Kinetic and Kinematic Analysis in Evaluating Patients with Anterior Knee Pain

  • Vicente Sanchis-Alfonso
  • Susana Marín-Roca
  • Erik Montesinos-Berry
  • José María Baydal-Bertomeu
  • María Francisca Peydro-De Moya


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.


Knee Flexion Flexion Angle Ground Reaction Force Anterior Knee Pain Knee Flexion Angle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1.  1.
    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.PubMedCrossRefGoogle Scholar
  2.  2.
    Costigan PA, Deluzio KJ, Wyss UP. Knee and hip kinetics during normal stair climbing. Gait Posture. 2002;16:31-37.PubMedCrossRefGoogle Scholar
  3.  3.
    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.PubMedCrossRefGoogle Scholar
  4.  4.
    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.PubMedCrossRefGoogle Scholar
  5.  5.
    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.Google Scholar
  6.  6.
    Elahi S, Cahue S, Felson DT, et al. The association between varus-valgus alignment and patellofemoral osteoarthritis. Arthritis Rheum. 2000;43:1874-1880.PubMedCrossRefGoogle Scholar
  7.  7.
    Fulkerson JP. Disorders of the Patellofemopral Joint. Philadelphia: Lippincott Williams & Wilkins; 2004.Google Scholar
  8.  8.
    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.PubMedCrossRefGoogle Scholar
  9.  9.
    Grenholm A, Stensdotter AK, Hager-Ross Ch. Kinematic analyses during stair descent in young women with patellofemoral pain. Clin Biomech. 2009;24:88-94.CrossRefGoogle Scholar
  10. 10.
    Grood ES, Noyes FR. Diagnosis of knee ligament injuries: biomechanical precepts. In: Feagin JA, ed. The Crucial Ligaments. New York: Churchill Livingstone; 1988.Google Scholar
  11. 11.
    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.PubMedCrossRefGoogle Scholar
  12. 12.
    Kowalk DL, Duncan JA, Vaughan CL. Abduction-adduction moments at the knee during stair ascent and descent. J Biomech. 1996;29:383-388.PubMedCrossRefGoogle Scholar
  13. 13.
    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.PubMedCrossRefGoogle Scholar
  14. 14.
    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.CrossRefGoogle Scholar
  15. 15.
    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.PubMedCrossRefGoogle Scholar
  16. 16.
    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.PubMedGoogle Scholar
  17. 17.
    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.PubMedGoogle Scholar
  18. 18.
    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.CrossRefGoogle Scholar
  19. 19.
    Woltring H. 3-D attitude representation: a standardization proposal. J Biomech. 1994;27:1399-1414.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Vicente Sanchis-Alfonso
    • 1
  • Susana Marín-Roca
  • Erik Montesinos-Berry
  • José María Baydal-Bertomeu
  • María Francisca Peydro-De Moya
  1. 1.International Patellofemoral Study Group, International ACL Study Group, Hospital 9 de Octubre, Hospital Arnau de Vilanova School of MedicineCatholic University of ValenciaValenciaSpain

Personalised recommendations