Foot center of pressure manipulation and gait therapy influence lower limb muscle activation in patients with osteoarthritis of the knee

Goryachev, Yulia; Debbi, Eytan M.; Haim, Amir; Rozen, Nimrod; Wolf, Alon

doi:10.1016/j.jelekin.2011.05.001

Cited by 38 publications

(33 citation statements)

References 29 publications

(50 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recent studies have found that patients with knee OA who underwent this intervention reported significant improvements in the levels of pain and function [12,13]. Furthermore, improvements were also found in the gait patterns of these patients, muscle activation patterns [18] and knee adduction moment, which is highly associated with disease severity [14]. All of the abovementioned articles were conducted on a Caucasian western population, and information regarding the effect of this therapy on the Asian population is missing.…”

Section: Introductionmentioning

confidence: 99%

Patients with knee osteoarthritis demonstrate improved gait pattern and reduced pain following a non-invasive biomechanical therapy: a prospective multi-centre study on Singaporean population

et al. 2014

View full text Add to dashboard Cite

BackgroundPrevious studies have shown the effect of a unique therapy with a non-invasive biomechanical foot-worn device (AposTherapy) on Caucasian western population suffering from knee osteoarthritis. The purpose of the current study was to evaluate the effect of this therapy on the level of symptoms and gait patterns in a multi-ethnic Singaporean population suffering from knee osteoarthritis.MethodsFifty-eight patients with bilateral medial compartment knee osteoarthritis participated in the study. All patients underwent a computerized gait test and completed two self-assessment questionnaires (WOMAC and SF-36). The biomechanical device was calibrated to each patient, and therapy commenced. Changes in gait patterns and self-assessment questionnaires were reassessed after 3 and 6 months of therapy.ResultsA significant improvement was seen in all of the gait parameters following 6 months of therapy. Specifically, gait velocity increased by 15.9%, step length increased by 10.3%, stance phase decreased by 5.9% and single limb support phase increased by 2.7%. In addition, pain, stiffness and functional limitation significantly decreased by 68.3%, 66.7% and 75.6%, respectively. SF-36 physical score and mental score also increased significantly following 6 months of therapy (46.1% and 22.4%, respectively) (P < 0.05 for all parameters).ConclusionsSingaporean population with medial compartment knee osteoarthritis demonstrated improved gait patterns, reported alleviation in symptoms and improved function and quality of life following 6 months of therapy with a unique biomechanical device.Trial registrationRegistration number NCT01562652.

show abstract

Section: Introductionmentioning

confidence: 99%

Patients with knee osteoarthritis demonstrate improved gait pattern and reduced pain following a non-invasive biomechanical therapy: a prospective multi-centre study on Singaporean population

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Other studies have examined the effects of therapy on gait patterns and have shown that, over time, the therapy can be used to improve gait patterns, including KAM, in healthy individuals and in patients with knee OA [15, 17, 18]. Additional studies have shown that the biomechanical therapy is also able to modify the activation of lower limb muscles in healthy individuals and patients with knee OA as measured by electromyography [19, 20]. This signifies that the lower limb musculature of the subjects also adapts in a unique way to training.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Effects of AposTherapy in Patients with Osteoarthritis of the Knee: A Two-Year Followup

et al. 2013

Self Cite

View full text Add to dashboard Cite

Several biomechanics treatments for knee osteoarthritis (OA) have emerged with the goal of reducing pain and improving function. Through this, researchers have hoped to achieve a transition from the pathological gait patterns to coordinated motor responses. The purpose of the study was to determine the long-term effects of a therapy using a biomechanical device in patients with knee OA. Patients with knee OA were enrolled to active and control groups. The biomechanical device used in therapy (AposTherapy) was individually calibrated to each patient in the active group. Patients in the control group received standard treatment. Outcomes were the Western Ontario and McMaster Osteoarthritis Index (WOMAC), Aggregated Locomotor Function (ALF), Short Form 36 (SF-36), and Knee Society Score assessments. The active and control groups were similar at the baseline (group difference in all scores P > 0.05). The active group showed a larger improvement over time between groups in all three WOMAC categories (F = 16.8, 21.7, and 18.1 for pain, stiffness, and function; all P < 0.001), SF-36 Physical Scale (F = 5.8; P = 0.02), Knee Society Knee Score (F = 4.3; P = 0.044 ), and Knee Society Function Score (F = 6.5; P = 0.014 ). At the two-year endpoint, the active group showed significantly better results (all P ≤ 0.001). The groups showed a difference of 4.9, 5.6, and 4.7 for the WOMAC pain, stiffness, and function scores, respectively, 10.8 s in ALF score, 30.5 in SF-36 Physical Scale, 16.9 in SF-36 Mental Scale, 17.8 in Knee Society Knee Score, and 25.2 in Knee Society Function Score. The biomechanical therapy examined was shown to significantly reduce pain and improve function and quality of life of patients with knee OA over the long term.

show abstract

“…Numerous studies have related meniscus injuries with the development of knee OA [6,26,28]. The implemented therapy of this study has been shown to have a positive therapeutic effect on the gait pattern, physical function and pain of patients with knee OA [3,11,17,20]. Therefore, it can be suggested that this treatment modality has the potential to be beneficial in two timeframes: the short-term rehabilitation of patients with meniscal tears and the longterm treatment for knee OA.…”

Section: Discussionmentioning

confidence: 82%

A unique foot-worn device for patients with degenerative meniscal tear

et al. 2016

View full text Add to dashboard Cite

Purpose The purpose of the current study was to assess the effects of a new foot-worn device on the gait, physical function and pain in patients suffering from knee osteoarthritis (OA) who had a low-impact injury to the medial meniscus causing a degenerative meniscal tear. Methods A retrospective analysis of 34 patients with knee OA and a degenerative medial meniscal tear was performed. Patients underwent a gait evaluation, using an electronic walkway mat, and completed the SF-36 health survey and the WOMAC questionnaire at baseline and after 3 and 12 months of therapy. AposTherapy is a functional, biomechanical, non-invasive rehabilitation therapy consisting of a foot-worn device that is individually calibrated to each patient and is used during activities of daily living. Repeated-measures analyses were performed to compare gait parameters and self-evaluation questionnaires between baseline, and 3 and 12 months. Results Significant improvements were found in gait velocity, step length and single-limb support of the involved knee following 12 weeks of therapy (all p \ 0.01), alongside an improvement in limb symmetry. These results were maintained at the 12-month follow-up examination. Significant improvements were also found in all three domains of the WOMAC index (pain, stiffness and physical function) and in the SF-36 Physical Health Scale and the SF-36 Mental Health Scale (all p \ 0.01). Conclusions Patients with knee OA and a degenerative medial meniscal tear using a biomechanical foot-worn device for a year showed improvement in gait, physical function and pain. Based on the findings of this study, it can be postulated that this biomechanical device might have a positive effect on this population. Level of evidence Therapeutic study, Level IV.

show abstract

Foot center of pressure manipulation and gait therapy influence lower limb muscle activation in patients with osteoarthritis of the knee

Cited by 38 publications

References 29 publications

Patients with knee osteoarthritis demonstrate improved gait pattern and reduced pain following a non-invasive biomechanical therapy: a prospective multi-centre study on Singaporean population

Patients with knee osteoarthritis demonstrate improved gait pattern and reduced pain following a non-invasive biomechanical therapy: a prospective multi-centre study on Singaporean population

Long-Term Effects of AposTherapy in Patients with Osteoarthritis of the Knee: A Two-Year Followup

A unique foot-worn device for patients with degenerative meniscal tear

Contact Info

Product

Resources

About