Primary knee osteoarthritis increases the risk of falling

Bozbaş, Gülnur Taşçı; Şendur, Ömer Faruk; Aydemir, Ali Hakan

doi:10.3233/bmr-150413

Cited by 21 publications

(17 citation statements)

References 32 publications

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“…Foot contact sometimes occurs with a supinated ankle but immediately starts to pronate, the essential countermovement to maximise the range of pronation, with accompanying tibial internal rotation [ 36 , 38 ]. Towards toe-off via foot-flat, the foot supinates, controlled first by eccentric work until foot-flat followed by the concentric work of supinators approaching toe-off [ 36 , 39 ]. This series of functional ankle motions most efficiently oscillates foot contact impact through the stance phase and into forward progression.…”

Section: Biomechanics Of Locomotive Injuries Based On Gait Analysimentioning

confidence: 99%

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Shoe-Insole Technology for Injury Prevention in Walking

Nagano¹,

Begg²

2018

Sensors

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Impaired walking increases injury risk during locomotion, including falls-related acute injuries and overuse damage to lower limb joints. Gait impairments seriously restrict voluntary, habitual engagement in injury prevention activities, such as recreational walking and exercise. There is, therefore, an urgent need for technology-based interventions for gait disorders that are cost effective, willingly taken-up, and provide immediate positive effects on walking. Gait control using shoe-insoles has potential as an effective population-based intervention, and new sensor technologies will enhance the effectiveness of these devices. Shoe-insole modifications include: (i) ankle joint support for falls prevention; (ii) shock absorption by utilising lower-resilience materials at the heel; (iii) improving reaction speed by stimulating cutaneous receptors; and (iv) preserving dynamic balance via foot centre of pressure control. Using sensor technology, such as in-shoe pressure measurement and motion capture systems, gait can be precisely monitored, allowing us to visualise how shoe-insoles change walking patterns. In addition, in-shoe systems, such as pressure monitoring and inertial sensors, can be incorporated into the insole to monitor gait in real-time. Inertial sensors coupled with in-shoe foot pressure sensors and global positioning systems (GPS) could be used to monitor spatiotemporal parameters in real-time. Real-time, online data management will enable ‘big-data’ applications to everyday gait control characteristics.

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Section: Biomechanics Of Locomotive Injuries Based On Gait Analysimentioning

confidence: 99%

“…Knee osteoarthritis (OA) is a painful condition that discourages people from walking and increases the risk of falling [ 39 ]. OA is frequently associated with pain caused by micro-fractures due to bone-to-bone collision with reduced articular cartilage.…”

Section: Biomechanics Of Locomotive Injuries Based On Gait Analysimentioning

confidence: 99%

Shoe-Insole Technology for Injury Prevention in Walking

Nagano¹,

Begg²

2018

Sensors

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“…Both knee osteoarthritis as well as falls injuries, which have an independently high incidence among older adults [5][6][7][8], as well as a collective prevalence, currently pose an enormous challenge to many aging individuals, worldwide, as well as tremendous challenges to health providers, plus immense hospital and societal costs. At the same time, what produces falls that can impact knee osteoarthritis outcomes negatively is relatively unknown.…”

Section: Rationalementioning

confidence: 99%

Current Knee Osteoarthritis and Non-Surgically Related Falls Injuries Studies: What Prevails, What is Needed, and Why

Marks¹

2020

Open J Geriatr

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Osteoarthritis, a widespread joint disease, commonly resulting in considerable pain and functional disability among older adults, especially at the knee joint, is often exacerbated by falls and fall injuries, also common among the older population. But what does the research show specifically? This report aimed to update what is known about the risk factors for falls in the context of knee osteoarthritis, and what strategies have been proposed to reduce falls risk among this sizeable older adult patient population. Using key electronic data bases, clinical studies published between January 1, 2016 and October 20, 2020 concerning possible explanations for why certain adults with knee osteoarthritis appear to be prone to falling and further injury and disability, along with available falls prevention intervention approaches for this group were sought. Articles fulfilling the eligibility criteria for the review were carefully examined and reported in narrative form. The search results revealed very few recent studies outlining reasons for the extent to which sizeable knee osteoarthritis cases may fall on a single or multiple occasions. Those that do generally fail to employ prospective well-powered research designs, comparable samples, objective or standardized assessment procedures, or well-grounded reasons for the highly varied array of possible falls risk determinants examined. Even when multiple potential falls explanatory risk factors are studied, the diverse results obtained provide little consensus as to why a proportion of adults with knee osteoarthritis are prone to falls, while other are not. At the same time, a substantive body of highly varied approaches for offsetting falls risk among this patient group that have been proposed appear to assume certain falls risk factors are clinically significant, while neglecting others, despite any uniform consensus on this issue. Their current practicality for impacting falls risk is also questionable given the numerous 2020 Covid-19 pandemic-associated practice changes.

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“…As reported by Mahmoudian et al [4], OAK is highly prevalent in people above the age of 60, and it is typically associated with pain, stiffness, muscle weakness, and proprioceptive deficits. These proprioceptive deficits increase the risk of falls and other injuries in OAK patients, leading to disability and worsening of quality of life [5,6]. Some authors claim that proprioceptive deficits trigger OAK [7,8].…”

Section: Introductionmentioning

confidence: 99%

Wireless Motion Sensors—Useful in Assessing the Effectiveness of Physiotherapeutic Methods Used in Patients with Knee Osteoarthritis—Preliminary Report

Goślińska

Wareńczak

Miedzyblocki

et al. 2020

Sensors

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Osteoarthritis of the knee (OAK) is characterized by pain, limitation of joint mobility, and significant deterioration of proprioception resulting in functional decline. This study assessed proprioception in OAK patients following two ten-day rehabilitation programs using the Orthyo® system. Fifty-four study participants with clinical symptoms and radiological signs of OAK were randomly divided into an exercise group (n = 27) or a manual therapy group (n = 27). The control group consisted of 27 volunteers with radiological signs of OAK, but with no clinical symptoms or prior history of rehabilitation. The following parameters were assessed: knee proprioception using inertial sensors and a mobile application, patients’ function using Western Ontario and McMaster Universities osteoarthritis index (WOMAC), and pain intensity using the visual analog scale (VAS). Following rehabilitation, knee proprioception tests did not improve in either study group. Both study groups showed significant improvement of the WOMAC-assessed function (exercise group: p < 0.01, manual therapy group: p = 0.01) and a significant decrease (p < 0.01) of VAS-assessed pain following rehabilitation, but the post-therapy results did not differ significantly between the aforementioned groups. The Orthyo® system provided a quick and accurate assessment of the knee joint position sense. There was no direct relationship between functionality, pain, and proprioception threshold in the knee joint.

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Primary knee osteoarthritis increases the risk of falling

Cited by 21 publications

References 32 publications

Shoe-Insole Technology for Injury Prevention in Walking

Shoe-Insole Technology for Injury Prevention in Walking

Current Knee Osteoarthritis and Non-Surgically Related Falls Injuries Studies: What Prevails, What is Needed, and Why

Wireless Motion Sensors—Useful in Assessing the Effectiveness of Physiotherapeutic Methods Used in Patients with Knee Osteoarthritis—Preliminary Report

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