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Knee osteoarthritis footwear

Narelle Wyndow, Kay M Crossley, Bill Vicenzino, Kylie Tucker, Natalie J Collins
BACKGROUND: Patellofemoral joint osteoarthritis is a common condition, yet information regarding conservative management is lacking. Foot orthoses are an effective intervention for improving pain and function in younger individuals with patellofemoral pain and may be effective in those with patellofemoral osteoarthritis. This pilot study will seek to establish the feasibility of a phase III randomised controlled trial to investigate whether foot orthoses worn in prescribed motion controlled footwear are superior to prescribed motion control footwear alone in the management of patellofemoral osteoarthritis...
2017: Journal of Foot and Ankle Research
A Van Ginckel, K L Bennell, P K Campbell, J Kasza, T V Wrigley, D J Hunter, R S Hinman
OBJECTIVE: To examine whether change in pain location is associated with clinically-relevant improvements in walking pain severity and physical dysfunction in people with medial tibiofemoral osteoarthritis (OA) using footwear for self-management. DESIGN: We analysed a sub-set of 91 participants pooled from both arms of a 6-month randomised controlled trial of footwear for knee OA. The Photographic Knee Pain Map was self-administered to generate changes in the number of painful zones ('unchanged', 'increased', 'decreased') and anatomical patterns of pain ('unchanged', 'no longer diffuse', 'becoming diffuse', 'other pattern changes')...
March 8, 2017: Osteoarthritis and Cartilage
Deborah Solomonow-Avnon, Amir Herman, Daniel Levin, Nimrod Rozen, Eli Peled, Alon Wolf
Footwear-generated biomechanical manipulation of lower-limb joints was shown to beneficially impact gait and quality of life in knee osteoarthritis patients, but has not been tested in hip osteoarthritis patients. We examined a customized gait treatment program using a biomechanical device shown in previous investigations to be capable of manipulating hip biomechanics via foot center of pressure (COP) modulation. The objective of this study was to assess the treatment program for hip osteoarthritis patients, enrolled in a 1-year prospective investigation, by means of objective gait and spatiotemporal parameters, and subjective quality of life measures...
January 4, 2017: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Ryan T Lewinson, Chad P Maag, Victor M Y Lun, J Preston Wiley, Chirag Patel, Darren J Stefanyshyn
BACKGROUND: Clinical effectiveness of lateral wedges for knee osteoarthritis is inconsistent across studies. One explanation is that knee loading is not fully described by the peak frontal-plane knee moment. The purpose of this study was to propose a 3D resultant approach to describing moments at the knee and evaluate how this moment changes in response to lateral wedges. METHODS: Walking gait analysis was performed on 20 individuals with knee osteoarthritis, in their own shoes, with and without a six millimeter lateral wedge insole...
November 11, 2016: Knee
Amy Wagner, Sarah Luna
BACKGROUND AND PURPOSE: Lower extremity osteoarthritis (OA) is a common condition among older adults; given the risks of surgical and pharmaceutical interventions, conservative, lower-cost management options such as footwear warrant further investigation. This systematic review investigated the effects of footwear, including shoe inserts, in reducing lower extremity joint pain and improving gait, mobility, and quality of life in older adults with OA. METHODS: The CINAHL, SPORTDiscus, PubMed, RECAL, and Web of Knowledge databases were searched for publications from January 1990 to September 2014, using the terms "footwear," "shoes," "gait," "pain," and "older adult...
November 7, 2016: Journal of Geriatric Physical Therapy
K L Paterson, K L Bennell, T V Wrigley, B R Metcalf, J Kasza, R S Hinman
OBJECTIVE: To validate simple criteria that distinguish flat flexible from stable supportive walking shoes by comparing their effects on the knee adduction moment (KAM) in people with medial knee osteoarthritis (OA). DESIGN: This was a cross-sectional biomechanical study. We proposed five criteria to differentiate flat flexible from stable supportive shoes, and selected three pairs of shoes representing each class for biomechanical testing. 28 participants aged ≥50 years with symptomatic medial knee OA underwent gait analysis barefoot and wearing each of the six selected shoes, in random order...
October 10, 2016: Osteoarthritis and Cartilage
Ratnakar P Veeramachaneni, Matthew N Bartels, Kevin Frison, Timothy Tiu, Rakhi Sutaria, Karen Morice, Se Won Lee
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Ryan T Lewinson, Isabelle A Vallerand, Kelsey H Collins, J Preston Wiley, Victor M Y Lun, Chirag Patel, Linda J Woodhouse, Raylene A Reimer, Jay T Worobets, Walter Herzog, Darren J Stefanyshyn
Wedged insoles are believed to be of clinical benefit to individuals with knee osteoarthritis by reducing the knee adduction moment (KAM) during gait. However, previous clinical trials have not specifically controlled for KAM reduction at baseline, thus it is unknown if reduced KAMs actually confer a clinical benefit. Forty-eight participants with medial knee osteoarthritis were randomly assigned to either a control group where no footwear intervention was given, or a wedged insole group where KAM reduction was confirmed at baseline...
October 2016: Gait & Posture
Ryan T Lewinson, Darren J Stefanyshyn
The study of gait biomechanics in individuals with knee osteoarthritis has become widespread, especially in regards to the knee adduction moment-a variable commonly believed to be associated with knee osteoarthritis progression. Unfortunately, this variable is often studied clinically without considering how it is derived, or what it means in a mechanical context. The use of footwear for knee osteoarthritis management has received much attention as well. However, in many cases, footwear is studied without regard for the mechanical effects they actually induce on the patient...
November 2016: Annals of Biomedical Engineering
Rana S Hinman, Tim V Wrigley, Ben R Metcalf, Penny K Campbell, Kade L Paterson, David J Hunter, Jessica Kasza, Andrew Forbes, Kim L Bennell
BACKGROUND: Appropriate footwear is recommended for self-management of knee osteoarthritis. Shoes that reduce harmful knee loads are available, but symptomatic effects are uncertain. OBJECTIVE: To evaluate the efficacy of unloading shoes in alleviating knee osteoarthritis symptoms. DESIGN: Participant- and assessor-blinded comparative effectiveness randomized, controlled trial. (Australian New Zealand Clinical Trials Registry: ACTRN12613000851763)...
September 20, 2016: Annals of Internal Medicine
Ryan T Lewinson, Darren J Stefanyshyn
Wedged insoles are prescribed for medial knee osteoarthritis to reduce the knee adduction moment; however, it is currently not possible to predict which patients will in fact experience reduced moments. The purpose of this study was to identify a simple method using two-dimensional data for predicting the expected change in knee adduction moments with wedged insoles. Knee adduction moments during walking were determined for healthy individuals (n = 15) and individuals with medial knee osteoarthritis (n = 19) while wearing their own shoe without an insole (control), with a 6-mm medial wedge and with a 6-mm lateral wedge...
April 2016: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
David C Kingston, Liana M Tennant, Helen C Chong, Stacey M Acker
Few studies have measured lower limb muscle activation during high knee flexion or investigated the effects of occupational safety footwear. Therefore, our understanding of injury and disease mechanisms, such as knee osteoarthritis, is limited for these high-risk postures. Peak activation was assessed in eight bilateral lower limb muscles for twelve male participants, while shod or barefoot. Transitions between standing and kneeling had peak quadriceps and tibialis anterior (TA) activations above 50% MVC. Static kneeling and simulated tasks performed when kneeling had peak TA activity above 15% MVC but below 10% MVC for remaining muscles...
September 2016: Ergonomics
Jade M Tan, Maria Auhl, Hylton B Menz, Pazit Levinger, Shannon E Munteanu
This systematic review evaluated the available evidence for the effects of Masai Barefoot Technology (MBT) footwear on lower limb biomechanics during gait. Electronic databases (MEDLINE, EMBASE, CINAHL, SPORTDiscus, and PubMed) were searched in January 2015. Methodological quality of included studies was evaluated using the Quality Index. Standardised mean differences and 95% confidence intervals were calculated, and meta-analysis was conducted where possible. 17 studies satisfied the inclusion criteria; 16 cross-sectional studies and one randomised control trial (RCT)...
January 2016: Gait & Posture
Hylton B Menz, Maria Auhl, Jade M Tan, Pazit Levinger, Edward Roddy, Shannon E Munteanu
OBJECTIVE: To evaluate the effects of prefabricated foot orthoses and rocker-sole footwear on spatiotemporal parameters, hip and knee kinematics, and plantar pressures in people with first metatarsophalangeal (MTP) joint osteoarthritis (OA). METHODS: A total of 102 people with first MTP joint OA were randomly allocated to receive prefabricated foot orthoses or rocker-sole footwear. The immediate biomechanical effects of the interventions (compared to usual footwear) were examined using a wearable sensor motion analysis system and an in-shoe plantar pressure measurement system...
