Hip strengthening reduces symptoms but not knee load in people with medial knee osteoarthritis and varus malalignment: a randomised controlled trial

Bennell, Kim L; Hunt, Michael A.; Wrigley, Tim V.; Hunter, David J.; McManus, Fiona; Hodges, Paul W.; Li, L.; Hinman, Rana S

doi:10.1016/j.joca.2010.01.010

Cited by 247 publications

(247 citation statements)

References 45 publications

Supporting

Mentioning

229

Contrasting

Unclassified

Order By: Relevance

“…Similarly, a recent RCT with 54 female patients with knee OA, showed that a 6-month highintensity progressive lower limb resistance training program did not reduce the knee adduction moment (KAM), an indirect measure of compartment-specific knee load, compared to a sham exercise program [21]. This lack of effect of exercise on knee load is consistent with previous RCTs evaluating quadriceps [22] and hip muscle [23] strengthening in people with knee OA. Thus, while exercise can reduce symptoms, there is currently little evidence to suggest that exercise can be disease-modifying in people with knee OA.…”

Section: Exercise Is Integral In Managing Knee Oasupporting

confidence: 79%

Exercise, Gait Retraining, Footwear and Insoles for Knee Osteoarthritis

Hinman

Hunt²,

Simić

et al. 2013

Curr Phys Med Rehabil Rep

View full text Add to dashboard Cite

Knee osteoarthritis (OA) is a chronic musculoskeletal condition that imposes a significant personal and societal burden worldwide. Contemporary management of the condition involves a range of non-pharmacological conservative rehabilitation strategies. Exercise, in particular, is integral for patients with knee OA. However, there has also been increasing interest in the role of gait retraining, footwear and insoles for managing knee OA because of their biomechanical effects at the knee joint and potential for altering disease progression. This review will highlight recent research findings and trends in these areas of exercise, gait retraining, footwear and insoles for managing knee OA.

show abstract

Section: Exercise Is Integral In Managing Knee Oasupporting

confidence: 79%

Exercise, Gait Retraining, Footwear and Insoles for Knee Osteoarthritis

Hinman

Hunt²,

Simić

et al. 2013

Curr Phys Med Rehabil Rep

View full text Add to dashboard Cite

show abstract

“…Dynamic knee alignment can be assessed using 3-D gait analysis. In varus knees the measurement of knee adduction moment during stance phase of walking is an indirect measure of joint compressive forces sustained within the medial tibiofemoral joint compartment (49,52,53). Static and dynamic alignment are important to consider in view that altered distribution of forces placed through the joint surface may lead to damage of articular structures, possibly increasing risk of OA development or worsening existent disease.…”

Section: Muscle Strengthmentioning

confidence: 99%

Targeting Care

Eyles

Lucas

Hunter

2013

Rheumatic Disease Clinics of North America

View full text Add to dashboard Cite

Important points and objectives for recall:• Numerous studies have explored patient characteristics including: body mass index, psychological factors, muscle strength, tibiofemoral alignment, radiographic changes and signs of inflammation as potential predictors of response to non-surgical interventions for management of hip and knee OA.• Often the sample sizes utilized by these studies were inadequate to yield sufficient numbers of responders to the interventions to allow for analysis of the potential predictors identified.• A number of well-designed studies were adequately powered to provide some evidence for clinical characteristics that did or did not predict response to non-surgical interventions for participants with hip and knee OA. SynopsisInternational evidence-based guidelines recommend a multitude of non-surgical treatment options for the management of OA. In the face of so many choices, it would be helpful for clinicians to be able to base treatment decisions on the identification of specific clinical presentations that foretell greater likelihood of success following a given treatment. This review summarizes the evidence available for patient characteristics that have been analysed as potential predictors of response to non-surgical interventions for patients with hip and knee OA. The specific variables targeted for this review include: body mass index, psychological factors, muscle strength, tibiofemoral alignment, radiographic changes and signs of inflammation. Several studies provide moderate to good evidence of potential predictors of response to non-surgical treatments, while areas for future research are illuminated.

show abstract

“…Indeed, focusing on hip abductor muscles training may represent an effective option to reduce external adduction knee moment and the knee pain score of patients. The same year, a randomized study of Bennell, et al (2010) [8] confirms that strengthening the hip muscles improves symptoms and knee OA function but does not affect the medial knee loading measured by the adduction moment, nor does it affect the progression of the pathology. Research is still necessary to develop optimal physiotherapy programs for knee OA patients.…”

Section: Resultsmentioning

confidence: 86%

“…[7] They also demonstrated that strengthening hip muscles reduced symptoms and improved the function of the OA patient's knee. [8] We found one study looking at the link between biomechanical changes at the knee, the hip, and the ankle in 2008. [9] The authors measured the knee and hip moments using an inverse dynamic model after gait analysis with skin markers.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Biomechanical analysis to characterize the impact of knee osteoarthritis on hip, knee, and ankle kinematics

Mezghani

Billard

Ouakrim

et al. 2017

JBEI

View full text Add to dashboard Cite

Background: Numerous studies use a biomechanical assessment to evaluate joint function in knee pathologies such as osteoarthritis. However, most of them focus only on the knee and the consequences of the pathology on other lower limb joints are poorly documented. The objective of this study is to analyze the impact of knee osteoarthritis on ipsilateral hip, knee and ankle joint during gait. Methods: Three-dimension (3D) angular kinematic patterns of the three joints were analyzed on 32 patients diagnosed with knee osteoarthritis (OA) and a control group of 15 asymptomatic subjects (AS). Kinematic data was captured during treadmill gait trials at a self-selected comfortable speed. Analysis of covariance (ANCOVA) was performed on selected points of interest from 3D kinematic patterns of the hip, knee and ankle joints to compare both groups. The significance level was set at p = .05. Results: Gait 3D kinematic gait patterns of OA patients revealed significant differences with those of AS subjects at the three joints. Conclusions: Results suggest that patients with knee osteoarthritis also present alterations in hip and ankle kinematic during gait that should be considered when tailoring conservative treatments.

show abstract

Hip strengthening reduces symptoms but not knee load in people with medial knee osteoarthritis and varus malalignment: a randomised controlled trial

Abstract: ACTR12607000001493.

Cited by 247 publications

References 45 publications

Exercise, Gait Retraining, Footwear and Insoles for Knee Osteoarthritis

Exercise, Gait Retraining, Footwear and Insoles for Knee Osteoarthritis

Targeting Care

Biomechanical analysis to characterize the impact of knee osteoarthritis on hip, knee, and ankle kinematics

Contact Info

Product

Resources

About