Document Detail


Dynamic alignment and its association with knee adduction moment in medial knee osteoarthritis.
MedLine Citation:
PMID:  19896383     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Lower limb dynamic alignment represents the limb position during functional loading conditions and obtains valuable information throughout the gait cycle rather than a single instant in time. This study aims to determine whether dynamic alignment is altered in medial knee osteoarthritis (OA) and how dynamic alignment is related to knee adduction moment (KAM). Community-dwelling women (n=17) with medial OA in at least one knee, according to the American College of Rheumatology criteria and 17 body mass index-matched women without OA were recruited. A three-dimensional motion analysis system was used to collect the gait data at self-selected habitual and maximal speeds. Clinical evaluation of lower extremities, physical function, pain, habitual level of physical activity, quality of life and physical self-efficacy were assessed. Shank adduction angle and shank mean angular velocity were significantly greater in the OA group compared to the controls from heel strike to 30% stance. KAM was not different between the groups (p=0.542). Dynamic alignment variables were the best predictors of KAM. Health-related quality of life, habitual level of physical activity, lower extremity muscle strength and balance performance were impaired in the OA group compared to the controls. The importance of variables that contribute to dynamic alignment and the contribution of limb alignment to KAM were highlighted in this study. Detection of postural changes such as altered dynamic alignment in early stages of OA will lead to the institution of joint-protective measures including changes in footwear, orthotics, gait re-training, use of assistive devices to reduce weight-bearing loads, strengthening and balance enhancing exercises, better analgesia, or cartilage-preserving pharmacotherapy.
Authors:
Nasim Foroughi; Richard M Smith; Angela K Lange; Michael K Baker; Maria A Fiatarone Singh; Benedicte Vanwanseele
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2009-11-05
Journal Detail:
Title:  The Knee     Volume:  17     ISSN:  1873-5800     ISO Abbreviation:  Knee     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-04-23     Completed Date:  2010-08-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9430798     Medline TA:  Knee     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  210-6     Citation Subset:  IM    
Affiliation:
Exercise, Health and Performance Research Group, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia. n.foroughi@usyd.edu.au
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MeSH Terms
Descriptor/Qualifier:
Aged
Biomechanics*
Cross-Sectional Studies
Female
Gait*
Humans
Middle Aged
Osteoarthritis, Knee / physiopathology*
Range of Motion, Articular / physiology*
Walking*
Weight-Bearing

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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