Alterations in three-dimensional knee kinematics and kinetics during neutral, squeeze and outward squat
Open accessAbstract
The squat exercise was usually performed with varying feet and hip angles by different populations. The objective of this study was to compare and contrast the three-dimensional knee angles, moments, and forces during dynamic squat exercises with varying feet and hip angles. Lower extremity motions and ground reaction forces for fifteen healthy subjects (9 females and 6 males) were recorded while performing the squat with feet pointing straight ahead (neutral squat), 30º feet adduction (squeeze squat) and 30º feet abduction (outward squat). Nonparametric procedures were used to detect differences in the interested measures between the conditions. No significant difference in three-dimensional peak knee angles was observed for three squat exercises (p>0.05), however, the overall tendency of knee rotations was affected by varying feet and hip positions. During the whole cycle, the outward squat mainly displayed adduction moments, while the neutral and squeeze squat demonstrated abduction moments. Peak abduction moments were significantly affected by feet positions (p<0.05). Moreover, the tibiofemoral and patellofemoral joint forces progressively increased as knee flexed and decreased as knee extended, yet peak forces were not affected by varying feet positions (p>0.05). In conclusion, a neutral position is recommended to perform the squat exercise, while the squeeze squat and outward squat might contribute to the occurrence of joint pathologies.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Forward inclination of the trunk can be obtained through flexion of the hip or flexion of the lumbar spine.
“It should be noted however, that forward inclination of the trunk can be obtained through flexion of the hip or flexion of the lumbar spine (Figure 2).13”
From A Biomechanical Review of the Squat Exercise: Implications for Clinical Practice. (2024) · cites this paper as [13]
The Results and Discussion passages address knee motion and forces during squat variations, not how forward trunk inclination is produced. Searches for trunk inclination, hip versus lumbar flexion, and “lumbar” found no passage in our copy addressing that distinction. (LLM, conf=0.76)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Grood, E. S., & Suntay, W. J. (1983) · Journal of Biomechanical Engineering · doi:10.1115/1.3138397 · Cited by 3,823 · see citing works
Increased knee joint loads during walking are present in subjects with knee osteoarthritis
Baliunas, A. J., Hurwitz, D. E., Ryals, A. B., Karrar, A., Case, J. P., Block, J. A., & Andriacchi, T. P. (2002) · Osteoarthritis and Cartilage · doi:10.1053/joca.2002.0797 · Cited by 714 · see citing works
Brouwer, G. M., Tol, A. W. V., Bergink, A. P., Belo, J. N., Bernsen, R. M. D., Reijman, M., Pols, H. A. P., & Bierma-Zeinstra, S. (2007) · Arthritis & Rheumatism · doi:10.1002/art.22515 · Cited by 684 · see citing works
Biomechanics of the knee during closed kinetic chain and open kinetic chain exercises
ESCAMILLA, R. F., FLEISIG, G. S., ZHENG, N., BARRENTINE, S. W., WILK, K. E., & ANDREWS, J. R. (1998) · Medicine &amp Science in Sports &amp Exercise · doi:10.1097/00005768-199804000-00014 · Cited by 608 · see citing works
Knee biomechanics of the dynamic squat exercise
ESCAMILLA, R. F. (2001) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200101000-00020 · Cited by 570 · see citing works
Zeller, B. L., McCrory, J. L., Ben Kibler, W., & Uhl, T. L. (2003) · The American Journal of Sports Medicine · doi:10.1177/03635465030310032101 · Cited by 490 · see citing works
Knee osteoarthritis in former runners, soccer players, weight lifters, and shooters
Kujala, U. M., Kettunen, J. A., Paananen, H., Aalto, T., Battié, M. C., Impivaara, O., Videman, T., & Sarna, S. J. (1995) · Arthritis & Rheumatism · doi:10.1002/art.1780380413 · Cited by 444 · see citing works
Effects of technique variations on knee biomechanics during the squat and leg press
ESCAMILLA, R. F., FLEISIG, G. S., ZHENG, N., LANDER, J. E., BARRENTINE, S. W., ANDREWS, J. R., BERGEMANN, B. W., & MOORMAN, C. T. (2001) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200109000-00020 · Cited by 372 · see citing works
Wilk, K. E., Escamilla, R. F., Fleisig, G. S., Barrentine, S. W., Andrews, J. R., & Boyd, M. L. (1996) · The American Journal of Sports Medicine · doi:10.1177/036354659602400418 · Cited by 370 · see citing works
The Knee: Form, Function, and Ligament Reconstruction
Müller, W. E. G. (1983) · Medical Entomology and Zoology · Cited by 308 · see citing works
The effect of valgus/varus malalignment on load distribution in total knee replacements
Werner, F. W., Ayers, D. C., Maletsky, L. P., et al. (2004) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2004.02.024 · Cited by 292 · see citing works
Hip, knee, and ankle kinematics of high range of motion activities of daily living
Hemmerich, A., Brown, H. J., Smith, S. M., Marthandam, S. S. K., & WYSS, U. P. (2006) · Journal of Orthopaedic Research® · doi:10.1002/jor.20114 · Cited by 280 · see citing works
Foroughi, N., Smith, R. M., & Vanwanseele, B. (2009) · The Knee · doi:10.1016/j.knee.2008.12.007 · Cited by 273 · see citing works
Thrust during ambulation and the progression of knee osteoarthritis
