Gait retraining to reduce the knee adduction moment through real-time visual feedback of dynamic knee alignment

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Gait retraining to reduce the knee adduction moment through real-time visual feedback of dynamic knee alignment.

Varus knee alignment is a risk factor for medial knee osteoarthritis and is associated with high knee adduction moments. Therefore, reducing the knee adduction moment in varus-aligned individuals with otherwise healthy knees may reduce their risk for developing osteoarthritis. A gait modification that improves dynamic knee alignment may reduce the adduction moment, and systematic training may l...

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A Gait Modification to Reduce the External Adduction Moment at the Knee: a Case Study

Knee osteoarthritis (OA) is the most common form of arthritis, and affects approximately one-third of the elderly population. The medial tibiofemoral compartment is most commonly involved. This is due, in part, to the ground reaction force vector passing medial to the knee joint center during gait. This distance increases with genu varus malalignment, resulting in an increased external adductio...

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Dynamic alignment and its association with knee adduction moment in medial knee osteoarthritis.

Lower limb dynamic alignment represents the limb position during functional loading conditions and obtains valuable information throughout the gait cycle rather than a single instant in time. This study aims to determine whether dynamic alignment is altered in medial knee osteoarthritis (OA) and how dynamic alignment is related to knee adduction moment (KAM). Community-dwelling women (n=17) wit...

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Muscle force modification strategies are not consistent for gait retraining to reduce the knee adduction moment in individuals with knee osteoarthritis.

While gait retraining paradigms that alter knee loads typically focus on modifying kinematics, the underlying muscle force modifications responsible for these kinematic changes remain largely unknown. As humans are generally thought to select uniform gait muscle patterns such as strategies based on fatigue cost functions or energy minimization, we hypothesized that a kinematic gait change known...

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Effects of backward gait training protocol on knee adduction moment and impulse during walking in patients with medial knee osteoarthritis

Background and Aim: The aim of this study was to investigate the effects of backward gait training protocol on knee adduction moment and impulse in male patients with medial knee osteoarthritis. Materials and Methods: This quasi-experimental study with a pretest-posttest design included two control groups (healthy and patient) and an experimental group (subjects with medial knee osteoarthritis)...

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ژورنال

عنوان ژورنال: Journal of Biomechanics

سال: 2010

ISSN: 0021-9290

DOI: 10.1016/j.jbiomech.2010.03.040