Does Gait Retraining Have the Potential to Reduce Medial Compartmental Loading in Individuals With Knee Osteoarthritis While Not Adversely Affecting the Other Lower Limb Joints? A Systematic Review
| Autor: | Gemma Marie Whatling, Paul Biggs, Jake Bowd, Catherine Avril Holt |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
EHAM external hip adduction moment medicine.medical_specialty medicine.medical_treatment Knee Joint SMD standardized mean difference Physical medicine and rehabilitation Gait (human) medicine Osteoarthritis knee EKAM external knee adduction moment Gait Pelvis lcsh:R5-920 Rehabilitation business.industry Biomechanics General Medicine Trunk Sagittal plane body regions medicine.anatomical_structure Systematic review OA osteoarthritis Ankle business lcsh:Medicine (General) human activities Systematic Review and Meta-Analysis |
| Zdroj: | Archives of Rehabilitation Research and Clinical Translation Archives of Rehabilitation Research and Clinical Translation, Vol 1, Iss 3, Pp-(2019) |
| ISSN: | 2590-1095 |
| Popis: | Objectives: To review the literature regarding gait retraining to reduce knee adduction moments and their effects on hip and ankle biomechanics. Data Sources: Twelve academic databases were searched from inception to January 2019. Key words “walk*” OR “gait,” “knee” OR “adduction moment,” “osteoarthriti*” OR “arthriti*” OR “osteo arthriti*” OR “OA,” and “hip” OR “ankle” were combined with conjunction “and” in all fields. Study Selection: Abstracts and full-text articles were assessed by 2 individuals against a predefined criterion. Data Synthesis: Of the 11 studies, sample sizes varied from 8-40 participants. Eight different gait retraining styles were evaluated: hip internal rotation, lateral trunk lean, toe-in, toe-out, increased step width, medial thrust, contralateral pelvic drop, and medial foot weight transfer. Using the Black and Downs tool, the methodological quality of the included studies was fair to moderate ranging between 12 of 25 to 18 of 28. Trunk lean and medial thrust produced the biggest reductions in first peak knee adduction moment. Studies lacked collective sagittal and frontal plane hip and ankle joint biomechanics. Generally, studies had a low sample size of healthy participants with no osteoarthritis and assessed gait retraining during 1 laboratory visit while not documenting the difficulty of the gait retraining style. Conclusions: Gait retraining techniques may reduce knee joint loading; however, the biomechanical effects to the pelvis, hip, and ankle is unknown, and there is a lack of understanding for the ease of application of the gait retraining styles. Keywords: Gait, Osteoarthritis, knee, Rehabilitation, Systematic review |
| Databáze: | OpenAIRE |
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