The control of genu recurvatum by combining the Swedish knee-cage and an ankle — foot brace

Isakov, Eli; Mizrahi, J.; Onna, I.; Susak, Z

doi:10.3109/09638289209165859

Cited by 13 publications

(6 citation statements)

References 9 publications

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“…Conventional attempts to control knee hyperextension during ambulation, such as bracing, 7 taping, 9 and muscle strengthening, 9 have had limited success. While some of these approaches produce shortterm improvement, patient compliance and the ability of these interventions to affect the underlying motor pattern limit long-term benefits.…”

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confidence: 99%

Efficacy of Gait Training With Real-Time Biofeedback in Correcting Knee Hyperextension Patterns in Young Women

Teran-Yengle

Birkhofer²,

M³

et al. 2011

Journal of Orthopaedic & Sports Physical Therapy

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Study Design Single cohort study. Objectives To investigate the efficacy of real-time biofeedback provided during treadmill gait training to correct knee hyperextension in asymptomatic females while walking. Background Knee hyperextension is associated with increased stress to the posterior capsule of the knee joint, anterior cruciate ligament, and the anterior compartment of the tibiofemoral joint. Previous methods aimed at correcting knee hyperextension have shown limited success. Methods Ten women, ages 18 to 39 years, with asymptomatic knee hyperextension during ambulation, were provided with 6 sessions of real-time feedback of kinematic data (Visual 3D) during treadmill training. Gait evaluations were performed pretraining, posttraining, and 1 month after the last training session. Results Participants showed improved control of knee hyperextension during overground walking at 1.3 m/s at posttraining and at 1 month posttraining. Conclusion The present study demonstrated that knee sagittal plane kinematics may be influenced by gait retraining using real-time biofeedback. J Orthop Sports Phys Ther 2011;41(12):948–952, Epub 25 October 2011. doi:10.2519/jospt.2011.3660

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confidence: 99%

Efficacy of Gait Training With Real-Time Biofeedback in Correcting Knee Hyperextension Patterns in Young Women

Teran-Yengle

Birkhofer²,

M³

et al. 2011

Journal of Orthopaedic & Sports Physical Therapy

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“…The diagnoses in these cases were: patellar instability and pain caused by constitutional recurvatum (n=2), posterolateral laxity (lesions of the posterior cruciate ligament and structures of the posterolateral corner; (n=2), medial degenerative osteoarthritis due to genu varum and recurvatum (n=2), and chronic anterior laxity and recurvatum (n=5). Before undergoing the procedure all patients received properly conducted rehabilitation and had worn an antirecurvatum knee brace [1,10]. None of the patients had a bone deformity that could have caused or contributed to genu recurvatum.…”

Section: Initial Experiencementioning

confidence: 99%

Original technique for the treatment of ligament-related genu recurvatum: preliminary results

Piriou

Garreau

Combelles³

et al. 2002

Knee Surg Sports Traumatol Arthrosc

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IntroductionFor treatment of ligament-related genu recurvatum the authors developed a technique of retightening the posterior capsule without affecting its integrity. The technique addresses poorly tolerated constitutional genu recurvatum and ligament-related genu recurvatum [16]. This technique is not indicated for genu recurvatum due to osseous deformity, the correction of which obviously involves an osseous intervention [9]. In ligament-related genu recurvatum, in which capsuloligamentous distension typically progressively develops during a chronic phase that can follow severe sprains of the knee (Fig. 1). The authors propose an original technique of tightening the posterior capsule without altering its integrity as would section followed by suturing. Section techniques are frequently subject either to secondary distension or to limitation of knee extension by excessive tightness. Surgical technique Principle of the techniqueThe technique is based upon retightening the posterior capsule and ligament without altering their continuity, in contrast with the technique of section followed by suturing the overlapping edges of the incised capsule. Among its advantages, the present technique does not modify the anatomical position of these insertions, obviating potential dynamic functional pitfalls. The postoperative healing process involves osseous consolidation, which is less haphazard than ligamentous healing. Finally, the simplicity of the intervention and the possibility of secure fixation with osteosynthesis foster relatively early rehabilitation.Abstract The authors report an original technique for treating the genu recurvatum of ligamentous origin. Therapeutic modalities for genu recurvatum are complex and vary with the cause. Moreover, the operations that are designed to correct posterior capsuloligamentous laxity in the knee by exclusively nonosseous procedures frequently lead to secondary distension or to limitation of knee extension by excessive tightness. The authors propose a technique for tightening the posterior capsule without altering its integrity, as would section followed by suturing. The technique, which consists in rolling the bony insertions of the posterior capsule, is described, along with preliminary results in 11 patients.

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“…7 Treatment for knee hyperextension includes pharmacological therapy (drugs, cold spray, and transdermal patch), kinesio-taping (X-shape motion limitation or unloading taping technique), assistive devices (orthoses), surgical treatment, and therapeutic exercises (muscle imbalance correction, proprioceptive practice, gait, and functional training). 4,[8][9][10][11] Previous studies have reported that conservative interventions, such as pharmacological therapy, taping, or knee bracing, may be used initially to facilitate knee control. However, there are issues associated with each treatment, including difficulty of use and side effects (e.g., skin problems, abuse).…”

Section: Introductionmentioning

confidence: 99%

The Effects of Visual Biofeedback Information on Hyperextended Knee Control

Jung

Jeon

2021

J Kor Phys Ther

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Purpose: A hyperextended knee is described as knee pain associated with an impaired knee extensor mechanism. Additionally, a hyperextended knee may involve reduced position sense of the knee joint that decreases the individual's ability to control end-range knee extension movement. The purpose of this study was to investigate the effects of visual biofeedback information for plantar pressure distribution on knee joint angle and lower extremity muscle activities in participants with hyperextended knees. Methods: Twenty-three participants with hyperextended knees were recruited for the study. Surface electromyography signals were recorded for the biceps femoris, rectus femoris, gastrocnemius, and tibialis anterior muscle activities. The plantar pressure distribution was displayed and measured using a pressure distribution measuring plate. Knee joint angle kinematic parameters were recorded using a motion analysis system. The visual biofeedback condition was the point at which the difference between the forefoot and backfoot plantar foot pressure on the monitor was minimized. The Wilcoxon signed-rank test was used to determine the significance between the visual biofeedback condition and the preferred condition. Results: The knee joint angle was significantly decreased in the visual biofeedback condition compared to that in the preferred condition (p< 0.05). The rectus femoris and gastrocnemius muscle activities were significantly different between the visual biofeedback and preferred conditions (p< 0.05). Conclusion:The results of this study showed that visual biofeedback of information about plantar pressure distribution is effective for correcting hyperextended knees.

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The control of genu recurvatum by combining the Swedish knee-cage and an ankle — foot brace

Cited by 13 publications

References 9 publications

Efficacy of Gait Training With Real-Time Biofeedback in Correcting Knee Hyperextension Patterns in Young Women

Efficacy of Gait Training With Real-Time Biofeedback in Correcting Knee Hyperextension Patterns in Young Women

Original technique for the treatment of ligament-related genu recurvatum: preliminary results

The Effects of Visual Biofeedback Information on Hyperextended Knee Control

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