Combined versus individual effects of a valgus knee brace and lateral wedge foot orthotic during stair use in patients with knee osteoarthritis
| Autor: | Rebecca F. Moyer, Trevor B. Birmingham, Robert Walsh, Colin E. Dombroski, J. Robert Giffin |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male musculoskeletal diseases Orthotic Devices Knee Joint Biophysics medicine.disease_cause Weight-bearing Weight-Bearing 03 medical and health sciences 0302 clinical medicine Foot Joints Medicine and Health Sciences medicine Humans Orthopedics and Sports Medicine Aged 030203 arthritis & rheumatology Orthodontics biology business.industry Knee osteoarthritis Stairs Valgus knee brace Lateral wedge orthotic Biomechanics Stair climbing Rehabilitation Middle Aged Osteoarthritis Knee musculoskeletal system biology.organism_classification Combined Modality Therapy Gait Stair Climbing Brace Orthotic device Biomechanical Phenomena Walking Speed Valgus Gait analysis Female business human activities 030217 neurology & neurosurgery |
| Zdroj: | Bone and Joint Institute |
| ISSN: | 0966-6362 |
| Popis: | The aim of this study was to investigate the combined and individual biomechanical effects of a valgus knee brace and a lateral wedge foot orthotic during stair ascent and descent in patients with knee osteoarthritis (OA). Thirty-five patients with varus alignment and medial knee OA were prescribed a custom valgus knee brace and lateral wedge foot orthotic. Knee angles and moments in the frontal and sagittal planes were determined from 3D gait analysis completed under four randomized conditions: (1) control (no knee brace or foot orthotic), (2) knee brace, (3) foot orthotic, and (4) combined knee brace and foot orthotic. Additional measures included the vertical ground reaction force, trunk lean, toe out and gait speed. During the combined use of a knee brace and foot orthotic, significant decreases in the knee adduction angle (2.17, 95%CI: 0.50-3.84, p=0.013) and 2nd peak EKAM (0.35, 95%CI: 0.17-0.52, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect