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https://www.readbyqxmd.com/read/28742277/the-immediate-and-short-term-effects-of-real-time-knee-adduction-moment-feedback-on-the-peak-and-cumulative-knee-load-during-walking
#1
Brennan Jackson, Keith E Gordon, Alison H Chang
The peak external knee adduction moment (pKAM), KAM impulse, and peak knee flexion moment (pKFM) during gait are important loading variables in medial tibiofemoral osteoarthritis. We evaluated the effects of gait modification, using real-time pKAM visual feedback, on pKAM, KAM impulse, and pKFM; and whether participants could maintain the KAM-reducing gait after feedback removal. Eleven healthy individuals performed a series of walking trials on a split-belt instrumented treadmill under 4 conditions of Baseline, Feedback, No Feedback Early, and No Feedback Late...
July 25, 2017: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/28714764/abdominal-hollowing-reduces-lateral-trunk-displacement-during-single-leg-squats-in-healthy-females-but-does-not-affect-peak-hip-abduction-angle-or-knee-abductio-angle-moment
#2
Lukas D Linde, Jessica Archibald, Eve C Lampert, John Z Srbely
CONTEXT: Females suffer 4-6 times more non-contact anterior cruciate ligament (ACL) injuries than males due to neuromuscular control deficits of the hip musculature leading to increases in hip adduction angle, knee abduction angle, and knee abduction moment during dynamic tasks such as single-leg squats. Lateral trunk displacement has been further related to ACL injury risk in females, leading to the incorporation of core strength/stability exercises in ACL preventative training programs...
July 17, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28709152/squatting-biomechanics-in-individuals-with-symptomatic-femoroacetabular-impingement
#3
Laura E Diamond, Kim L Bennell, Tim V Wrigley, Rana S Hinman, John Oʼdonnell, Paul W Hodges
PURPOSE: Identification of the biomechanical alterations in individuals with symptomatic femoroacetabular impingement (FAI) is critical to understand the pathology and inform treatments. Yet hip function in this condition is poorly defined. Squatting requires large hip flexion range and involves motion toward the position of hip impingement; thus, it is likely to expose modified biomechanics in these individuals. This study aimed to determine whether hip and pelvis biomechanics differ between individuals with and without symptomatic FAI during an unconstrained deep squat and a constrained squat designed to limit compensation by the pelvis and trunk...
August 2017: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/28708989/sex-specific-hip-osteoarthritis-associated-gait-abnormalities-alterations-in-dynamic-hip-abductor-function-differ-in-men-and-women
#4
Kharma C Foucher
BACKGROUND: Hip osteoarthritis results in abnormal gait mechanics, but it is not known whether abnormalities are the same in men and women. The hypothesis tested was that gait abnormalities are different in men and women with hip osteoarthritis vs. sex-specific asymptomatic groups. METHODS: 150 subjects with mild through severe radiographic hip osteoarthritis and 159 asymptomatic subjects were identified from an Institutional Review Board-approved motion analysis data repository...
July 4, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28688198/study-of-the-interactions-between-proximal-femur-3d-bone-shape-cartilage-health-and-biomechanics-in-patients-with-hip-osteoarthritis
#5
Valentina Pedoia, Michael A Samaan, Gaurav Inamdar, Matthew C Gallo, Richard B Souza, Sharmila Majumdar
In this study quantitative MRI and gait analysis were used to investigate the relationships between proximal femur 3D bone shape, cartilage morphology, cartilage biochemical composition, and joint biomechanics in subject with hip Osteoarthritis (OA). Eighty subjects underwent unilateral hip MR-imaging: T1ρ and T2 relaxation times were extracted through voxel based relaxometry and bone shape was assessed with 3D MRI-based statistical shape modeling. In addition, 3D gait analysis was performed in seventy-six of the studied subjects...
