Exercise, Gait Retraining, Footwear and Insoles for Knee Osteoarthritis

Hinman, Rana S; Hunt, Michael A.; Simić, Milena; Bennell, Kim L

doi:10.1007/s40141-012-0004-8

Cited by 7 publications

(5 citation statements)

References 66 publications

(58 reference statements)

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“…The benefits of exercise for knee OA on pain, physical function and quality of life are well-established [ 8 , 9 ]. Given that muscle weakness is widespread in knee OA [ 10 ], muscle strengthening is an important component of exercise programs for people with the condition.…”

Section: Introductionmentioning

confidence: 99%

Technology versus tradition: a non-inferiority trial comparing video to face-to-face consultations with a physiotherapist for people with knee osteoarthritis. Protocol for the PEAK randomised controlled trial

Hinman

Kimp

Campbell

et al. 2020

BMC Musculoskelet Disord

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Background: Knee osteoarthritis (OA) is a global problem that causes significant pain and physical dysfunction, substantially impacting on quality of life and imposing enormous cost to the healthcare system. Exercise is pivotal to OA management, yet uptake by people with knee OA is inadequate. Limited access to appropriately skilled health professionals, such as physiotherapists, for prescription of an exercise program and support with exercise is a major barrier to optimal care. Internet-enabled video consultations permit widespread reach. However, services offering video consultations with physiotherapists for musculoskeletal conditions are scant in Australia where there is typically no Government or private health insurer funding for such services. The paucity of robust evidence demonstrating video consultations with physiotherapists are clinically effective, safe and cost-effective for knee OA is hampering implementation of, and willingness of healthcare policymakers to pay for, these services.

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Section: Introductionmentioning

confidence: 99%

Technology versus tradition: a non-inferiority trial comparing video to face-to-face consultations with a physiotherapist for people with knee osteoarthritis. Protocol for the PEAK randomised controlled trial

Hinman

Kimp

Campbell

et al. 2020

BMC Musculoskelet Disord

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“…The KAM-time integral or KAM impulse which was reported to be more sensitive at distinguishing disease severities than the maximum KAM 7 was calculated by integrating the KAM relative to time during the stance phase, representing accumulation of the KAM according to time. The positive and negative KAM-time integral values were calculated separately to represent the adduction and abduction moment, respectively 42 . Average values of 3 repetitive measurements of both the KAM-time integral and the maximum KAM were used in the analysis.…”

Section: D Gait Analysismentioning

confidence: 99%

Correction to at Least Neutral Alignment during High Tibial Osteotomy is Sufficient in Reducing the Knee Adduction Moment

Kang,

Lee,

Lee

et al. 2024

Preprint

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High tibial osteotomy (HTO) for varus knee osteoarthritis traditionally aims to overcorrect the mechanical tibiofemoral angle (mTFA) to become valgus. However, valgus overcorrection in HTO increases problems such as knee joint line abnormality, hinge fracture, and patellar height change. Thus, there is a trend to avoid overcorrection, but biomechanical basis for abandoning the overcorrection is lacking. From a dynamic perspective, medial-to-lateral knee joint load distribution during gait can be reflected by knee adduction moment (KAM), and the main purpose of HTO is to reduce the KAM increased during gait due to varus alignment. We tried to reveal the association between the KAM obtained from three-dimensional gait analysis and various static alignment parameters, including mTFA, measured from the standing whole limb anteroposterior radiograph and through this, to suggest a dynamically optimal target for HTO. When grouped according to the alignment by the interval of 1°, lower extremities with 3° to 8° of varus had greater KAM values than those with 0° to 5° of valgus. However, within groups of 0° to 5° of valgus, there were no significant differences. Therefore, the varus must be corrected to at least neutral alignment during HTO, but valgus overcorrection does not further reduce the KAM.

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“…Given the robust research attesting to the benefits of exercise on pain, physical function, performance and quality of life in people with knee OA [8][9][10], exercise is generally advised. Muscle strengthening is particularly important, given the lower limb weakness associated with knee OA [11][12][13] and the ability of muscle strengthening exercises to improve a range of important clinical outcomes [10]. Unfortunately, long-term adherence to exercise is poor [14,15] in people with knee OA, particularly if support via contact with a health professional has ceased, is unavailable or is not possible.…”

Section: Introductionmentioning

confidence: 99%

Exercise adherence Mobile app for Knee Osteoarthritis: protocol for the MappKO randomised controlled trial

Hinman

Nelligan

Campbell

et al. 2022

BMC Musculoskelet Disord

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Background In people with knee osteoarthritis (OA), ongoing exercise participation, particularly with strengthening exercises, is central to management. Patient adherence to prescribed exercise typically declines once consultations with a clinician have ceased. Mobile applications (apps) can incorporate behaviour change techniques that may assist adherence, potentially optimising clinical outcomes. Methods This is a two-arm, pragmatic, superiority randomised trial. One hundred and eighty two Australians with chronic knee pain (clinical knee OA) and who have at least a mild level of physical dysfunction are being recruited. Participants are randomly allocated i) exercise (physiotherapist-prescribed exercise) or; ii) exercise plus app (physiotherapist-prescribed exercise plus access to the ‘My Exercise Messages’ mobile app). Exercise care comprises two videoconferencing consultations with a physiotherapist over two weeks (30 min each) for a strengthening exercise program, which is then conducted independently at home for 24 weeks without any further physiotherapist consultations. Participants are also provided with exercise resources to facilitate home-based exercise. Those randomised to exercise plus app will download the app after completing the two weeks of physiotherapy consultations and will be instructed by research staff to use the app for the 24 weeks of unsupervised home-based exercises. The app works by tracking completion of weekly exercise sessions, providing regular messages to facilitate weekly exercise and providing personalised messages to help overcome individual barriers to exercise participation. The two primary outcomes are i) self-reported physical function; and ii) number of days strengthening exercises were performed (previous fortnight), with a primary endpoint of 26 weeks and a secondary endpoint of 14 weeks. Secondary outcomes include knee pain severity; knee-related quality of life; global change; exercise program satisfaction; exercise self-efficacy; physical activity; sport and recreation function; another measure of exercise adherence; and willingness to undergo joint replacement. Process measures are also included. Discussion Findings will determine if a theory-informed mobile app improves exercise adherence and physical function in people with knee OA who have received a home-based strengthening program. Trial Registration Australian New Zealand Clinical Trials Registry, ACTRN12621000724875. Prospectively registered 9/06/2021.

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Exercise, Gait Retraining, Footwear and Insoles for Knee Osteoarthritis

Cited by 7 publications

References 66 publications

Technology versus tradition: a non-inferiority trial comparing video to face-to-face consultations with a physiotherapist for people with knee osteoarthritis. Protocol for the PEAK randomised controlled trial

Technology versus tradition: a non-inferiority trial comparing video to face-to-face consultations with a physiotherapist for people with knee osteoarthritis. Protocol for the PEAK randomised controlled trial

Correction to at Least Neutral Alignment during High Tibial Osteotomy is Sufficient in Reducing the Knee Adduction Moment

Exercise adherence Mobile app for Knee Osteoarthritis: protocol for the MappKO randomised controlled trial

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