Objective parameters to measure (in)stability of the knee joint during gait: A review of literature
| Autor: | Josien C. van den Noort, Joost Dekker, Jaap Harlaar, Martin van der Esch, J. Schrijvers |
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| Přispěvatelé: | Radiology and Nuclear Medicine, AMS - Ageing & Morbidty, AMS - Restoration & Development |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Joint Instability
musculoskeletal diseases medicine.medical_specialty Knee Joint Biophysics Stability (learning theory) Kinematics Osteoarthritis Electromyography 03 medical and health sciences Knee Joint/physiopathology 0302 clinical medicine Physical medicine and rehabilitation Gait (human) Medicine Humans Orthopedics and Sports Medicine Gait medicine.diagnostic_test business.industry Rehabilitation Biomechanics Joint Instability/diagnosis 030229 sport sciences medicine.disease Biomechanical Phenomena Kinetics Gait analysis business Gait/physiology human activities 030217 neurology & neurosurgery |
| Zdroj: | Gait & posture, 70, 235-253. Elsevier Schrijvers, J C, van den Noort, J C, van der Esch, M, Dekker, J & Harlaar, J 2019, ' Objective parameters to measure (in)stability of the knee joint during gait: A review of literature ', Gait and Posture, vol. 70, pp. 235-253 . https://doi.org/10.1016/j.gaitpost.2019.03.016 |
| ISSN: | 0966-6362 |
| DOI: | 10.1016/j.gaitpost.2019.03.016 |
| Popis: | Background Instability of the knee joint during gait is frequently reported by patients with knee osteoarthritis or an anterior cruciate ligament rupture. The assessment of instability in clinical practice and clinical research studies mainly relies on self-reporting. Alternatively, parameters measured with gait analysis have been explored as suitable objective indicators of dynamic knee (in)stability. Research question This literature review aimed to establish an inventory of objective parameters of knee stability during gait. Methods Five electronic databases (Pubmed, Embase, Cochrane, Cinahl and SPORTDiscuss) were systematically searched, with keywords concerning knee, stability and gait. Eligible studies used an objective parameter(s) to assess knee (in)stability during gait, being stated in the introduction or methods section. Out of 10717 studies, 89 studies were considered eligible. Results Fourteen different patient populations were investigated with kinematic, kinetic and/or electromyography measurements during (challenged) gait. Thirty-three possible objective parameters were identified for knee stability, of which the majority was based on kinematic (14 parameters) or electromyography (12 parameters) measurements. Thirty-nine studies used challenged gait (i.e. external perturbations, downhill walking) to provoke knee joint instability. Limited or conflicting results were reported on the validity of the 33 parameters. Significance In conclusion, a large number of different candidates for an objective knee stability gait parameter were found in literature, all without compelling evidence. A clear conceptual definition for dynamic knee joint stability is lacking, for which we suggest : “The capacity to respond to a challenge during gait within the natural boundaries of the knee”. Furthermore biomechanical gait laboratory protocols should be harmonized, to enable future developments on clinically relevant measure(s) of knee stability during gait. |
| Databáze: | OpenAIRE |
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