July 8, 2017: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/28684391/the-effects-of-shoe-worn-insoles-on-gait-biomechanics-in-people-with-knee-osteoarthritis-a-systematic-review-and-meta-analysis
#6
REVIEW
Kathryn E Shaw, Jesse M Charlton, Christina K L Perry, Courtney M de Vries, Matthew J Redekopp, Jordan A White, Michael A Hunt
OBJECTIVES: The effect of shoe-worn insoles on biomechanical variables in people with medial knee osteoarthritis has been studied extensively. The majority of research has focused specifically on the effect of lateral wedge insoles at the knee. The aim of this systematic review and meta-analysis was to summarise the known effects of different shoe-worn insoles on all biomechanical variables during level walking in this patient population to date. METHODS: Four electronic databases were searched to identify studies containing biomechanical data using shoe-worn insole devices in the knee osteoarthritis population...
July 6, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28675778/hip-abductor-muscle-activity-during-walking-in-individuals-with-gluteal-tendinopathy
#7
Kim Allison, Sauro E Salomoni, Kim L Bennell, Tim V Wrigley, Francois Hug, Bill Vicenzino, Alison Grimaldi, Paul W Hodges
The external hip adduction moment during walking is greater in individuals with gluteal tendinopathy (GT) than pain-free controls. Although this likely represents a greater demand on the hip abductor muscles implicated in GT, no study has investigated activation of these muscles in GT. For this purpose, fine wire electrodes were inserted into the segments of the gluteus minimus and medius muscles, and surface electrodes placed on the tensor fascia lata, upper gluteus maximus and vastus lateralis muscles of thirteen individuals with, and thirteen without, GT...
July 4, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/28672154/gait-adaptations-with-aging-in-healthy-participants-and-people-with-knee-joint-osteoarthritis
#8
Lynsey D Duffell, Stevan J Jordan, Justin P Cobb, Alison H McGregor
The relationship between age and gait characteristics in people with and without medial compartment osteoarthritis (OA) remains unclear. We aimed to characterize this relationship and to relate biomechanical and structural parameters in a subset of OA patients. Twenty five participants with diagnosed unilateral medial knee OA and 84 healthy participants, with no known knee pathology were recruited. 3D motion capture was used to analyse sagittal and coronal plane gait parameters while participants walked at a comfortable speed...
June 21, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28653868/knee-frontal-plane-biomechanics-in-adults-with-or-without-bone-marrow-edema-like-lesions-after-anterior-cruciate-ligament-injury
#9
Abbey C Thomas, Riann M Palmieri-Smith
CONTEXT:   Lateral subchondral bone bruises (BBs) occur frequently with anterior cruciate ligament (ACL) injuries. These BBs are associated with pain during weight bearing, leading individuals to increase medial tibiofemoral loading to alleviate pain laterally. Increased medial tibiofemoral loading may precipitate the development or progression of posttraumatic osteoarthritis; however, no in vivo biomechanical data exist to confirm that lateral BBs increase medial tibiofemoral loading as measured by the external knee-adduction moment (KAM)...
June 2, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28649018/rear-foot-kinematics-when-wearing-lateral-wedge-insoles-and-foot-alignment-influence-the-effect-of-knee-adduction-moment-for-medial-knee-osteoarthritis
#10
Tomonori Sawada, Kenji Tanimoto, Kazuki Tokuda, Yoshitaka Iwamoto, Yuta Ogata, Masaya Anan, Makoto Takahashi, Nobuhiro Kito, Koichi Shinkoda
Lateral wedge insoles (LWIs) are prescribed for patients with medial knee osteoarthritis to reduce the external knee adduction moment (KAM). However, the biomechanical effects of LWIs are limited in some patients. The purpose of this study was to investigate whether the biomechanical effects of LWIs depend on individual foot alignment and to examine the relationship between change in KAM and changes in foot and ankle biomechanics when wearing LWIs. Twenty-one patients participated in this study. They were categorized into normal or abnormal foot groups based on the foot posture index (FPI)...
