The importance of objectively measuring functional tests in complement to self-report assessments in patients with knee osteoarthritis.


BACKGROUND:Osteoarthritis (OA) is a chronic degenerative disease which can result in chronic pain, loss of joint function and consequently decline in quality of life. RESEARCH QUESTION:A variety of instruments that measure the different dimensions of health status in patients with OA are available. However, despite the fact that WOMAC and other questionnaires and scales may provide additional understanding regarding the patient's condition, some studies have reported discrepancies between patients' perceptions and their actual ability to perform the task. The aim of the present study was investigate the physical capabilities with the function domain of WOMAC. METHODS:This study has a cross-sectional design including patients diagnosed with moderate to severe knee OA (i.e., grades II, III and IV) according to the Kellgren-Lawrence. These patients were submitted to the battery of functional tests recommended by the OARSI group (30-second chair stand test, 40 m fast paced walking test, Stair climb test, timed "Up and Go", and Six-minute walking test) and filled the WOMAC. Pearson's correlation and multiple linear regression was applied. RESULTS:A total of 153 patients were included. A significant and weak correlation was observed between WOMAC and the 40-meter walking test, TUG, stair-climbing test, and the 6MWT. In addition, 30-second chair stand test demonstrated a significant and moderate correlation (r=-0.503). The multiple regression analysis results indicated that only 30-second chair stand test was a significant (p = 0.001) predictor of WOMAC. This result remains significant even after adjusting for age, BMI, total muscle mass, and number of knees affected SIGNIFICANCE: The 30-second chair stand test is associated with the WOMAC function domain. There is no correlation of this domain with any other functional tests, emphasizing the importance of including other tests for a global evaluation.


Gait Posture


Gait & posture


Onodera CMK,Coelho-Júnior HJ,Sampaio RAC,Santos Duarte Lana JF,Teixeira LFM,Uchida MC,Bizzacchi JMA




Has Abstract


2020-10-01 00:00:00












  • Combining advanced computational and imaging techniques as a quantitative tool to estimate patellofemoral joint stress during downhill gait: A feasibility study.

    abstract:BACKGROUND:The onset and progression of patellofemoral osteoarthritis (OA) has been linked to alterations in cartilage stress-a potential precursor to pain and subsequent cartilage degradation. A lack in quantitative tools for objectively evaluating patellofemoral joint contact stress limits our understanding of pathom...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Gustafson JA,Elias JJ,Fitzgerald GK,Tashman S,Debski RE,Farrokhi S

    更新日期:2020-11-18 00:00:00

  • Effects of age, available response time and gender on ability to stop suddenly when walking.

    abstract::Background: Injuries may occur during walking when a sudden stop to avoid a gait path obstacle is called for unexpectedly, but cannot be completed in the time available. Little is known about abilities, particularly those of older adults, to stop suddenly. Methods: Twenty young (mean age 23.4 years) and 20 older (72.6...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Cao C,A Ashton-Miller J,Schultz AB,Alexander NB

    更新日期:1998-10-01 00:00:00

  • How can push-off be preserved during use of an ankle foot orthosis in children with hemiplegia? A prospective controlled study.

    abstract::Several studies indicated that walking with an ankle foot orthosis (AFO) impaired third rocker. The purpose of this study was to evaluate the effects of two types of orthoses, with similar goal settings, on gait, in a homogeneous group of children, using both barefoot and shoe walking as control conditions. Fifteen ch...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Desloovere K,Molenaers G,Van Gestel L,Huenaerts C,Van Campenhout A,Callewaert B,Van de Walle P,Seyler J

    更新日期:2006-10-01 00:00:00

  • Analysis of compensatory mechanisms in the pelvis and lower extremities in patients with pelvic incidence and lumbar lordosis mismatch.

    abstract::The objective was to analyze the compensatory effect of the pelvis and lower extremities on sagittal spinal malalignment in patients with pelvic incidence (PI) and lumbar lordosis (LL) mismatch. A series of parameters including PI, LL, PI-LL, thoracic kyphosis (TK), pelvic tilt (PT), sacral slope (SS), knee flexion an...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Cheng X,Zhang K,Sun X,Zhao C,Li H,Zhao J

    更新日期:2017-07-01 00:00:00

  • The validity and reliability of modelled neural and tissue properties of the ankle muscles in children with cerebral palsy.

