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Six-Degree-of-Freedom Tibiofemoral and Patellofemoral Joint Motion During Activities of Daily Living
Abstract
The purpose of this study was to measure the three-dimensional movements of the femur, tibia and patella in healthy young people during activities of daily living. A mobile biplane X-ray imaging system was used to obtain simultaneous measurements of six-degree-of-freedom (6-DOF) tibiofemoral and patellofemoral kinematics and femoral condylar motion in ten participants during standing, level walking, downhill walking, stair ascent, stair descent and open-chain (non-weightbearing) knee flexion. Seven of the eleven secondary motions at the knee-three translations at the tibiofemoral joint, three translations at the patellofemoral joint, and patellar flexion-were coupled to the tibiofemoral flexion angle (r 2 ≥ 0.71). Tibial internal-external rotation, tibial abduction-adduction, patellar rotation, and patellar tilt were each weakly related to the tibiofemoral flexion angle (r 2 ≤ 0.45). The displacements of the femoral condyles were also coupled to the tibiofemoral flexion angle (r 2 ≥ 0.70), with the lateral condyle translating further on the tibial plateau than the medial condyle. The center of rotation of the tibiofemoral joint in the transverse plane was located on the medial side in all activities. These findings expand our understanding of the kinematic function of the healthy knee and may be relevant to a range of applications in biomechanics, including the design of prosthetic knee implants and the development of knee models for use in full-body simulations of movement.
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Metadata
- Authors
- Thomeer, L., Guan, S., Gray, H., Schache, A., de Steiger, R., & Pandy, M.
- Affiliations
- The University of Melbourne (AU)
- Corresponding author
- Pandy, Marcus
- Venue
- Annals of Biomedical Engineering
- Published
- 2020-10-22
- Volume
- 49
- Issue
- 4
- Pages
- 1183-1198
- ISSN
- 0090-6964 (ISSN-L)
- 1573-9686
- OpenAlex
- W3093732062
- Cited by
- 34
- References
- 40
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 6 · 2023: 3 · 2022: 7 · 2021: 4
- FWCI
- 1.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Biomedical Engineering (publishedVersion)
- PubMed (publishedVersion)
- Funders
- The Australian Research Council and the Victorian Orthopaedic Research Trust (DP120101973)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
- Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
- Health Sciences › Medicine › Surgery › Total Knee Arthroplasty Outcomes
- Keywords
- knee kinematics, tibiofemoral joint, patellofemoral joint, activities of daily living, six-degree-of-freedom motion, patellar rotation, patellar tilt, tibial rotation, center of rotation, walking, stair climbing, knee flexion, knee prosthesis design
- MeSH terms
- Standing Position, Activities of Daily Living, Adult, Biomechanical Phenomena, Female, Femur, Humans, Knee Joint, Male, Patella, Tibia, Walking, Young Adult
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