Modifying Stride Length in Isolation and in Combination With Foot Progression Angle and Step Width Can Improve Knee Kinetics Related to Osteoarthritis; A Preliminary Study in Healthy Subjects.

Détails

ID Serval
serval:BIB_BE5BA480CB0B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Modifying Stride Length in Isolation and in Combination With Foot Progression Angle and Step Width Can Improve Knee Kinetics Related to Osteoarthritis; A Preliminary Study in Healthy Subjects.
Périodique
Journal of biomechanical engineering
Auteur⸱e⸱s
Edd S.N., Bennour S., Ulrich B., Jolles B.M. (co-dernier), Favre J. (co-dernier)
ISSN
1528-8951 (Electronic)
ISSN-L
0148-0731
Statut éditorial
Publié
Date de publication
01/07/2020
Peer-reviewed
Oui
Volume
142
Numéro
7
Pages
074505
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
The purpose of this study was to determine the effects of modifying stride length (SL) on knee adduction and flexion moments, two markers of knee loading associated with medial-compartment knee osteoarthritis (OA) progression. This study also tested if SL modifications, in addition to foot progression angle (FP) and step width (SW) modifications, provide solutions in more subjects for reducing knee adduction moment (KAM) without increasing knee flexion moment (KFM), potentially protecting the joint. Fourteen healthy subjects (six female) were enrolled in this preliminary study. Walking trials were collected first without instructions, and then following foot placement instructions for 50 combinations of SL, FP, and SW modifications. Repeated measures analysis of variance was used to detect group-average effects of footprint modifications on maximum KAM and KFM and on KAM impulse. Subject-specific dose-responses between footprint modifications and kinetics changes were modeled with linear regressions, and the models were used to identify modification solutions, per subject, for various kinetics change conditions. Shorter SL significantly decreased the three kinetics measures (p < 0.01). Potential solutions for 10% reductions in maximum KAM and KAM impulse without increasing maximum KFM were identified for five subjects with FP and SW modifications. A significantly higher proportion of subjects had solutions when adding SL modifications (11 subjects, p = 0.04). In conclusion, SL is a valuable parameter to modify, especially in combination with FP and SW modifications, to reduce markers of medial knee loading. Future work is needed to extend these findings to osteoarthritic knees.
Mots-clé
Adult, Female, Gait, Healthy Volunteers, Humans, Kinetics, Male, Osteoarthritis, Knee, Range of Motion, Articular, footprint parameters, gait retraining, knee adduction moment, knee flexion moment, rehabilitation
Pubmed
Web of science
Création de la notice
01/04/2020 18:55
Dernière modification de la notice
21/01/2024 7:14
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