{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T16:15:06Z","timestamp":1784304906119,"version":"3.55.0"},"reference-count":45,"publisher":"Elsevier BV","issue":"3","content-domain":{"domain":["thekneejournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Knee"],"published-print":{"date-parts":[[2014,6]]},"DOI":"10.1016\/j.knee.2014.02.020","type":"journal-article","created":{"date-parts":[[2014,3,1]],"date-time":"2014-03-01T12:00:17Z","timestamp":1393675217000},"page":"676-682","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["Does increasing step width alter knee biomechanics in medial compartment knee osteoarthritis patients during stair descent?"],"prefix":"10.1016","volume":"21","author":[{"given":"Max R.","family":"Paquette","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Songning","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clare E.","family":"Milner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Klipple","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.knee.2014.02.020_bb0005","doi-asserted-by":"crossref","first-page":"635","DOI":"10.7326\/0003-4819-133-8-200010170-00016","article-title":"Osteoarthritis: new insights. Part 1: the disease and its risk factors","volume":"133","author":"Felson","year":"2000","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.knee.2014.02.020_bb0010","first-page":"1089","article-title":"Prevalence of doctor-diagnosed arthritis and arthritis-attributable activity limitation \u2014 United States, 2003\u20132005","volume":"55","author":"Hootman","year":"2006"},{"key":"10.1016\/j.knee.2014.02.020_bb0015","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/S0966-6362(01)00201-6","article-title":"Knee and hip kinetics during normal stair climbing","volume":"16","author":"Costigan","year":"2002","journal-title":"Gait Posture"},{"key":"10.1016\/j.knee.2014.02.020_bb0020","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1023\/B:ABME.0000017541.82498.37","article-title":"A framework for the in vivo pathomechanics of osteoarthritis at the knee","volume":"32","author":"Andriacchi","year":"2004","journal-title":"Ann Biomed Eng"},{"key":"10.1016\/j.knee.2014.02.020_bb0025","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1053\/apmr.2002.33068","article-title":"Delayed onset of quadriceps activity and altered knee joint kinematics during stair stepping in individuals with knee osteoarthritis","volume":"83","author":"Hinman","year":"2002","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.knee.2014.02.020_bb0030","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1016\/j.orthres.2004.08.004","article-title":"Age-related changes in electromyographic quadriceps activity during stair descent","volume":"23","author":"Hinman","year":"2005","journal-title":"J Orthop Res"},{"key":"10.1016\/j.knee.2014.02.020_bb0035","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1002\/jor.20751","article-title":"Adaptive patterns of movement during stair climbing in patients with knee osteoarthritis","volume":"27","author":"Asay","year":"2009","journal-title":"J Orthop Res"},{"key":"10.1016\/j.knee.2014.02.020_bb0040","doi-asserted-by":"crossref","DOI":"10.1016\/j.arth.2012.01.018","article-title":"Temporal-spatial gait adaptations during stair ascent and descent in patients with knee osteoarthritis","author":"Hicks-Little","year":"2012","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.knee.2014.02.020_bb0045","article-title":"Lower extremity joint kinematics during stair climbing in knee osteoarthritis","author":"Hicks-Little","year":"2010","journal-title":"Med Sci Sports Exerc"},{"key":"10.1016\/j.knee.2014.02.020_bb0050","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1249\/MSS.0b013e3181f257be","article-title":"Lower extremity joint kinematics during stair climbing in knee osteoarthritis","volume":"43","author":"Hicks-Little","year":"2011","journal-title":"Med Sci Sports Exerc"},{"key":"10.1016\/j.knee.2014.02.020_bb0055","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1053\/joca.2002.0797","article-title":"Increased knee joint loads during walking are present in subjects with knee osteoarthritis","volume":"10","author":"Baliunas","year":"2002","journal-title":"Osteoarthritis Cartilage"},{"key":"10.1016\/j.knee.2014.02.020_bb0060","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1016\/S0021-9290(01)00036-7","article-title":"Gait characteristics of patients with knee osteoarthritis","volume":"34","author":"Kaufman","year":"2001","journal-title":"J Biomech"},{"key":"10.1016\/j.knee.2014.02.020_bb0065","first-page":"29","article-title":"Osteoarthritis of the knee: effects on gait, strength, and flexibility","volume":"73","author":"Messier","year":"1992","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.knee.2014.02.020_bb0070","doi-asserted-by":"crossref","first-page":"2835","DOI":"10.1002\/art.21262","article-title":"Secondary gait changes in patients with medial compartment knee osteoarthritis: increased load at the ankle, knee, and hip during walking","volume":"52","author":"Mundermann","year":"2005","journal-title":"Arthritis Rheum"},{"key":"10.1016\/j.knee.2014.02.020_bb0075","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.knee.2007.03.001","article-title":"Loading and gait symmetry during level and stair walking in asymptomatic subjects with knee osteoarthritis: importance of quadriceps femoris in reducing impact force during heel strike?","volume":"14","author":"Liikavainio","year":"2007","journal-title":"Knee"},{"key":"10.1016\/j.knee.2014.02.020_bb0080","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1002\/jor.1100090114","article-title":"Interaction between active and passive knee stabilizers during level walking","volume":"9","author":"Schipplein","year":"1991","journal-title":"J Orthop Res"},{"issue":"Suppl. 