Effects of Contralateral Versus Ipsilateral Cane Use on Gait in People with Knee Osteoarthritis

Fang, Mengyuan; Heiney, Constance; Yentes, Jennifer M.; Harada, Nancy D.; Masih, Sulabha; Perell-Gerson, Karen L.

doi:10.1016/j.pmrj.2014.09.018

Cited by 15 publications

(4 citation statements)

References 36 publications

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“… Majority CU were not educated on the correct way of using the cane (ex: height/ holding the cane in the wrong hand) [3]-[5]  Misuse of cane would increase fall rate thus causing more injuries to elderly users. [3], [4], [6]  Cane would decrease the walking speed of CU [2], [7]- [10], pros and cons of slow walking speed are shown in the following Table II. Problematic in situation where speed is needed.…”

Section: ) Systematic Review Resultsmentioning

confidence: 99%

“… Application of arm muscle force could reduce weights on the limb muscle thus improves CU's balance [11]  Using the cane is a sign of frailty [3] which will cause PCU denial of accepting the cane.  Using a cane in the opposite hand to the weaker leg could reduce knee load [4], [5], [10], but [7] stated that there were no significant difference  Holding the cane with elbows bent to 20-30°could help offset body weight [11] B. Online Questionnaires A total of 10 questions were posted through a survey website name Survey Monkey and were distributed online to Malaysians aged 40 and above. 46 Malaysians have responded to the questionnaires, majority are female from the age group 50-59.…”

Section: ) Systematic Review Resultsmentioning

confidence: 99%

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Cane Design: A Preliminary Research Concerning on Cane and Elderly Users

Wong¹,

Yang²

2018

IJSSH

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There are many canes in the market focusing on different specific group of users. This study aims to amass data to identify problems face by cane user (CU) and potential cane user (PCU) to determine the specific user group for the new cane design. A series of preliminary research (systematic review, online questionnaires, interview and direct observations) focusing on cane and user experience was conducted for this research. For systematic review, 26 cane-related-articles were chosen and finalized from 3 online databases (PubMed, Medscope and Science Direct). An online questionnaire was distributed to 46 Malaysians, age 40 and above, to understand their current health status and how they perceive the use of cane. 3 elders above 75 years old were interviewed to understand their current difficulties and health status in depth. Finally, 3 uniquely designed canes were distributed and tested among a group of Koreans aged 20s, 30s and 40s without cane experience for user interaction observation. Research shows that cane should be used correctly as misuse of canes could cause the increase of elderly's fall risk and thus affects the confidence of CU and PCU towards cane. First time users (FTU) of cane could be found among people in age group 50-59 years old. This research has suggested FTU as the specific user group of the new design as problems faced by CU and PCU are related to the lack of cane instruction in early stage. This study is conducted as a part of long-term project that ultimately designs a cane for the elderly.

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Section: ) Systematic Review Resultsmentioning

confidence: 99%

Section: ) Systematic Review Resultsmentioning

confidence: 99%

Cane Design: A Preliminary Research Concerning on Cane and Elderly Users

Wong¹,

Yang²

2018

IJSSH

View full text Add to dashboard Cite

show abstract

“…The lack of data on hip, knee, and ankle mechanics in one study may be a limitation of previous studies [ 41 , 42 ]. Therefore, existing data suggests that a more complete and holistic approach, including assessment of hip, knee, and ankle joints in one study, is needed to improve research and clinical management of knee OA [ 43 ]. The trunk should be included in the biomechanical study because a high proportion of body weight is located at the trunk.…”

Section: Discussionmentioning

confidence: 99%

Biomechanical changes in lower extremity in individuals with knee osteoarthritis in the past decade: A scoping review

Yang,

Sinsurin,

Shen

et al. 2024

Heliyon

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“…Walking aids. The use of walking aids has been demonstrated to provide pain relief (SMD = −1.72, 95% CI: −2.3 to −1.14), improve overall function (SMD = −1.03, 95% CI: −1.55 to −0.51), and significantly increase 6-min walk distance (SMD = 2.09, 95% CI: 1.47 to 2.7) in knee osteoarthritis patients [100][101][102]. Previous guidelines1,44 have provided strong recommendations supporting using walking aids.…”

mentioning

confidence: 99%

Chinese guidelines for the rehabilitation treatment of knee osteoarthritis: An CSPMR evidence‐based practice guideline

Zhu,

Wang,

Liang

et al. 2023

J Evidence Based Medicine

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BackgroundKnee osteoarthritis (KOA) is the most common degenerative joint disease in China, causing a huge economic burden on patients, families, and society. Standardized KOA rehabilitation treatment is an important means to prevent and treat the disease and promote the development of high‐quality medical services. This guideline is updated on the basis of the 2016 and 2019 editions.MethodsClinical questions regarding rehabilitation assessment and treatment were selected through clinical questions screening and deconstruction, and multiple rounds of Delphi questionnaire consultation. The International Classification of Functioning, Disability and Health (ICF) was used as the theoretical framework, and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) method was used to grade the quality of evidence and recommendations.ResultsThe reporting of this guideline followed the standard of Reporting Items for Practice Guidelines in Healthcare (RIGHT). Taking into account patients' preferences and values and the needs of Chinese clinical practice, a total of 11 clinical questions and 28 recommendations were established. The clinical questions were grouped into two categories: KOA assessment (body function, body structure, activity and participation, quality of life, and environmental factors and clinical outcomes assessment, resulting in 9 recommendations) and KOA treatment (health education, therapeutic exercise, therapeutic modalities, occupational therapy, assistive devices, and regenerative rehabilitation approaches, resulting in 19 recommendations).ConclusionThis is the first evidence‐based guideline for KOA rehabilitation in China utilizing the ICF framework. This guideline provides key guidance for developing systematic, standardized, and precise rehabilitation protocols for KOA across various healthcare settings.

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Effects of Contralateral Versus Ipsilateral Cane Use on Gait in People with Knee Osteoarthritis

Abstract: These results support the prescription of a single-point cane to offload a lower limb with painful knee OA by holding the cane either ipsilateral or contralateral to the more painful lower limb.

Cited by 15 publications

References 36 publications

Cane Design: A Preliminary Research Concerning on Cane and Elderly Users

Cane Design: A Preliminary Research Concerning on Cane and Elderly Users

Biomechanical changes in lower extremity in individuals with knee osteoarthritis in the past decade: A scoping review

Chinese guidelines for the rehabilitation treatment of knee osteoarthritis: An CSPMR evidence‐based practice guideline

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