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Effect of experimental knee pain location on gait kinematics.

作者信息

Gallina Alessio, Adamo Paola, Marino Giorgia, Cescon Corrado, Bolzoni Francesco, Barbero Marco, Temporiti Federico, Gatti Roberto

机构信息

School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, UK.

Physiotherapy Unit, IRCCS Humanitas Research Hospital, Rozzano, Italy.

出版信息

Eur J Appl Physiol. 2025 Apr;125(4):977-987. doi: 10.1007/s00421-024-05648-3. Epub 2024 Nov 14.


DOI:10.1007/s00421-024-05648-3
PMID:39542919
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11950027/
Abstract

PURPOSE: In this study, we investigated whether experimental knee pain alters lower limb kinematics and knee arthrokinematics during gait, and if this motor adaptation depends on the spatial characteristics of the painful stimulus. METHODS: Twenty-one participants walked on a treadmill for 60-s trials, either without stimulation or while experiencing painful electrical stimulation in the medial, lateral or anterior region of the knee. Perceived pain location was analyzed using pain drawing. Gait spatiotemporal parameters, lower limb kinematics, and dispersion of the knee helical axes on the sagittal plane were quantified for each trial and compared between conditions using ANOVAs with repeated measures or Friedman tests. RESULTS: Pain perception was localized in the area the stimulation was applied to. Compared to walking without pain, participants demonstrated reduced knee extension (1.5 ± 1.5 degrees, p = 0.002) and reduced hip extension (0.8 ± 1.1 degrees, p = 0.037) when pain was induced in the anterior region, but not medially or laterally. Anterior knee pain increased the mean distance of the helical axes during late stance (0.7 [0.3, 1.4], p = 0.010), while medial pain increased both mean distance (0.3 [0.1, 0.5], p = 0.037) and mean angle (1.2 ± 1.4, p = 0.010) during early swing. CONCLUSION: Acute, experimental knee pain alters gait kinematics and increases the dispersion of the helical axis. These adaptations depend on the spatial characteristics of the painful stimulus. These adaptations may reflect an attempt of the central nervous system to protect the painful tissue while searching for a less painful movement strategy.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9977/11950027/bb1c2410d992/421_2024_5648_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9977/11950027/e9eab387ff14/421_2024_5648_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9977/11950027/8d741de9734b/421_2024_5648_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9977/11950027/a115c11ee78a/421_2024_5648_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9977/11950027/bb1c2410d992/421_2024_5648_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9977/11950027/e9eab387ff14/421_2024_5648_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9977/11950027/8d741de9734b/421_2024_5648_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9977/11950027/a115c11ee78a/421_2024_5648_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9977/11950027/bb1c2410d992/421_2024_5648_Fig4_HTML.jpg

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[1]
Effect of experimental knee pain location on gait kinematics.

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引用本文的文献

[1]
Knee pain and gait alterations: bridging physiology, biomechanics, and clinical practice.

Eur J Appl Physiol. 2025-6-25

[2]
The impact of pain from medial meniscus injuries on walking movement patterns.

Front Bioeng Biotechnol. 2025-4-22

[3]
Response to the letter to the editor on: "Effect of experimental knee pain location on gait kinematics".

Eur J Appl Physiol. 2025-1-2

[4]
Cautious interpretation of kinematic adaptations to experimental knee pain.

Eur J Appl Physiol. 2025-8

本文引用的文献

[1]
Effect of movement-evoked and tonic experimental pain on muscle force production.

Scand J Med Sci Sports. 2024-1

[2]
A task-relevant experimental pain model to target motor adaptation.

J Physiol. 2021-5

[3]
Dispersion of shoulder helical axes during upper limb movements after muscle fatigue.

J Biomech. 2020-12-2

[4]
Dispersion of knee helical axes during walking in young and elderly healthy subjects.

J Biomech. 2020-8-26

[5]
Cervical kinematics estimated by finite helical axis behaviour differs in patients with neck related problems as compared to healthy controls.

Eur Spine J. 2020-11

[6]
Dispersion of helical axes during shoulder movements in young and elderly subjects.

J Biomech. 2019-3-23

[7]
Variability of the helical axis during active cervical movements in people with chronic neck pain.

Clin Biomech (Bristol). 2019-2

[8]
Location-specific responses to nociceptive input support the purposeful nature of motor adaptation to pain.

Pain. 2018-11

[9]
Impact of medial versus lateral knee pain on deep tissue hyperalgesia and muscle strength.

Eur J Pain. 2018-7-19

[10]
2018 Consensus statement on exercise therapy and physical interventions (orthoses, taping and manual therapy) to treat patellofemoral pain: recommendations from the 5th International Patellofemoral Pain Research Retreat, Gold Coast, Australia, 2017.

Br J Sports Med. 2018-6-20

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