1","key":"10.1016\/j.knee.2014.02.020_bb0085","doi-asserted-by":"crossref","first-page":"95","DOI":"10.2106\/JBJS.H.01408","article-title":"Gait mechanics influence healthy cartilage morphology and osteoarthritis of the knee","volume":"91","author":"Andriacchi","year":"2009","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.knee.2014.02.020_bb0090","doi-asserted-by":"crossref","first-page":"2213","DOI":"10.1016\/j.jbiomech.2005.07.002","article-title":"Associations among knee adduction moment, frontal plane ground reaction force, and lever arm during walking in patients with knee osteoarthritis","volume":"39","author":"Hunt","year":"2006","journal-title":"J Biomech"},{"key":"10.1016\/j.knee.2014.02.020_bb0095","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1016\/j.gaitpost.2006.10.008","article-title":"The influence of foot progression angle on the knee adduction moment during walking and stair climbing in pain free individuals with knee osteoarthritis","volume":"26","author":"Guo","year":"2007","journal-title":"Gait Posture"},{"key":"10.1016\/j.knee.2014.02.020_bb0100","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1002\/acr.20690","article-title":"Joint loading decreased by inexpensive and minimalist footwear in elderly women with knee osteoarthritis during stair descent","volume":"64","author":"Sacco","year":"2012","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"10.1016\/j.knee.2014.02.020_bb0105","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1053\/apmr.2002.33225","article-title":"Effectiveness of a lateral-wedge insole on knee varus torque in patients with knee osteoarthritis","volume":"83","author":"Kerrigan","year":"2002","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.knee.2014.02.020_bb0110","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1038\/nrrheum.2010.212","article-title":"Conservative biomechanical strategies for knee osteoarthritis","volume":"7","author":"Reeves","year":"2011","journal-title":"Nat Rev Rheumatol"},{"key":"10.1016\/j.knee.2014.02.020_bb0115","doi-asserted-by":"crossref","first-page":"1701","DOI":"10.1249\/01.mss.0000228364.93703.53","article-title":"Unstable shoe construction and reduction of pain in osteoarthritis patients","volume":"38","author":"Nigg","year":"2006","journal-title":"Med Sci Sports Exerc"},{"key":"10.1016\/j.knee.2014.02.020_bb0120","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.gaitpost.2011.03.026","article-title":"Inexpensive footwear decreases joint loading in elderly women with knee osteoarthritis","volume":"34","author":"Trombini-Souza","year":"2011","journal-title":"Gait Posture"},{"key":"10.1016\/j.knee.2014.02.020_bb0125","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1177\/03635465020300031801","article-title":"Reduction of medial compartment loads with valgus bracing of the osteoarthritic knee","volume":"30","author":"Pollo","year":"2002","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.knee.2014.02.020_bb0130","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.gaitpost.2006.07.007","article-title":"Valgus bracing in patients with medial compartment osteoarthritis of the knee. A gait analysis study of a new brace","volume":"26","author":"Gaasbeek","year":"2007","journal-title":"Gait Posture"},{"key":"10.1016\/j.knee.2014.02.020_bb0135","doi-asserted-by":"crossref","first-page":"452","DOI":"10.2522\/ptj.20100188","article-title":"Agility and perturbation training techniques in exercise therapy for reducing pain and improving function in people with knee osteoarthritis: a randomized clinical trial","volume":"91","author":"Fitzgerald","year":"2011","journal-title":"Phys Ther"},{"key":"10.1016\/j.knee.2014.02.020_bb0140","doi-asserted-by":"crossref","first-page":"1293","DOI":"10.1016\/S0003-9993(99)90032-1","article-title":"Osteoarthritis of the knee: isokinetic quadriceps exercise versus an educational intervention","volume":"80","author":"Maurer","year":"1999","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.knee.2014.02.020_bb0145","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.1016\/S0003-9993(98)90238-6","article-title":"The effects of a physical training program on patients with osteoarthritis of the knees","volume":"79","author":"Rogind","year":"1998","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.knee.2014.02.020_bb0150","first-page":"1571","article-title":"A home-based protocol of electrical muscle stimulation for quadriceps muscle strength in older adults with osteoarthritis of the knee","volume":"30","author":"Talbot","year":"2003","journal-title":"J Rheumatol"},{"key":"10.1016\/j.knee.2014.02.020_bb0155","first-page":"2432","article-title":"The effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: a randomized clinical trial","volume":"25","author":"van Baar","year":"1998","journal-title":"J Rheumatol"},{"key":"10.1016\/j.knee.2014.02.020_bb0160","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1002\/acr.21584","article-title":"Toe-out, lateral