Effects of severity of degeneration on gait patterns in patients with medial knee osteoarthritis

Huang, Su‐Cheng; Wei, I-Pin; Chien, Hsiung–Fei; Wang, Ting‐Ming; Liu, Yen-Hung; Chen, Hao‐Ling; Lu, Tung‐Wu; Lin, Jaung‐Geng

doi:10.1016/j.medengphy.2008.02.006

Cited by 85 publications

(65 citation statements)

References 36 publications

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“…Importantly, it is believed by many authors that these gait differences observed at the hip and trunk are compensatory mechanisms that occur secondary to the onset of OA, and are influenced by structural deterioration, pain, or other symptoms (11,16,17). That is, individuals with knee OA adopt these adaptations and may modify them as the disease progresses.…”

Section: Introductionmentioning

confidence: 99%

Individuals with severe knee osteoarthritis (OA) exhibit altered proximal walking mechanics compared with individuals with less severe OA and those without knee pain

Hunt¹,

Wrigley²,

Hinman³

et al. 2010

Arthritis Care & Research

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Objective. To examine hip, pelvis, and trunk walking biomechanics in individuals with medial compartment knee osteoarthritis (OA) of varying radiographic disease severities and others without knee pain. Methods. Hip, pelvis, and trunk kinematics and hip kinetics were assessed in 75 individuals with radiographically confirmed OA and 20 asymptomatic individuals. Differences in peak hip adduction and abduction angles, the amount of contralateral pelvic drop, and peak lateral trunk lean measured by 3-dimensional gait analysis were examined using analyses of variance. Peak external hip abduction and adduction moments were compared using analyses of covariance, with gait speed as a covariate. Results. Those with severe OA disease exhibited significantly less peak hip adduction (5.0°), but more ipsilateral trunk lean toward the study extremity (5.0°) than all other groups (P < 0.001). Those in the severe (1.1°) and asymptomatic (0.9°) groups also exhibited significantly less lateral trunk lean toward the non-study extremity (P ‫؍‬ 0.004). No significant differences in hip joint moments or contralateral pelvic drop were observed between the groups (P > 0.02). Conclusion. Gait changes at the hip and trunk were evident across the groups based on radiographic disease severity and compared with those without knee pain. Although not conclusive from this cross-sectional study design, the results provide initial evidence to support increased lateral trunk lean as being a compensatory response to the disease.

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Section: Introductionmentioning

confidence: 99%

Individuals with severe knee osteoarthritis (OA) exhibit altered proximal walking mechanics compared with individuals with less severe OA and those without knee pain

Hunt¹,

Wrigley²,

Hinman³

et al. 2010

Arthritis Care & Research

View full text Add to dashboard Cite

show abstract

“…In addition, patients with severe knee OA has shown greater ankle plantar flexion, knee extension, and hip abduction [15].…”

Section: Discussionmentioning

confidence: 99%

“…In other words, if a single joint does not work poperly, the joints above and below it can be affected. Limited studies have examined the impact of osteoarthritis of the knee on the ankle and hip joints [15].…”

mentioning

confidence: 99%

The Effect of Knee Osteoarthritis on Excursions of Lower Limb Joints During Gait

Jalalvand

Anbarian

Ahanjan

et al. 2017

PTJ

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Purpose: This study aimed to investigate excursion changes at the hip, knee, and ankle joints during gait in patients with knee osteoarthritis (KOA) of varying severity. Methods:The method of research was causal-comparative (Ex Post Facto). A Vicon motion analysis system with 4 T-Series cameras was used to measure the kinematics variables. Fifteen normal subjects without KOA and thirty patients with KOA participated in this study. According to Kellgren and Lawrence radiologic scale, the patients were divided into three groups of mild (n=10), moderate (n=10), and severe (n=10). Kinematics parameters of gait includes the range of motion (ROM) in all three planes of motion at the hip, knee, and ankle joints during gait, which were calculated by Vicon Nexus 1.8.5 software. All data were extracted by Polygon 3.5.1 and then were analyzed in SPSS20 using 1-way ANOVA test. The level of significance was set at P<0.05.Results: There were no significant differences in all kinematics parameters (joint angles) between the healthy and KOA groups (P>0.05). There were significant differences observed between groups of mild, moderate, and severe KOA with healthy one with respect to foot progress angles in the transverse plane, foot eversion/inversion excursion, knee flexion/extension excursion, knee abduction/adduction excursion, hip internal/external rotation excursion, anterior/posterior pelvic tilt, and lateral pelvic tilt (P<0.05). Conclusion:The results showed that some ROM parameters in all three planes of motion can estimate the severity of osteoarthritis. Some observed changes in kinematics parameters are due to effects of compensatory mechanisms, and some might be considered as the severity of the osteoarthritis. In addition, osteoarthritis in one joint had strong effects on other joints.

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“…No objective assessment of the efficacy of acupuncture in treating knee OA by evaluation of gait improvement has been reported in the literature. Three-dimensional gait analysis has been widely used in the diagnosis of various kinds of neurological and musculoskeletal diseases and in the assessment of subsequent treatment (Barr, et al, 1994;Goh, et al, 1993;Huang, et al, 2008aHuang, et al, , 2008bLu, et al, 2008;Messier, et al, 1992;Powers, et al, 1999). Therefore, gait analysis techniques can be very helpful for an objective and quantitative assessment of the treatment effects of acupuncture on knee OA.…”

Section: Immediate Effects Of Acupuncture On Gait Patterns In Patientmentioning

confidence: 99%

Acupuncture Analgesia Research and Clinical Practice in Taiwan

Lin¹,

Chen²

2011

Acupuncture - Concepts and Physiology

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Effects of severity of degeneration on gait patterns in patients with medial knee osteoarthritis

Cited by 85 publications

References 36 publications

Individuals with severe knee osteoarthritis (OA) exhibit altered proximal walking mechanics compared with individuals with less severe OA and those without knee pain

Individuals with severe knee osteoarthritis (OA) exhibit altered proximal walking mechanics compared with individuals with less severe OA and those without knee pain

The Effect of Knee Osteoarthritis on Excursions of Lower Limb Joints During Gait

Acupuncture Analgesia Research and Clinical Practice in Taiwan

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