We have located links that may give you full text access.
JOURNAL ARTICLE
RESEARCH SUPPORT, NON-U.S. GOV'T
Prediction of knee joint moment changes during walking in response to wedged insole interventions.
Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine 2016 April
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. The percent changes relative to control were determined. Then, participants completed single-step trials with each footwear condition where only the changes in mediolateral positions of the knee joint center, shank center of mass, ankle joint center, and foot center of mass relative to control were determined. These variables were used as predictors in regression equations where the change in knee adduction moment during walking was the dependent variable. The change in mediolateral positions of the lower extremity during a single step significantly predicted the change in knee adduction moment during walking for the lateral wedge in both the healthy (R(2) = 0.72, p = 0.008) and knee osteoarthritis (R(2) = 0.52, p = 0.026) groups, and also for the medial wedge in both the healthy (R(2) = 0.67, p = 0.016) and knee osteoarthritis (R(2) = 0.54, p = 0.020) groups. The method of using mediolateral position data from a single-step movement to predict walking biomechanics was successful. These data are relatively simple to collect and analyze, offering the possibility for future incorporation into a wedge prediction system.
Full text links
Trending Papers
A Personalized Approach to the Management of Congestion in Acute Heart Failure.Heart International 2023
Potential Mechanisms of the Protective Effects of the Cardiometabolic Drugs Type-2 Sodium-Glucose Transporter Inhibitors and Glucagon-like Peptide-1 Receptor Agonists in Heart Failure.International Journal of Molecular Sciences 2024 Februrary 21
The Effect of Albumin Administration in Critically Ill Patients: A Retrospective Single-Center Analysis.Critical Care Medicine 2024 Februrary 8
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app