Proximal gait adaptations in individuals with knee osteoarthritis: A systematic review and meta-analysis

Iijima, Hirotaka; Shimoura, Kanako; Ono, Tomoko; Aoyama, Tomoki; Takahashi, Masaki

doi:10.1016/j.jbiomech.2019.02.027

Cited by 28 publications

(23 citation statements)

References 64 publications

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“…As trunk flexion is likely to be influenced by gait speed [15], this may have masked a true difference between the groups. Following their systematic review, Iijima et al [16] concluded that biomechanical alterations of the trunk in the sagittal plane in people with knee OA were not evident from previous research. In contrast, our data support the idea that increased trunk flexion in walking could be a clinical hallmark of people with knee OA, provided that walking speed is appropriately matched between groups and an appropriate marker set used.…”

Section: Discussionmentioning

confidence: 99%

Trunk flexion during walking in people with knee osteoarthritis

2019

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Section: Discussionmentioning

confidence: 99%

Trunk flexion during walking in people with knee osteoarthritis

2019

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“…It is highly important for us to gather more information on gait adaptation parameters that occur in OA [46][47][48][49][50], since gait is a common functional activity of daily life.…”

Section: Discussionmentioning

confidence: 99%

Modified Gait Parameters at the Knee Joint During Midstance in Patients with Osteoarthritis

Stătescu¹,

D²,

Deaconu³

et al. 2021

Preprint

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Background and Objectives: Sports medicine, orthopaedic and rehabilitation physicians use gait analysis and goniometry to evaluate and diagnose patients with neuro-musculo-skeletal diseases. Goniometry is a measuring method that shows the joint’s range of motion. Three-dimensional goniometry has been used in order to assess the patients in a kinematic manner, but they are not affordable, so, phone apps come handy to any orthopaedic or rehabilitation physician so we can have a clear image of the progress made by the patient after the rehabilitation program or should something happen and the patient cannot come to the facility, such as the Covid-19 pandemic, when some orthopaedic and most of the rehabilitation facilities have been temporarily closed. Midstance has been chosen as the moment of the gait evaluation in this paper since it has an important role in stability. The objective of this paper is to figure out if the measurements taken during midstance at the knee joint of the subjects can be statistically significant and used during usual examinations. Materials and Methods: Four groups of subjects: patients suffering from hip, knee, hip and knee osteoarthritis and a control group volunteered their participation, being asked to normally walk while their gait was recorded and uploaded into Angles App – a phone based videogoniometer. Results: Patients suffering from hip osteoarthritis have a higher knee angle on the right side than the ones suffering from knee osteoarthritis, hip and knee osteoarthritis and the control group. Female patients suffering from hip osteoarthritis also presented a more flexed knee than the ones suffering from knee osteoarthritis and the ones in the control group, the knee flexion presenting itself as a compensation mechanism. Conclusion: Video goniometry can help us make an orthopaedic, rehabilitation or neurology database for each assessment with constant updates of the evolution of the osteoarthritis patient’s treatment.

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“…With the progression of degenerative processes accompanying OA, gait adaptation is inevitable [49][50][51][52][53]. While the speed of gait is visible impacted [54], the ROM of the knee is less investigated, but left uncorrected it increases the risk of instability and falls [41,43].…”

Section: Discussionmentioning

confidence: 99%

Osteoarthritis Induces Gender Related Changes in the Knee Range of Motion

Stătescu¹,

D²,

Gavrilă³

et al. 2021

Preprint

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In time, osteoarthritis (OA) generates the misalignment of the affected joint structures. However, due to the nature of bipedal gait, OA in the lower limb can also cause pathological gait patterns, which can generate instability and falls, with great consequence, especially in the aged population. With goniometry used to evaluate the range of motion of joints (ROM), we wanted to evaluate how gender impacts gait dynamics in OA patients. For this study we have compared 106 OA patients (male=32, female=74) to age matched controls. All participants had their right leg as dominant. Video recording of normal gait was analysed with a digital goniometry tool phone application, and the knee’s ROM was measured in midstance and midswing of the gait. During midstance, significant extension and flexion of the knee excursion have been observed in both males and females. During midswing, knee OA presents more differences, whereas subjects with hip and knee OA present changes on the dominant knee. Midstance changes suggest that the knee’s joint degenerative changes can be linked to hip OA secondary changes. Midswing changes in lower limb OA suggest a connection to the activities of daily life. Gender differences generated by OA must furthermore be studied in both lower limbs so that the best therapeutic approach can be chosen.

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Proximal gait adaptations in individuals with knee osteoarthritis: A systematic review and meta-analysis

Cited by 28 publications

References 64 publications

Trunk flexion during walking in people with knee osteoarthritis

Trunk flexion during walking in people with knee osteoarthritis

Modified Gait Parameters at the Knee Joint During Midstance in Patients with Osteoarthritis

Osteoarthritis Induces Gender Related Changes in the Knee Range of Motion

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