The association of external knee adduction moment with biomechanical variables in osteoarthritis: A systematic review

Foroughi, Nasim; Smith, Richard M.; Vanwanseele, Benedicte

doi:10.1016/j.knee.2008.12.007

Cited by 221 publications

(173 citation statements)

References 33 publications

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“…For the kinematics, RMSE was considered to be good when \3 o (based on inter-trial variability of gait analysis systems [38]) and within the normal range of the CS (\2 SD CS). For the kinetics, RMSE was considered to be good when\10% CS, and within the normal range of the CS (\2 SD CS), based on variability seen in the KAdM in OA patients [12]). …”

Section: Immsmentioning

confidence: 99%

“…the external knee adduction moment: KAdM) [3-5, 12, 18, 28, 43, 45]. The KAdM reflects the distribution of load transferred through the medial versus the lateral compartment of the tibiofemoral joint [5,12]. In studies identifying the severity of knee OA and evaluating progression and therapy, the KAdM has often been used as an outcome measure [5,17,26,34,40,41,43].…”

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confidence: 99%

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Influence of the instrumented force shoe on gait pattern in patients with osteoarthritis of the knee

Noort

Esch

Steultjens

et al. 2011

Med Biol Eng Comput

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Osteoarthritis (OA) of the knee is associated with alterations in gait. As an alternative to force plates, instrumented force shoes (IFSs) can be used to measure ground reaction forces. This study evaluated the influence of IFS on gait pattern in patients with knee OA. Twenty patients with knee OA walked in a gait laboratory on IFS and control shoes (CSs). An optoelectronic system and force plate were used to perform 3D gait analyses. A comparison of temporalspatial gait parameters, kinematics, and kinetics was made between IFS and CS. Patients wearing IFS showed a decrease in walking velocity and cadence (8%), unchanged stride length, an increase in stance time (13%), stride time (11%) and step width (14%). No differences were found in knee adduction moment or knee kinematics. Small differences were found in foot and ankle kinematics (2-5°), knee transverse moments (5%), ankle frontal (3%) and sagittal moments (1%) and ground reaction force (1-6%). The gait of patients with knee OA was only mildly influenced by the IFS, due to increased shoe height and weight and a change in sole stiffness. The changes were small compared to normal variation and clinically relevant differences. Importantly, in OA patients no effect was found on the knee adduction moment.

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Section: Immsmentioning

confidence: 99%

mentioning

confidence: 99%

Influence of the instrumented force shoe on gait pattern in patients with osteoarthritis of the knee

Noort

Esch

Steultjens

et al. 2011

Med Biol Eng Comput

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“…Three recent articles have shown that there is no evidence of increased KAM in early stages of knee OA compared to healthy controls (16,25,32). However, since KAM does not account fully for the internal knee joint loading (26,33), these studies potentially fail to describe the more subtle changes in loading characteristics in the early OA patients where structural degeneration is less pronounced.…”

Section: Introductionmentioning

confidence: 99%

Knee contact forces are not altered in early knee osteoarthritis

et al. 2016

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“…The external Knee Adduction Moment (KAM) during walking has been shown to be a contributing factor to the advancement of medial compartment of OA knees [19,20]. The alignment of the lower limb, foot rotation, and foot progression angle affect KAM during walking [21,22].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Knee Osteoarthritis on Excursions of Lower Limb Joints During Gait

Jalalvand

Anbarian

Ahanjan

et al. 2017

PTJ

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Purpose: This study aimed to investigate excursion changes at the hip, knee, and ankle joints during gait in patients with knee osteoarthritis (KOA) of varying severity. Methods:The method of research was causal-comparative (Ex Post Facto). A Vicon motion analysis system with 4 T-Series cameras was used to measure the kinematics variables. Fifteen normal subjects without KOA and thirty patients with KOA participated in this study. According to Kellgren and Lawrence radiologic scale, the patients were divided into three groups of mild (n=10), moderate (n=10), and severe (n=10). Kinematics parameters of gait includes the range of motion (ROM) in all three planes of motion at the hip, knee, and ankle joints during gait, which were calculated by Vicon Nexus 1.8.5 software. All data were extracted by Polygon 3.5.1 and then were analyzed in SPSS20 using 1-way ANOVA test. The level of significance was set at P<0.05.Results: There were no significant differences in all kinematics parameters (joint angles) between the healthy and KOA groups (P>0.05). There were significant differences observed between groups of mild, moderate, and severe KOA with healthy one with respect to foot progress angles in the transverse plane, foot eversion/inversion excursion, knee flexion/extension excursion, knee abduction/adduction excursion, hip internal/external rotation excursion, anterior/posterior pelvic tilt, and lateral pelvic tilt (P<0.05). Conclusion:The results showed that some ROM parameters in all three planes of motion can estimate the severity of osteoarthritis. Some observed changes in kinematics parameters are due to effects of compensatory mechanisms, and some might be considered as the severity of the osteoarthritis. In addition, osteoarthritis in one joint had strong effects on other joints.

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The association of external knee adduction moment with biomechanical variables in osteoarthritis: A systematic review

Cited by 221 publications

References 33 publications

Influence of the instrumented force shoe on gait pattern in patients with osteoarthritis of the knee

Influence of the instrumented force shoe on gait pattern in patients with osteoarthritis of the knee

Knee contact forces are not altered in early knee osteoarthritis

The Effect of Knee Osteoarthritis on Excursions of Lower Limb Joints During Gait

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