June 15, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28642164/joint-loading-and-proximal-tibia-subchondral-trabecular-bone-microarchitecture-differ-with-walking-gait-patterns-in-end-stage-knee-osteoarthritis
#11
B C Roberts, L B Solomon, G Mercer, K J Reynolds, D Thewlis, E Perilli
OBJECTIVES: To (1) stratify subgroups according to their distinct walking gait patterns in end-stage knee osteoarthritis (OA) patients; (2) compare measures of joint loading and proximal tibia subchondral trabecular bone (STB) microarchitecture among subgroups. DESIGN: Twenty-five knee OA patients undergoing total knee arthroplasty (TKA) had pre-operative gait analysis. Following surgery, excised tibial plateaus were micro-CT-scanned and STB microarchitecture analysed in four tibial condylar regions of interest...
June 20, 2017: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/28640896/beneficial-effects-of-a-gait-used-while-wearing-a-kimono-to-decrease-the-knee-adduction-moment-in-healthy-adults
#12
Susumu Ota, Yukari Ogawa, Hiroki Ota, Tomoya Fujiwara, Tadashi Sugiyama, Akira Ochi
The knee adduction moment (KAM) relates to medial knee osteoarthritis (OA). Several gait modifications to reduce the KAM for the prevention of knee OA have been studied. Most of the modifications, however, involve voluntary changes in leg alignment. Here we investigated the biomechanical effects for reducing the KAM of a walking style with a small trunk rotation and arm swing gait, which is a natural walking style used while wearing a kimono (Nanba walk) that shifts the ground reaction force toward the stance leg (reduced lever arm)...
2017: PloS One
https://www.readbyqxmd.com/read/28639519/knee-joint-kinetics-in-response-to-multiple-three-dimensional-printed-customised-foot-orthoses-for-the-treatment-of-medial-compartment-knee-osteoarthritis
#13
Richard Allan, James Woodburn, Scott Telfer, Mandy Abbott, Martijn Pm Steultjens
The knee adduction moment is consistently used as a surrogate measure of medial compartment loading. Foot orthoses are designed to reduce knee adduction moment via lateral wedging. The 'dose' of wedging required to optimally unload the affected compartment is unknown and variable between individuals. This study explores a personalised approach via three-dimensional printed foot orthotics to assess the biomechanical response when two design variables are altered: orthotic length and lateral wedging. Foot orthoses were created for 10 individuals with symptomatic medial knee osteoarthritis and 10 controls...
June 2017: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://www.readbyqxmd.com/read/28636399/helium-accepts-back-donation-in-highly-polar-complexes-new-insights-into-the-weak-chemical-bond
#14
Francesca Nunzi, Diego Cesario, Fernando Pirani, Leonardo Belpassi, Gernot Frenking, Felice Grandinetti, Francesco Tarantelli
We studied the puzzling stability and short distances predicted by theory for helium adducts with some highly polar molecules, such as BeO or AuF. On the basis of high-level quantum-chemical calculations, we carried out a detailed analysis of the charge displacement occurring upon adduct formation. For the first time we have unambiguously ascertained that helium is able not only to donate electron density, but also, unexpectedly, to accept electron density in the formation of weakly bound adducts with highly polar substrates...
July 10, 2017: Journal of Physical Chemistry Letters
https://www.readbyqxmd.com/read/28632063/kinetic-analysis-of-the-lower-limbs-in-baseball-tee-batting
#15
Kazumichi Ae, Sekiya Koike, Norihisa Fujii, Michiyoshi Ae, Takashi Kawamura
The purpose of this study was to investigate effects of the ground reaction forces on the rotation of the body as a whole and on the joint torques of the lower limbs associated with trunk and pelvic rotation in baseball tee batting. A total of 22 male collegiate baseball players participated in this study. Three-dimensional coordinate data were acquired by a motion capture system (250 Hz), and ground reaction forces of both legs were measured with three force platforms (1,000 Hz). Kinetic data were used to calculate the moment about the vertical axis through the body's centre of mass resulting from ground reaction forces, as well as to calculate the torque and mechanical work in the lower limb joints...
