alteration in multijoint dynamics in patients with bilateral knee osteoarthritis

Objective. To document the alterations of joint motion and torque in patients with bilateral knee osteoarthritis (OA), using a well–defined functional maneuver, the sit–to–stand (STS) task. Methods. Twelve patients with bilateral knee OA and 12 age–, sex–, and height–matched control subjects performed the STS maneuver from a stool of a standard height at their natural speeds. A motion analysis system and 2 force platforms were employed to determine the dynamic joint motion and the resultant joint torques at the ankle, knee, and hip joints. Results. The results showed that OA patients exhibited substantially reduced knee extension torques, accompanied by other alterations in initial sitting posture (more extended knee and more plantar–flexed ankle), movement duration (increased), dynamic range of motion at the knee (reduced), and extension torques at the hip (increased). Conclusion. The alterations in joint dynamics among patients with knee OA may have revealed an adaptive motor behavior characterized by redistributing the load from impaired to less–impaired or nonimpaired joints through multijoint dynamics. Two major potential pitfalls of such a movement strategy have subsequently been postulated.