Effective gait patterns for offloading the medial compartment of the knee

Journal of Orthopaedic Research

Volumn 27, Issue 8, 2009, Pages 1016-1021

  Fregly, Benjamin J ^a   D'Lima, Darryl D ^b   Colwell Jr , Clifford W ^b  

^a UNIVERSITY OF FLORIDA   (United States)

^b SCRIPPS CLINIC   (United States)

Author keywords

Biomechanics; Gait retraining; Knee osteoarthritis; Rehabilitation

Indexed keywords

ADDUCTION; AGED; ARTICLE; CASE REPORT; GAIT; HUMAN; KNEE; KNEE ARTHROPLASTY; KNEE FUNCTION; KNEE MEDIAL COMPARTMENT; KNEE OSTEOARTHRITIS; KNEE PROSTHESIS; MALE; MEDIAL THRUST GAIT; MOTOR COORDINATION; MUSCLE FORCE; PRIORITY JOURNAL; STANDING; WALKING; WALKING POLE GAIT; WEIGHT BEARING;

AGED, 80 AND OVER; BIOMECHANICS; CANES; GAIT; HUMANS; KNEE JOINT; MALE; OSTEOARTHRITIS, KNEE; RANGE OF MOTION, ARTICULAR; WALKING;

EID: 67749145277     PISSN: 07360266     EISSN: None     Source Type: Journal    
DOI: 10.1002/jor.20843     Document Type: Article

References (29)

1. Maly MR. 2008. Abnormal and cumulative loading in knee osteoarthritis. Curr Opin Rheumatol 20:547-552.
2. Kemp G, Crossley KM,Wrigley TV, et al. 2008. Reducing joint loading in medial knee osteoarthritis: shoes and canes. Arthritis Rheum 59:609-614.
3. Briem K, Ramsey DK, Newcomb W, et al. 2007. Effects of the amount of valgus correction for medial compartment knee osteoarthritis on clinical outcome, knee kinetics and muscle co-contraction after opening wedge high tibial osteotomy. J Orthop Res 25:311-318.
4. Habata T, Uematsu K, Hattori K, et al. 2006. High tibial osteotomy that does not cause recurrence of varus deformity for medial gonarthrosis. Knee Surg Sports Traumatol Arthrosc 14:962-967.
5. Majima T, Yasuda K, Katsuragi R, et al. 2000. Progression of joint arthrosis 10 to 15 years after high tibial osteotomy. Clin Orthop Relat Res 381:177-184.
6. Andriacchi TP. 1994. Dynamics of knee malalignment. Orthop Clin North Am 25:395-403.
7. Prodromos CC, Andriacchi TP, Galante JO. 1985. A relationship between gait and clinical changes following high tibial osteotomy. J Bone Joint Surg 67A:1188-1194.
8. Wang JW, Kuo KN, Andriacchi TP, et al. 1990. The influence of walking mechanics and time on the results of proximal tibial osteotomy. J Bone Joint Surg 72A:905-909.
9. Hinman RS, Payne C, Metcalf BR, et al. 2008. Lateral wedges in knee osteoarthritis: what are their immediate clinical and biomechanical effects and can these predict a three-month clinical outcome? Arthritis Rheum 59:408-415.
10. Thorp LE, Sumner DR, Wimmer MA, et al. 2007. Relationship between pain and medial knee joint loading in mild radiographic knee osteoarthritis. Arthritis Rheum 57:1254-1260.
11. Sharma L, Hurwitz DE, Thonar EJ-MA, et al. 1998. Knee adduction moment, serum hyaluronan level, and disease severity in medial tibiofemoral osteoarthritis. Arthritis Rheum 41:1233-1240.
12. Miyazaki T, Wada M, Kawahara H, et al. 2002. Dynamic load at baseline can predict radiographic disease progression in medial compartment knee osteoarthritis. Ann Rheum Dis 61:617-622.
13. Guo M, Axe MJ, Manal K. 2007. The influence of foot progression angle on the knee adduction moment during walking and stair climbing in pain free individuals with knee osteoarthritis. Gait Posture 26:436-441.
14. Mündermann A, Dyrby CO, Hurwitz DE, et al. 2004. Potential strategies to reduce medial compartment loading in patients with knee osteoarthritis of varying severity. Arthritis Rheum 50:1172-1178.
15. Mündermann A, Asay JL, Mündermann L, et al. 2008. Implications of increased medio-lateral trunk sway for ambulatory mechanics. J Biomech 41:165-170.
16. Hunt MA, Birmingham TB, Bryant D, et al. 2008. Lateral trunk lean explains variation in dynamic knee joint load in patients with medial compartment knee osteoarthritis. Osteoarthritis Cartilage 16:591-599.
17. Kakihana W, Akai M, Nakazawa K, et al. 2005. Effects of laterally wedged insoles on knee and subtalar joint moments. Arch Phys Med Rehabil 86:1465-1471.
18. Barrios JA, Davis IS. 2007. A gait modification to reduce the external knee adduction moment at the knee: a case study. Proceedings of the 31st Annual Meeting of the American Society of Biomechanics, Stanford, CA, paper #219.
19. Fregly BJ, Reinbolt JA, Rooney KL, et al. 2007. Design of patient-specific gait modifications for knee osteoarthritis rehabilitation. IEEE Trans Biomed Eng 54:1687-1695.
20. Fregly BJ, Rooney KL, Reinbolt JA. 2005. Predicted gait modifications to reduce the peak knee adduction torque. Proceedings of the XXth Congress of the International Society of Biomechanics, Cleveland, OH, paper #283.
21. Fregly BJ. 2008. Computational assessment of combinations of gait modifications for knee osteoarthritis rehabilitation. IEEE Trans Biomed Eng 55:2104-2106.
22. Zhao D, Banks SA, Mitchell KH, et al. 2007. Correlation between the knee adduction torque and medial contact force for a variety of gait patterns. J Orthop Res 25:789-797.
23. Willson J, Torry MR, Decker MJ, et al. 2001. Effects of walking poles on lower extremity gait mechanics. Med Sci Sports Exerc 33:142-147.
24. D'Lima DD, Townsend CP, Arms SW, et al. 2005. An implantable telemetry device to measure intra-articular tibial forces. J Biomech 38:299-304.
25. Zhao D, Banks SA, D'Lima DD, et al. 2007. In vivo medial and lateral tibial loads during dynamic and high flexion activities. J Orthop Res 25:593-602.
26. Chao EY, Laughman RK, Schneider E, et al. 1983. Normative data of knee joint motion and ground reaction forces in adult level walking. J Biomech 16:219-233.
27. Andriacchi TP, Galante JO, Fermier RW. 1982. The influence of total knee-replacement design on walking and stairclimbing. J Bone Joint Surg 64A:1328-1335.
28. Schache AG, Fregly BJ, Crossley KM, et al. 2008. The effect of gait modification on the external knee adduction moment is reference frame dependent. Clin Biomech 23:601-608.
29. Schröter J, Güth V, Overbeck M, et al. 1999. The 'Entlastungsgang.' A hip unloading gait as a new conservative therapy for hip pain in the adult. Gait Posture 9:151-157.