February 28, 2017: Sports Biomechanics
https://www.readbyqxmd.com/read/28618311/predicting-knee-osteoarthritis-risk-in-injured-populations
#16
Michael J Long, Enrica Papi, Lynsey D Duffell, Alison H McGregor
BACKGROUND: Individuals who suffered a lower limb injury have an increased risk of developing knee osteoarthritis. Early diagnosis of osteoarthritis and the ability to track its progression is challenging. This study aimed to explore links between self-reported knee osteoarthritis outcome scores and biomechanical gait parameters, whether self-reported outcome scores could predict gait abnormalities characteristic of knee osteoarthritis in injured populations and, whether scores and biomechanical outcomes were related to osteoarthritis severity via Spearman's correlation coefficient...
June 12, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28614253/a-systematic-review-and-meta-analysis-into-the-effect-of-lateral-wedge-arch-support-insoles-for-reducing-knee-joint-load-in-patients-with-medial-knee-osteoarthritis
#17
REVIEW
Fei Xing, Bin Lu, Ming-Jie Kuang, Ying Wang, Yun-Long Zhao, Jie Zhao, Lei Sun, Yan Wang, Jian-Xiong Ma, Xin-Long Ma
OBJECTIVE: The aim of this study was to evaluate the immediate effects of lateral wedge arch support insoles (LWAS) on reducing the knee joint load in patients with medial knee osteoarthritis (OA) compared with an appropriate control. METHODS: Databases including Medline, EMBASE, Web of Science, Wiley Online Library, Cochrane library, and Google Scholar were searched with no limits on study date or language, from the earliest available date to October 31, 2016. The included studies had to have the aim of reducing knee load and have an appropriate control...
June 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28589390/-unloading-with-insoles-orthotics-and-braces-pre-operative-leg-axis-correction-or-independent-treatment
#18
REVIEW
M Kess, C Stärke, P Henle
BACKGROUND: Knee osteoarthritis (OA) is a leading joint disease. In most of the early stages it does not involve the whole knee joint. Often, symptoms only or mainly concern the medial compartment combined with a slight varus malalignment. OBJECTIVES: Do valgus braces or laterally wedged insoles influence biomechanics and thus improve pain and function in patients with medial OA? Does the OA grade, severity of malalignment or patient's body weight predict the efficacy of the above-mentioned conservative treatment options? MATERIALS AND METHODS: The current literature was reviewed in regard to biomechanical changes to joint loading and their correlation to clinical results...
June 6, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/28577508/change-in-gait-after-high-tibial-osteotomy-a-systematic-review-and-meta-analysis
#19
Seung Hoon Lee, O-Sung Lee, Seow Hui Teo, Yong Seuk Lee
We conducted a meta-analysis to analyze how high tibial osteotomy (HTO) changes gait and focused on the following questions: (1) How does HTO change basic gait variables? (2) How does HTO change the gait variables in the knee joint? Twelve articles were included in the final analysis. A total of 383 knees was evaluated. There were 237 open wedge (OW) and 143 closed wedge (CW) HTOs. There were 4 level II studies and 8 level III studies. All studies included gait analysis and compared pre- and postoperative values...
May 26, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28554150/effect-of-valgus-knee-alignment-on-gait-biomechanics-in-healthy-women
#20
Matthew C Hoch, Joshua T Weinhandl
The purpose of this study was to compare lower extremity kinematics and kinetics between women with greater or lesser degrees of valgus knee alignment during gait. Nine women with greater valgus knee alignment (11.9±1.6°) were compared to nine women with lesser valgus knee alignment (6.6±2.4°). Participants completed a biomechanical assessment of overground walking for the right limb. Dependent variables included sagittal and frontal plane joint angles and moments for the hip, knee, and ankle at peak vertical ground reaction force, along with knee abduction angular impulse...
August 2017: Journal of Electromyography and Kinesiology
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