Knee Joint Biomechanics in Physiological Conditions and How Pathologies Can Affect It: A Systematic Review

The knee joint, as the main lower limb motor joint, is the most vulnerable and susceptible joint. The knee injuries considerably impact the normal living ability and mental health of patients. Understanding the biomechanics of a normal and diseased knee joint is in urgent need for designing knee ass...

Full description

Saved in:
Bibliographic Details
Published in:Applied bionics and biomechanics 2020, Vol.2020 (2020), p.1-22
Main Authors: Wei, Pingping, Yan, Yuzhou, Wang, Zhe, Han, Bing, Liu, Geng, Zhang, Li, Ma, Jianbing
Format: Article
Language:English
Subjects:
Analysis
Biomechanics
Gait
Influence
Joint and ligament injuries
Joint replacement surgery
Joint surgery
Joints (anatomy)
Kinematics
Kinetics
Knee
Knee joint
Knowledge
Mechanical properties
Mental health
Musculoskeletal diseases
Neurological diseases
Neurological disorders
Pathology
Physiological aspects
Physiology
Rehabilitation
Review
Scientific papers
Walking
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The knee joint, as the main lower limb motor joint, is the most vulnerable and susceptible joint. The knee injuries considerably impact the normal living ability and mental health of patients. Understanding the biomechanics of a normal and diseased knee joint is in urgent need for designing knee assistive devices and optimizing a rehabilitation exercise program. In this paper, we systematically searched electronic databases (from 2000 to November 2019) including ScienceDirect, Web of Science, PubMed, Google Scholar, and IEEE/IET Electronic Library for potentially relevant articles. After duplicates were removed and inclusion criteria applied to the titles, abstracts, and full text, 138 articles remained for review. The selected articles were divided into two groups to be analyzed. Firstly, the real movement of a normal knee joint and the normal knee biomechanics of four kinds of daily motions in the sagittal and coronal planes, which include normal walking, running, stair climbing, and sit-to-stand, were discussed and analyzed. Secondly, an overview of the current knowledge on the movement biomechanical effects of common knee musculoskeletal disorders and knee neurological disorders were provided. Finally, a discussion of the existing problems in the current studies and some recommendation for future research were presented. In general, this review reveals that there is no clear assessment about the biomechanics of normal and diseased knee joints at the current state of the art. The biomechanics properties could be significantly affected by knee musculoskeletal or neurological disorders. Deeper understanding of the biomechanics of the normal and diseased knee joint will still be an urgent need in the future.
ISSN:1176-2322
1754-2103
DOI:10.1155/2020/7451683