alexa Whole Body Gait Function during Stair Ascending and Lev
ISSN: 2329-9096

International Journal of Physical Medicine & Rehabilitation
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Research Article

Whole Body Gait Function during Stair Ascending and Level Walking in Patients Following Total Knee Arthroplasty

Verena Fenner1*, Henrik Behrend1 and Markus S Kuster2

1Department of Orthopedics and Traumatology, Kantonsspital St. Gallen, 9007 St. Gallen, Switzerland

2The University of Western Australia, Perth, Australia

*Corresponding Author:
Verena Fenner
Besser-Bewegen, Jahnstr. 26
78315 Radolfzell Germany
Tel: 491713194823
E-Mail: [email protected]

Received Date: August 21, 2014; Accepted Date: September 20, 2014; Published Date: September 25, 2014

Citation: Fenner V, Behrend H, Kuster MS (2014) Whole Body Gait Function during Stair Ascending and Level Walking in Patients Following Total Knee Arthroplasty. Int J Phys Med Rehabil 2:231. doi: 10.4172/2329-9096.1000231

Copyright: © 2014 Fenner V, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



The ability to climb stairs is a highly demanding task for the musculoskeletal system, and gait adaptations after total knee arthroplasty (TKA) might be more pronounced during stair climbing than during level walking. The purpose of this study was to compare full body kinematics and kinetics between patients with good functioning TKA and a healthy control group during stair ascending and level walking. Eighteen patients after TKA (67.8 ± 8.1 yrs) and 20 age-matched healthy controls (66.1 ± 6.4 yrs) participated in this study. Full body kinematic and kinetic data was collected during stair ascending and level walking. Patients after TKA showed differences in sagittal plane knee moments during both stair ascending and level walking compared to the controls. The hip of the patients was more externally rotated in both conditions (p<0.001), although there were no differences in the passive range of motion (p=0.630). The trunk angles only showed a few deviations between patients and controls. Differences between patients and controls were found more often during level walking than during stair ascending. The study shows that considering adjacent joints gives more additional information for treatment recommendations than the additional analysis of the trunk when comparing patients after TKA to healthy seniors. To reduce the higher knee flexion moment during stair ascending in patients, we recommend the strengthening of the calf muscles. It seems that stair ascending does not provide additional information to guide actual treatment recommendations compared to level walking alone.


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