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Screw-Home Movement of the Tibiofemoral Joint during Normal Gait: Three-Dimensional Analysis
BACKGROUND: The purpose of this study was to evaluate the screw-home movement at the tibiofemoral joint during normal gait by utilizing the 3-dimensional motion capture technique. METHODS: Fifteen young males and fifteen young females (total 60 knee joints) who had no history of musculoskeletal dise...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Orthopaedic Association
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553277/ https://www.ncbi.nlm.nih.gov/pubmed/26330951 http://dx.doi.org/10.4055/cios.2015.7.3.303 |
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author | Kim, Ha Yong Kim, Kap Jung Yang, Dae Suk Jeung, Sang Wook Choi, Han Gyeol Choy, Won Sik |
author_facet | Kim, Ha Yong Kim, Kap Jung Yang, Dae Suk Jeung, Sang Wook Choi, Han Gyeol Choy, Won Sik |
author_sort | Kim, Ha Yong |
collection | PubMed |
description | BACKGROUND: The purpose of this study was to evaluate the screw-home movement at the tibiofemoral joint during normal gait by utilizing the 3-dimensional motion capture technique. METHODS: Fifteen young males and fifteen young females (total 60 knee joints) who had no history of musculoskeletal disease or a particular gait problem were included in this study. Two more markers were attached to the subject in addition to the Helen-Hayes marker set. Thus, two virtual planes, femoral coronal plane (P(f)) and tibial coronal plane (P(t)), were created by Skeletal Builder software. This study measured the 3-dimensional knee joint movement in the sagittal, coronal, and transverse planes of these two virtual planes (P(f) and P(t)) during normal gait. RESULTS: With respect to kinematics and kinetics, both males and females showed normal adult gait patterns, and the mean difference in the temporal gait parameters was not statistically significant (p > 0.05). In the transverse plane, the screw-home movement occurred as expected during the pre-swing phase and the late-swing phase at an angle of about 17°. However, the tibia rotated externally with respect to the femur, rather than internally, while the knee joint started to flex during the loading response (paradoxical screw-home movement), and the angle was 6°. CONCLUSIONS: Paradoxical screw-home movement may be an important mechanism that provides stability to the knee joint during the remaining stance phase. Obtaining the kinematic values of the knee joint during gait can be useful in diagnosing and treating the pathological knee joints. |
format | Online Article Text |
id | pubmed-4553277 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Korean Orthopaedic Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-45532772015-09-01 Screw-Home Movement of the Tibiofemoral Joint during Normal Gait: Three-Dimensional Analysis Kim, Ha Yong Kim, Kap Jung Yang, Dae Suk Jeung, Sang Wook Choi, Han Gyeol Choy, Won Sik Clin Orthop Surg Original Article BACKGROUND: The purpose of this study was to evaluate the screw-home movement at the tibiofemoral joint during normal gait by utilizing the 3-dimensional motion capture technique. METHODS: Fifteen young males and fifteen young females (total 60 knee joints) who had no history of musculoskeletal disease or a particular gait problem were included in this study. Two more markers were attached to the subject in addition to the Helen-Hayes marker set. Thus, two virtual planes, femoral coronal plane (P(f)) and tibial coronal plane (P(t)), were created by Skeletal Builder software. This study measured the 3-dimensional knee joint movement in the sagittal, coronal, and transverse planes of these two virtual planes (P(f) and P(t)) during normal gait. RESULTS: With respect to kinematics and kinetics, both males and females showed normal adult gait patterns, and the mean difference in the temporal gait parameters was not statistically significant (p > 0.05). In the transverse plane, the screw-home movement occurred as expected during the pre-swing phase and the late-swing phase at an angle of about 17°. However, the tibia rotated externally with respect to the femur, rather than internally, while the knee joint started to flex during the loading response (paradoxical screw-home movement), and the angle was 6°. CONCLUSIONS: Paradoxical screw-home movement may be an important mechanism that provides stability to the knee joint during the remaining stance phase. Obtaining the kinematic values of the knee joint during gait can be useful in diagnosing and treating the pathological knee joints. The Korean Orthopaedic Association 2015-09 2015-08-13 /pmc/articles/PMC4553277/ /pubmed/26330951 http://dx.doi.org/10.4055/cios.2015.7.3.303 Text en Copyright © 2015 by The Korean Orthopaedic Association http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kim, Ha Yong Kim, Kap Jung Yang, Dae Suk Jeung, Sang Wook Choi, Han Gyeol Choy, Won Sik Screw-Home Movement of the Tibiofemoral Joint during Normal Gait: Three-Dimensional Analysis |
title | Screw-Home Movement of the Tibiofemoral Joint during Normal Gait: Three-Dimensional Analysis |
title_full | Screw-Home Movement of the Tibiofemoral Joint during Normal Gait: Three-Dimensional Analysis |
title_fullStr | Screw-Home Movement of the Tibiofemoral Joint during Normal Gait: Three-Dimensional Analysis |
title_full_unstemmed | Screw-Home Movement of the Tibiofemoral Joint during Normal Gait: Three-Dimensional Analysis |
title_short | Screw-Home Movement of the Tibiofemoral Joint during Normal Gait: Three-Dimensional Analysis |
title_sort | screw-home movement of the tibiofemoral joint during normal gait: three-dimensional analysis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553277/ https://www.ncbi.nlm.nih.gov/pubmed/26330951 http://dx.doi.org/10.4055/cios.2015.7.3.303 |
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