Factors Influencing Cane Use for the Management of Knee Osteoarthritis: A Cross‐Sectional Survey

Hart, Julia; Hinman, Rana S; Ginckel, Ans Van; Hall, Michelle; Nelligan, Rachel K; Bennell, Kim L

doi:10.1002/acr.23494

Cited by 4 publications

(1 citation statement)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…43 Our process measures (Appendix 5) also showed that participants were somewhat ambivalent about continuing to use the cane after the trial. Indeed, surveys have shown relatively limited uptake of canes by people with knee OA 29,44 and recruitment for our study progressed slowly, especially when compared to our other RCTs of non-drug and/or biomechanical interventions for knee OA. 45,46 Finally, approximately 1 in 5 cane users reported an adverse event which may have tempered symptom improvement or indirectly influenced adherence and/or the amount of force applied to the cane during the trial.…”

Section: Discussionmentioning

confidence: 99%

Effect of cane use on bone marrow lesion volume in people with medial tibiofemoral knee osteoarthritis: randomized clinical trial

Ginckel

Hinman

Wrigley

et al. 2019

Osteoarthritis and Cartilage

View full text Add to dashboard Cite

Objective: To evaluate effects of daily cane use for 3 months on medial tibiofemoral bone marrow lesion (BML) volumes in people with medial tibiofemoral osteoarthritis (OA). Design: In this randomized controlled trial (RCT), 79 participants with medial tibiofemoral OA were randomized to either a cane group (using a cane whenever walking) or control group (not using any gait aid) for 3 months. The cane group received a single training session by a physiotherapist, using a biofeedback cane to teach optimal technique and body weight support and motor learning principles to facilitate retention of learning. The primary outcome was change in total medial tibiofemoral BML volume (per unit bone volume) measured from magnetic resonance imaging (MRI) at 3 months. Secondary outcomes were BML volumes (per unit bone volume) of the medial tibia and femur, and patient-reported outcomes of overall knee pain, knee pain on walking, physical function, perceived global symptom changes and health-related quality of life. MRI analyses were performed by a blinded assessor. Results: Seventy-eight participants (99%) completed the primary outcome. Mean (standard deviation) daily cane use was 2.3 (1.7) hours over 3 months. No evidence of between-group differences was found for change in total medial tibiofemoral BML volume (mean difference: À0.0010 (95% confidence intervals: À0.0022, 0.0003)). Most secondary outcomes showed minimal differences between groups. Conclusion: Daily use of a cane during walking for 3 months aiming to reduce knee joint loading did not change medial tibiofemoral BML volumes compared to no use of gait aids. Clinical trial registration: Australian New Zealand Clinical Trial Registry (ACTRN12614000909628).

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of cane use on bone marrow lesion volume in people with medial tibiofemoral knee osteoarthritis: randomized clinical trial

Ginckel

Hinman

Wrigley

et al. 2019

Osteoarthritis and Cartilage

View full text Add to dashboard Cite

show abstract

A novel walking cane with haptic biofeedback reduces knee adduction moment in the osteoarthritic knee

Schuster

Routson

Hinchcliff

et al. 2021

Journal of Biomechanics

View full text Add to dashboard Cite

A scoping review of patient self-report measures of flare in knee and hip osteoarthritis (OA): A report from the OMERACT flares in OA working group

Queiroga,

Cross,

Thomas

et al. 2023

Seminars in Arthritis and Rheumatism

View full text Add to dashboard Cite

Factors Influencing Cane Use for the Management of Knee Osteoarthritis: A Cross‐Sectional Survey

Abstract: Independent determinants of cane use include older age, higher BMI, greater pain duration, and greater severity of knee pain. Strategies targeting an individual's capability and motivation to use a cane may increase cane use among people with knee OA.

Cited by 4 publications

References 21 publications

Effect of cane use on bone marrow lesion volume in people with medial tibiofemoral knee osteoarthritis: randomized clinical trial

Effect of cane use on bone marrow lesion volume in people with medial tibiofemoral knee osteoarthritis: randomized clinical trial

A novel walking cane with haptic biofeedback reduces knee adduction moment in the osteoarthritic knee

A scoping review of patient self-report measures of flare in knee and hip osteoarthritis (OA): A report from the OMERACT flares in OA working group

Contact Info

Product

Resources

About