[Purpose] Lateral wedge insoles reduce the peak external knee adduction moment and are advocated for patients with knee osteoarthritis. However, some patients demonstrate adverse biomechanical effects with treatment. In this study, we examined the immediate effects of lateral and medial wedge insoles under unilateral weight bearing. [Subjects and Methods] Thirty healthy young adults participate...

OBJECTIVE To compare knee kinematics and kinetics during walking in patients with posttraumatic versus nontraumatic medial compartment knee osteoarthritis (OA). METHODS Participants with medial compartment knee OA were classified as nontraumatic (n = 122) or posttraumatic (n = 93) based on evidence of previous anterior cruciate ligament tear, confirmed arthroscopically. Kellgren/Lawrence seve...

Gait measures are used to evaluate change in patients with knee osteoarthritis (OA), but reliability has not been fully established in this population. This study examined test-retest reliability of knee angle and moment gait waveform characteristics captured using discrete parameters and principal component analysis (PCA) in individuals with moderate knee OA. Participants (n=20) underwent thre...

OBJECTIVE To investigate the relationships among bone mineral density (BMD), static alignment and the adduction moment of the knee in patients with tibiofemoral osteoarthritis (OA). METHODS Sixty-nine patients with medial compartment knee OA underwent radiographic evaluation, gait analysis and BMD measurements at the proximal tibia and lumbar spine. RESULTS The bone mineral distribution of ...

INTRODUCTION Meniscal injury is a risk factor for the development and progression of knee osteoarthritis, yet little is known about risk factors for meniscal pathology. Joint loading mediated via gait parameters may be associated with meniscal tears, and determining whether such an association exists was the aim of this study. METHODS Three-dimensional Vicon gait analyses were performed on th...

[Purpose] The purpose of this study was to determine the effect of proprioceptive training on foot progression angle, weight-bearing ratio, and knee adduction moment in patients with degenerative osteoarthritis of the knee. [Subjects] The subjects were 37 patients diagnosed with Kellgren-Lawrence grade 2 or 3 degenerative knee osteoarthritis. They were randomly allocated to three groups: a prop...

BACKGROUND changes in lower-limb joint moments are important outcome measures for treatment and prevention of knee osteoarthritis. However, it is known that both the magnitude and amplitude of joint moments are affected by the choice of anatomical reference frame. The purpose of this study was to identify features of joint moment waveforms that, regardless of the choice of reference frame, are ...

INTRODUCTION The peak knee adduction moment (PKAM) is a gait measure which best represents the mechanical pathology associated with knee osteoarthritis (OA). Recent research has focused on whether the PKAM is modified by muscle function. While knee strengthening exercises reduce pain and improve quality of life, strengthening has little effect on the PKAM in OA [1]. Lower-limb muscle power is m...

To investigate kinetic differences in the coronal plane between healthy individuals wearing shoes with lateral-offset soles and shoes with lateral-wedge insoles while walking, hip abduction, knee adduction, and ankle abduction moments were estimated using a 3-dimensional motion analysis system under 3 different conditions: wearing conventional shoes (control), wearing lateral-offset sole shoes ...

OBJECTIVES Prior injury to the knee, particularly anterior cruciate ligament (ACL) injury, is known to predispose one to premature osteoarthritis (OA). The study sought to explore if there was a biomechanical rationale for this process by investigating changes in external knee moments between people with a history of ACL injury and uninjured participants during walking: (1) on different surface...