Gait modification strategies for altering medial knee joint load: A systematic review

2010 ◽  
pp. n/a-n/a ◽  
Author(s):  
Milena Simic ◽  
Rana S. Hinman ◽  
Tim V. Wrigley ◽  
Kim L. Bennell ◽  
Michael A. Hunt
Keyword(s):  
Systematic Review ◽  
Knee Joint ◽  
Medial Knee ◽  
Knee Joint Load ◽  
Gait Modification ◽  
Joint Load

scholarly journals Trunk lean gait modification and knee joint load in people with medial knee osteoarthritis: The effect of varying trunk lean angles

2012 ◽  
Vol 64 (10) ◽  
pp. 1545-1553 ◽  
Author(s):  
Milena Simic ◽  
Michael A. Hunt ◽  
Kim L. Bennell ◽  
Rana S. Hinman ◽  
Tim V. Wrigley
Keyword(s):  
Knee Joint ◽  
Knee Osteoarthritis ◽  
Medial Knee ◽  
Medial Knee Osteoarthritis ◽  
Knee Joint Load ◽  
Gait Modification ◽  
Joint Load

scholarly journals Increased Dynamic Knee Joint Load at the Non-Modified Limb during Medial Knee Thrust Gait Modification

2019 ◽  
Vol 51 (Supplement) ◽  
pp. 12
Author(s):  
Oladipo Eddo ◽  
Bryndan Lindsey ◽  
Matthew Prebble ◽  
Shane V. Caswell ◽  
Nelson Cortes
Keyword(s):  
Knee Joint ◽  
Medial Knee ◽  
Knee Joint Load ◽  
Gait Modification ◽  
Joint Load

scholarly journals The relationship between urinary C-Telopeptide fragments of type II collagen, knee joint load, pain, and physical function in individuals with medial knee osteoarthritis

2020 ◽  
Author(s):  
Luiz Fernando Approbato Selistre ◽  
Glaucia Helena Gonçalves ◽  
Fernando Augusto Vasilceac ◽  
Paula Regina Mendes da Silva Serrão ◽  
Theresa Helissa Nakagawa ◽  
...  
Keyword(s):  
Knee Joint ◽  
Knee Osteoarthritis ◽  
Physical Function ◽  
Type Ii Collagen ◽  
Type Ii ◽  
Medial Knee ◽  
Medial Knee Osteoarthritis ◽  
Knee Joint Load ◽  
Joint Load ◽  
The Relationship

scholarly journals The optimal degree of lateral wedge insoles for reducing knee joint load: a systematic review and meta-analysis

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Vitor Ferreira ◽  
Rita Simões ◽  
Rui Soles Gonçalves ◽  
Leandro Machado ◽  
Paulo Roriz
Keyword(s):  
Systematic Review ◽  
Knee Joint ◽  
Knee Osteoarthritis ◽  
Meta Analysis ◽  
Slight Reduction ◽  
Biomechanical Parameters ◽  
Knee Joint Load ◽  
Joint Load ◽  
Angular Impulse ◽  
Second Peak

Abstract Background Lateral wedge insoles are traditionally used to reduce the adduction moment that crosses the knee during walking in people with medial knee osteoarthritis. However, the best degree to reduce knee joint load is not yet well established. Methods Electronic databases were searched from their inception until May 2017. Included studies reported on the immediate biomechanical effects of different degrees of lateral wedge insoles during walking in people with knee osteoarthritis. The main measures of interest relating to the biomechanics were the first and second peak of external knee adduction moment and knee adduction angular impulse. For the comparison of the biomechanical effects of different degrees of insoles, the studies were divided in three subgroups: insoles with a degree higher than 0° and equal to or lower than 5°; insoles higher than 5° and equal to or lower than 9°; and insoles higher than 9°. Eligible studies were pooled using random-effects meta-analysis. Results Fifteen studies with a total of 415 participants met all eligibility criteria and were included in the final review and meta-analysis. The overall effect suggests that lateral wedge insoles resulted in a statistically significant reduction in the first peak (standardized mean difference [SMD] –0.25; 95% confidence interval [CI] –0.36, − 0.13; P < 0.001), second peak (SMD –0.26 [95% CI –0.48, − 0.04]; P = 0.02) and knee adduction angular impulse (SMD –0.17 [95% CI –0.31, − 0.03]; P = 0.02). The test of subgroups found no statistically significant differences. Conclusion Systematic review and meta-analysis suggests that lateral wedge insoles cause an overall slight reduction in the biomechanical parameters. Higher degrees do not show higher reductions than lower degrees. Prior analysis of biomechanical parameters may be a valid option for selecting the optimal angle of wedge that best fits in knee osteoarthritis patients with the lowest possible degree.

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