    abstract::Spastic cerebral palsy (CP) is characterized by increased joint resistance, caused by a mix of increased tissue stiffness, as well as involuntary reflex and background muscle activity. These properties can be quantified using a neuromechanical model of the musculoskeletal complex and instrumented assessment. The const...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Sloot LH,van der Krogt MM,de Gooijer-van de Groep KL,van Eesbeek S,de Groot J,Buizer AI,Meskers C,Becher JG,de Vlugt E,Harlaar J

    更新日期:2015-06-01 00:00:00

  • Test-retest reliability of muscle vibration effects on postural sway.

    abstract::The effect of alterations in the processing of proprioceptive signals, on postural control, has been studied using muscle vibration effects. However, reliability and agreement of muscle vibration have still to be addressed. This study aimed to assess intra- and interday reliability and agreement of vibration effects o...

    journal_title:Gait & posture

    pub_type: 临床试验,杂志文章


    authors: Kiers H,Brumagne S,van Dieën J,Vanhees L

    更新日期:2014-01-01 00:00:00

  • The effect of rigid versus flexible spinal orthosis on the gait pattern of patients with adolescent idiopathic scoliosis.

    abstract::The conventional rigid spinal orthosis and the flexible spinal orthosis, SpineCor, have different treatment principles in the management of adolescent idiopathic scoliosis (AIS). These may influence the patients' gait pattern and clinical outcome. In this study, gait analysis on patients with AIS undergoing these two ...

    journal_title:Gait & posture

    pub_type: 杂志文章,随机对照试验


    authors: Wong MS,Cheng CY,Ng BK,Lam TP,Sin SW,Lee-Shum LF,Chow HK,Tam YP

    更新日期:2008-02-01 00:00:00

  • The control of lateral stability during rapid stepping reactions evoked by antero-posterior perturbation: does anticipatory control play a role?

    abstract::Volitional step initiation invariably includes a medio-lateral anticipatory postural adjustment (ML APA), which causes the center of mass (COM) to be propelled toward the stance-limb side prior to the lifting of the swing foot. The present study examined whether this type of anticipatory control plays a functional rol...

    journal_title:Gait & posture

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: McIlroy WE,Maki BE

    更新日期:1999-07-01 00:00:00

  • Gait dynamics in Pisa syndrome and Camptocormia: The role of stride length and hip kinematics.

    abstract::This is an observational cross-sectional study evaluating gait dynamics in patients with Parkinson's Disease (PD) and severe postural deformities, PD without axial deviations and healthy subjects. Ten PS individuals with Pisa syndrome (PS) and nine subjects with Camptocormia (CC) performed 3-D Gait Analysis and were e...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Tramonti C,Di Martino S,Unti E,Frosini D,Bonuccelli U,Rossi B,Ceravolo R,Chisari C

    更新日期:2017-09-01 00:00:00

  • Quantifying coordination and coordination variability in backward versus forward running: Implications for control of motion.

    abstract::The aims of this study were to compare coordination and coordination variability in backward and forward running and to investigate the effects of speed on coordination variability in both backward and forward running. Fifteen healthy male participants took part in this study to run forwards and backwards on a treadmi...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Mehdizadeh S,Arshi AR,Davids K

    更新日期:2015-07-01 00:00:00

  • Normalisation of gait data in children.

    abstract::The comparative effect of semi-dimensional (SD) and non-dimensional (ND) normalisation on the results of a longitudinal study of gait in 5-12-year old children was investigated. The use of both height and leg length in the normalisation was examined. Only ND analysis could be used to identify subjects with the same ac...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Stansfield BW,Hillman SJ,Hazlewood ME,Lawson AM,Mann AM,Loudon IR,Robb JE

    更新日期:2003-02-01 00:00:00

  • Barefoot vs common footwear: A systematic review of the kinematic, kinetic and muscle activity differences during walking.

    abstract::Habitual footwear use has been reported to influence foot structure with an acute exposure being shown to alter foot position and mechanics. The foot is highly specialised thus these changes in structure/position could influence functionality. This review aims to investigate the effect of footwear on gait, specificall...

    journal_title:Gait & posture

    pub_type: 杂志文章,评审


    authors: Franklin S,Grey MJ,Heneghan N,Bowen L,Li FX

    更新日期:2015-09-01 00:00:00

  • Decreased skin temperature of the foot increases gait variability in healthy young adults.

    abstract::We investigated the effects of reduction in plantar skin temperature on gait. Thirty-four healthy subjects (20 men and 14 women; mean age 22.2±2.5 years; mean height 166.8±8.3cm) walked 16m under two different conditions - normal conditions (NC) with the skin at a basal temperature, and cold conditions (CC) after cool...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Sawa R,Doi T,Misu S,Tsutsumimoto K,Fujino H,Ono R