Chang, A. H., Hayes, K. W., Dunlop, D. D., Hurwitz, D. E., Song, J., Cahue, S., Genge, R., & Sharma, L. (2004) · Arthritis & Rheumatism · doi:10.1002/art.20657 · Cited by 249 · see citing works
Mechanical loads at the knee joint during deep flexion
Nagura, T., Dyrby, C. O., Alexander, E. J., & Andriacchi, T. P. (2002) · Journal of Orthopaedic Research · doi:10.1016/s0736-0266(01)00178-4 · Cited by 233 · see citing works
EMG analysis of lower extremity muscle recruitment patterns during an unloaded squat
Isear, J. A. “., ERICKSON, J. C., & Worrell, T. W. (1997) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199704000-00016 · Cited by 224 · see citing works
Cruciate ligament forces in the human knee during rehabilitation exercises
Toutoungi, D. E., Lu, T., Leardini, A., Catani, F., & O'Connor, J. J. (2000) · Clinical Biomechanics · doi:10.1016/s0268-0033(99)00063-7 · Cited by 204 · see citing works
Wada, M., Maezawa, Y., Baba, H., Shimada, S., Sasaki, S., & Nose, Y. (2001) · Rheumatology · doi:10.1093/rheumatology/40.5.499 · Cited by 198 · see citing works
Kinematic, kinetic and EMG patterns during downward squatting
Dionísio, V. C., Almeida, G. L., Duarte, M., & Hirata, R. P. (2006) · Journal of Electromyography and Kinesiology · doi:10.1016/j.jelekin.2006.07.010 · Cited by 184 · see citing works
Salem, G. J., Salinas, R., & Harding, F. V. (2003) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/s0003-9993(03)00034-0 · Cited by 174 · see citing works
Zhang, Y., Hunter, D. J., Nevitt, M. C., Xu, L., Niu, J., Lui, L., Yu, W., Aliabadi, P., & Felson, D. T. (2004) · Arthritis & Rheumatism · doi:10.1002/art.20127 · Cited by 153 · see citing works
Patellofemoral joint kinetics while squatting with and without an external load
Wallace, D. A., Salem, G. J., Salinas, R., & Powers, C. M. (2002) · Journal of Orthopaedic & Sports Physical Therapy · doi:10.2519/jospt.2002.32.4.141 · Cited by 148 · see citing works
Stuart, M. J., Meglan, D., Lutz, G. E., Growney, E. S., & An, K. (1996) · The American Journal of Sports Medicine · doi:10.1177/036354659602400615 · Cited by 130 · see citing works
Earl-Boehm, J. E., Schmitz, R. J., & Arnold, B. L. (2001) · Journal of Electromyography and Kinesiology · doi:10.1016/s1050-6411(01)00024-4 · Cited by 129 · see citing works
The Knee: Form, Function, and Ligament Reconstruction
Grana, W. A. (1983) · JAMA · doi:10.1001/jama.1983.03340150100047 · Cited by 90 · see citing works
Yamazaki, J., Muneta, T., Ju, Y. J., & Sekiya, I. (2010) · Knee Surgery, Sports Traumatology, Arthroscopy · doi:10.1007/s00167-009-0892-z · Cited by 88 · see citing works
Hung, Y.-J., & Gross, M. T. (1999) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.1999.29.2.93 · Cited by 63 · see citing works
BIOMECHANICS OF THE KNEE DURING CLOSED KINETIC CHAIN AND OPEN KINETIC CHAIN EXERCISES
Escamilla, R. F., Fleisig, G. S., Zheng, N. N., et al. (1998) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199805001-00269 · Cited by 48 · see citing works
Wallace, B., Kernozek, T. W., Mikat, R. P., WRIGHT, G. A., Simons, S. Z., & Wallace, K. L. (2008) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0b013e31816d66a4 · Cited by 34 · see citing works
Effects of Foot Position during Squatting on the Quadriceps Femoris: An Electromyographic Study
Murray, N. G., Cipriani, D. J., O'Rand, D., et al. (2013) · International journal of exercise science · doi:10.70252/flll2291 · Cited by 27 · see citing works
Lower-limb adaptation during squatting after isolated posterior cruciate ligament injuries
Liu, M., Chou, P.-H., Liaw, L.-J., & Su, F. (2010) · Clinical Biomechanics · doi:10.1016/j.clinbiomech.2010.06.014 · Cited by 17 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
A Biomechanical Review of the Squat Exercise: Implications for Clinical Practice.
Straub, R. K., & Powers, C. M. (2024) · International journal of sports physical therapy · doi:10.26603/001c.94600 · Cited by 70 · see citing works
Martins, E. C., Steffen, L. B., Gomes, D., Herzog, W., Haupenthal, A., & de Brito Fontana, H. (2022) · Journal of Functional Morphology and Kinesiology · doi:10.3390/jfmk7030060 · Cited by 9 · see citing works
- Authors
- Han, S., Ge, S., Liu, H., & Liu, R.
- Affiliations
- China University of Mining and Technology (CN)
- Corresponding author
- Han, Shuyang
- Venue
- Journal of Human Kinetics
- Publisher
- Termedia Sp. z.o.o.
- Published
- 2013-12-01
- Volume
- 39
- Issue
- 1
- Pages
- 59-66
- ISSN
- 1640-5544 (ISSN-L)
- 1899-7562
- PMC
- PMC3916928
- OpenAlex
- W2105519402
- Cited by
- 23
- References
- 31
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 2 · 2022: 4 · 2019: 1 · 2018: 3 · 2017: 4 · 2016: 1 · 2015: 1
- FWCI
- 0.37
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Journal of Human Kinetics (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China (51075387, 30810103908)
- Shanghai Jiao Tong University
- Graduate Research and Innovation Projects of Jiangsu Province
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
- Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
- Physical Sciences › Engineering › Biomedical Engineering › Sports Dynamics and Biomechanics
- Keywords
- squatting, knee kinematics, knee kinetics, knee joint moments, hip position, ground reaction force, joint pathology
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review