu, J.M., Moya, M.F.PD. (2011). Kinetic and Kinematic Analysis in Evaluating Patients with Anterior Knee Pain. In: Sanchis-Alfonso, V. (eds) Anterior Knee Pain and Patellar Instability. Springer, London. https://doi.org/10.1007/978-0-85729-507-1_23
Download citation
DOI: https://doi.org/10.1007/978-0-85729-507-1_23
Published:
Publisher Name: Springer, London
Print ISBN: 978-0-85729-506-4
Online ISBN: 978-0-85729-507-1
eBook Packages: MedicineMedicine (R0)