    更新日期:2013-07-01 00:00:00

  • The cross-sectional relationships between age, standing static balance, and standing dynamic balance reactions in typically developing children.

    abstract:BACKGROUND:Static balance performance is a common metric for evaluating the development of postural control in children. Less is known about the potentially independent development of dynamic balance performance. RESEARCH QUESTION:How does age relate to static (i.e. postural sway) and dynamic (i.e. stepping thresholds...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Conner BC,Petersen DA,Pigman J,Tracy JB,Johnson CL,Manal K,Miller F,Modlesky CM,Crenshaw JR

    更新日期:2019-09-01 00:00:00

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    abstract:BACKGROUND AND AIMS:The purpose of this study was to investigate the effect of a sensory perturbation on step length and direction while crossing an obstacle from quiet stance. METHODS:Nine healthy adults were asked to step over an obstacle to land on a primary target (normal stepping condition). Following a light sig...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Kim HD,Brunt D

    更新日期:2009-07-01 00:00:00

  • The effect of cognitive loading on the lower extremity movement coordination variability in patients with anterior cruciate ligament reconstruction.

    abstract:BACKGROUND:The altered coordination variability was related to anterior cruciate ligament (ACL) re-injury after ACL reconstruction (ACL-R). As motor performance is affected by the cognitive loading, understanding the interaction of cognition and coordination variability is crucial for addressing secondary injury preven...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Shi H,Ren S,Miao X,Zhang H,Yu Y,Hu X,Huang H,Ao Y

    更新日期:2020-11-28 00:00:00

  • The association between intersegmental coordination in the lower limb and gait speed in elderly females.

    abstract::Human multi-segmental motion is a complex task requiring motor coordination. Uncoordinated motor control may contribute to the decline in mobility; however, it is unknown whether the age-related decline in intersegmental coordination relates to the decline in gait performance. The aim of this study was to clarify the ...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Ogaya S,Iwata A,Higuchi Y,Fuchioka S

    更新日期:2016-07-01 00:00:00

  • Immediate and 1 week effects of laterally wedge insoles on gait biomechanics in healthy females.

    abstract::It is estimated that approximately 45% of the U.S. population will develop knee osteoarthritis, a disease that creates significant economic burdens in both direct and indirect costs. Laterally wedged insoles have been frequently recommended to reduce knee abduction moments and to manage knee osteoarthritis. However, i...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Weinhandl JT,Sudheimer SE,Van Lunen BL,Stewart K,Hoch MC

    更新日期:2016-03-01 00:00:00

  • Changes in step-width during dual-task walking predicts falls.

    abstract::The aim was to evaluate whether gait pattern changes between single- and dual-task conditions were associated with risk of falling in older people. Dual-task cost (DTC) of 230 community living, physically independent people, 75 years or older, was determined with an electronic walkway. Participants were followed up ea...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Nordin E,Moe-Nilssen R,Ramnemark A,Lundin-Olsson L

    更新日期:2010-05-01 00:00:00

  • Behavioral outcomes following below-knee amputation in the coordination between balance and leg movement.

    abstract::Lateral leg movement is accompanied by opposite movements of the supporting leg and trunk segments. This kinematic synergy shifts the center of mass (CM) towards the supporting foot and stabilizes its final position, while the leg movement is being performed. The aim of the present study was to provide insight in the ...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Mouchnino L,Mille ML,Martin N,Baroni G,Cincera M,Bardot A,Delarque A,Massion J,Pedotti A

    更新日期:2006-08-01 00:00:00

  • The effect of pain on balancing behavior: Complexity analysis of mediolateral force trajectories.

    abstract:BACKGROUND:Postural instability is a prevalent and deleterious consequence of aging. It is unclear how the occurrence of chronic pain augments balance issues as age progresses. RESEARCH QUESTION:We investigated how postural stability is influenced by aging and chronic pain. METHODS:Fifty-five participants with and wi...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Leich Hilbun A,Karsai I,Perry D

    更新日期:2019-06-01 00:00:00

  • Can segmental model reductions quantify whole-body balance accurately during dynamic activities?

    abstract::When investigating whole-body balance in dynamic tasks, adequately tracking the whole-body centre of mass (CoM) or derivatives such as the extrapolated centre of mass (XCoM) can be crucial but add considerable measurement efforts. The aim of this study was to investigate whether reduced kinematic models can still prov...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Jamkrajang P,Robinson MA,Limroongreungrat W,Vanrenterghem J