May 2016: Arthritis Care & Research
Fengling Li, Qichang Mei, Yaodong Gu
PURPOSE: Osteoarthritis of the knee is one of the most common diseases. For this chronic disease, modified footwear structure can effectively prevent and relieve disease of the knee. The aim of this study was to explore the effects of shoe surface elastic modulus on external knee adduction moment and ground reaction force and foot loading characteristics. METHODS: Sixteen healthy female volunteers were recruited, and each subject performed five walking trials under two shoes condition...
2015: Acta of Bioengineering and Biomechanics
Francis Trombini-Souza, Alessandra B Matias, Mariane Yokota, Marco K Butugan, Claudia Goldenstein-Schainberg, Ricardo Fuller, Isabel C N Sacco
BACKGROUND: Efforts have been made to retard the progressive debilitating pain and joint dysfunction in patients with knee osteoarthritis. We aimed to evaluate the therapeutic effect of a low-cost minimalist footwear on pain, function, clinical and gait-biomechanical aspects of elderly women with knee osteoarthritis. METHODS: Throughout a randomized, parallel and controlled clinical trial, fifty-six patients with medial knee osteoarthritis were randomly allocated to an intervention (n=28) or control group (n=28), and assessed at baseline and after three and six months...
December 2015: Clinical Biomechanics
Joanna Makovey, Ben Metcalf, Yuqing Zhang, Jian Sheng Chen, Kim Bennell, Lyn March, David J Hunter
BACKGROUND: Knee osteoarthritis (OA) is the most frequent cause of limited mobility and diminished quality of life. Pain is the main symptom that drives individuals with knee OA to seek medical care and a recognized antecedent to disability and eventually joint replacement. Many persons with symptomatic knee OA experience recurrent pain exacerbations. Knowledge and clarification of risk factors for pain exacerbation may allow those affected to minimize reoccurrence of these episodes. OBJECTIVE: The aim of this study is to use a Web-based case-crossover design to identify risk factors for knee pain exacerbations in persons with symptomatic knee OA...
2015: JMIR Research Protocols
R Papalia, G Di Pino, A Tecame, G Vadalà, D Formica, A Di Martino, E Albo, V Di Lazzaro, V Denaro
The aim of this review is to collect and discuss the current best evidence published in literature about the effect of the Masai Barefoot Technology(MBT) shoes on gait and muscle activation and try to draw conclusions on the possible benefits. We searched Medline, CINAHL, Embase and the Cochrane Central Registry of Controlled Trials. The reference lists of the previously selected articles were then examined by hand. Only studies comparing biomechanical and clinical outcomes were selected. Review, anatomical studies, letter to editor and instructional course were excluded...
December 2015: Musculoskeletal Surgery
Matthew R Titchenal, Jessica L Asay, Julien Favre, Thomas P Andriacchi, Constance R Chu
Knee osteoarthritis (OA), a leading cause of disability, is more prevalent in women than men. Wearing high heeled shoes has been implicated as a potential contributing factor for the higher lifetime risk of osteoarthritis in women. This study tests the hypotheses that changes to knee kinematics and kinetics observed during high heeled walking increase in magnitude with increasing heel height and are accentuated by a 20% increase in weight. Fourteen healthy females were tested using marker-based gait analysis in combinations of footwear (flat athletic shoe, 3...
March 2015: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Ryan T Lewinson, Kelsey H Collins, Isabelle A Vallerand, J Preston Wiley, Linda J Woodhouse, Raylene A Reimer, Jay T Worobets, Walter Herzog, Darren J Stefanyshyn
BACKGROUND: Knee osteoarthritis (OA) progression has been linked to increased peak external knee adduction moments (KAMs). Although some trials have attempted to reduce pain and improve function in OA by reducing KAMs with a wedged footwear insole intervention, KAM reduction has not been specifically controlled for in trial designs, potentially explaining the mixed results seen in the literature. Therefore, the primary purpose of this trial is to identify the effects of reduced KAMs on knee OA pain and function...
December 3, 2014: BMC Musculoskeletal Disorders
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