trunk lean, and pelvic obliquity during prolonged walking in patients with medial compartment knee osteoarthritis and healthy controls","volume":"64","author":"Bechard","year":"2012","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"10.1016\/j.knee.2014.02.020_bb0165","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1016\/j.jbiomech.2007.09.015","article-title":"Toe-out gait in patients with knee osteoarthritis partially transforms external knee adduction moment into flexion moment during early stance phase of gait: a tri-planar kinetic mechanism","volume":"41","author":"Jenkyn","year":"2008","journal-title":"J Biomech"},{"key":"10.1016\/j.knee.2014.02.020_bb0170","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1016\/j.joca.2007.11.012","article-title":"Foot progression angle and the knee adduction moment: a cross-sectional investigation in knee osteoarthritis","volume":"16","author":"Rutherford","year":"2008","journal-title":"Osteoarthritis Cartilage"},{"key":"10.1016\/j.knee.2014.02.020_bb0175","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1002\/acr.21724","article-title":"Trunk lean gait modification and knee joint load in people with medial knee osteoarthritis: the effect of varying trunk lean angles","volume":"64","author":"Simic","year":"2012","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"10.1016\/j.knee.2014.02.020_bb0180","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.knee.2007.12.009","article-title":"Characteristics of trunk lean motion during walking in patients with symptomatic knee osteoarthritis","volume":"15","author":"Tanaka","year":"2008","journal-title":"Knee"},{"key":"10.1016\/j.knee.2014.02.020_bb0185","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/j.joca.2007.10.017","article-title":"Lateral trunk lean explains variation in dynamic knee joint load in patients with medial compartment knee osteoarthritis","volume":"16","author":"Hunt","year":"2008","journal-title":"Osteoarthritis Cartilage"},{"key":"10.1016\/j.knee.2014.02.020_bb0190","doi-asserted-by":"crossref","DOI":"10.1016\/j.arth.2012.01.018","article-title":"Temporal-spatial gait adaptations during stair ascent and descent in patients with knee osteoarthritis","author":"Hicks-Little","year":"2012","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.knee.2014.02.020_bb0195","series-title":"Effects of increased step width on frontal plane joint mechanics in older adults during stair descent","first-page":"39","author":"Paquette","year":"2012"},{"key":"10.1016\/j.knee.2014.02.020_bb0200","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1136\/ard.16.4.494","article-title":"Radiographic assessment of osteoarthritis","volume":"16","author":"Kellgren","year":"1957","journal-title":"Ann Rheum Dis"},{"key":"10.1016\/j.knee.2014.02.020_bb0205","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/1477-7525-1-17","article-title":"Knee injury and Osteoarthritis Outcome Score (KOOS) \u2014 validation and comparison to the WOMAC in total knee replacement","volume":"1","author":"Roos","year":"2003","journal-title":"Health Qual Life Outcomes"},{"key":"10.1016\/j.knee.2014.02.020_bb0210","doi-asserted-by":"crossref","first-page":"1985","DOI":"10.1098\/rspb.2001.1761","article-title":"Mechanical and metabolic determinants of the preferred step width in human walking","volume":"268","author":"Donelan","year":"2001","journal-title":"Proc Biol Sci"},{"key":"10.1016\/j.knee.2014.02.020_bb0215","article-title":"Effect of low pass filtering on joint moments from inverse dynamics: implications for injury prevention","author":"Kristianslund","year":"2012","journal-title":"J Biomech"},{"key":"10.1016\/j.knee.2014.02.020_bb0220","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.gaitpost.2010.09.024","article-title":"Sagittal and frontal lower limb joint moments during stair ascent and descent in young and older adults","volume":"33","author":"Novak","year":"2011","journal-title":"Gait Posture"},{"key":"10.1016\/j.knee.2014.02.020_bb0225","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.knee.2009.05.003","article-title":"Gait and muscle activation changes in men with knee osteoarthritis","volume":"17","author":"Liikavainio","year":"2010","journal-title":"Knee"}],"container-title":["The Knee"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0968016014000489?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0968016014000489?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2019,8,8]],"date-time":"2019-08-08T02:45:48Z","timestamp":1565232348000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0968016014000489"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6]]},"references-count":45,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2014,6]]}},"alternative-id":["S0968016014000489"],"URL":"https:\/\/doi.org\/10.1016\/j.knee.2014.02.020","relation":{},"ISSN":["0968-0160"],"issn-type":[{"value":"0968-0160","type":"print"}],"subject":[],"published":{"date-parts":[[2014,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Does increasing step width alter knee biomechanics in medial compartment knee osteoarthritis patients during stair descent?","name":"articletitle","label":"Article Title"},{"value":"The Knee","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.knee.2014.02.020","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2014 Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}