    更新日期:2017-07-01 00:00:00

  • Between-leg differences in challenging single-limb balance performance one year following anterior cruciate ligament reconstruction.

    abstract::Following anterior cruciate ligament (ACL) rupture, reconstructive surgery (ALCR) is often performed to mechanically stabilise the knee, however functional deficits often persist long after surgery. Impaired single-limb standing balance has been observed in the ACLR limb compared to healthy individuals. However, it re...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Hatton AL,Crossley KM,Clark RA,Whitehead TS,Morris HG,Culvenor AG

    更新日期:2017-02-01 00:00:00

  • Validity and sensitivity of the longitudinal asymmetry index to detect gait asymmetry using Microsoft Kinect data.

    abstract::Gait asymmetry information is a key point in disease screening and follow-up. Constant Relative Phase (CRP) has been used to quantify within-stride asymmetry index, which requires noise-free and accurate motion capture, which is difficult to obtain in clinical settings. This study explores a new index, the Longitudina...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Auvinet E,Multon F,Manning V,Meunier J,Cobb JP

    更新日期:2017-01-01 00:00:00

  • Spatio-temporal gait analysis in children with cerebral palsy using, foot-worn inertial sensors.

    abstract::A child's natural gait pattern may be affected by the gait laboratory environment. Wearable devices using body-worn sensors have been developed for gait analysis. The purpose of this study was to validate and explore the use of foot-worn inertial sensors for the measurement of selected spatio-temporal parameters, base...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Brégou Bourgeois A,Mariani B,Aminian K,Zambelli PY,Newman CJ

    更新日期:2014-01-01 00:00:00

  • The influence of artificially increased trunk stiffness on the balance recovery after a trip.

    abstract::Falls occur frequently in the growing population of elderly. Since trunk control is critical for maintaining balance, the higher trunk stiffness in elderly people compared to the general population has been associated with their increased fall-risk. Theoretically, trunk stiffness may be beneficial for balance recovery...

    journal_title:Gait & posture

    pub_type: 杂志文章,随机对照试验


    authors: van der Burg JC,Pijnappels M,van Dieën JH

    更新日期:2007-07-01 00:00:00

  • The effects of auditory rhythms and instruction on walking patterns in individuals post stroke.

    abstract::The objective was to investigate the effects of auditory rhythms and arm movement on inter-segmental coordination during walking in persons who have suffered a stroke. Eleven subjects walked on a treadmill: (1) during systematic increases in velocity (0.22-1.52 m/s), (2) with instructions to 'step to the beat' during ...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Ford MP,Wagenaar RC,Newell KM

    更新日期:2007-06-01 00:00:00

  • Postural stability and trunk muscle responses to the static and perturbed balance tasks in individuals with and without symptomatic degenerative lumbar disease.

    abstract:BACKGROUND:Degenerative lumbar diseases (DLDs) are characterized by motor functional deficits and postural instability. In this study, we investigated the differences in the trunk muscle responses to postural control between the presurgical DLD patients and healthy individuals while performing the static and perturbed ...

    journal_title:Gait & posture

    pub_type: 杂志文章


    authors: Lin YC,Niu CC,Nikkhoo M,Lu ML,Chen WC,Fu CJ,Cheng CH

    更新日期:2018-07-01 00:00:00

  • Biomechanical characteristics of stair ambulation in patients with knee OA: A systematic review with meta-analysis toward a better definition of clinical hallmarks.

    abstract:BACKGROUND:Stair climbing was suggested to be the first affected task in individuals with knee osteoarthritis (OA). RESEARCH QUESTION:This review aimed to identify consistent kinematic, kinetic, and spatiotemporal alterations of stair climbing exhibited by individuals with knee OA. METHODS:A literature search publish...

    journal_title:Gait & posture

    pub_type: 杂志文章,meta分析,评审


    authors: Iijima H,Shimoura K,Aoyama T,Takahashi M

    更新日期:2018-05-01 00:00:00

  • The relationship between static and dynamic foot posture and running biomechanics: A systematic review and meta-analysis.

    abstract:BACKGROUND:Medial longitudinal arch characteristics are thought to be a contributing factor to lower limb running injuries. Running biomechanics associated with different foot types have been proposed as one of the potential underlying mechanisms. However, no systematic review has investigated this relationship. RESEA...

    journal_title:Gait & posture

    pub_type: 杂志文章,meta分析


    authors: Hollander K,Zech A,Rahlf AL,Orendurff MS,Stebbins J,Heidt C

    更新日期:2019-07-01 00:00:00