Cargando…
Does Gait Retraining Have the Potential to Reduce Medial Compartmental Loading in Individuals With Knee Osteoarthritis While Not Adversely Affecting the Other Lower Limb Joints? A Systematic Review
OBJECTIVES: To review the literature regarding gait retraining to reduce knee adduction moments and their effects on hip and ankle biomechanics. DATA SOURCES: Twelve academic databases were searched from inception to January 2019. Key words “walk*” OR “gait,” “knee” OR “adduction moment,” “osteoarth...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7853380/ https://www.ncbi.nlm.nih.gov/pubmed/33543053 http://dx.doi.org/10.1016/j.arrct.2019.100022 |
_version_ | 1783645948935667712 |
---|---|
author | Bowd, Jake Biggs, Paul Holt, Cathy Whatling, Gemma |
author_facet | Bowd, Jake Biggs, Paul Holt, Cathy Whatling, Gemma |
author_sort | Bowd, Jake |
collection | PubMed |
description | OBJECTIVES: To review the literature regarding gait retraining to reduce knee adduction moments and their effects on hip and ankle biomechanics. DATA SOURCES: Twelve academic databases were searched from inception to January 2019. Key words “walk*” OR “gait,” “knee” OR “adduction moment,” “osteoarthriti*” OR “arthriti*” OR “osteo arthriti*” OR “OA,” and “hip” OR “ankle” were combined with conjunction “and” in all fields. STUDY SELECTION: Abstracts and full-text articles were assessed by 2 individuals against a predefined criterion. DATA SYNTHESIS: Of the 11 studies, sample sizes varied from 8-40 participants. Eight different gait retraining styles were evaluated: hip internal rotation, lateral trunk lean, toe-in, toe-out, increased step width, medial thrust, contralateral pelvic drop, and medial foot weight transfer. Using the Black and Downs tool, the methodological quality of the included studies was fair to moderate ranging between 12 of 25 to 18 of 28. Trunk lean and medial thrust produced the biggest reductions in first peak knee adduction moment. Studies lacked collective sagittal and frontal plane hip and ankle joint biomechanics. Generally, studies had a low sample size of healthy participants with no osteoarthritis and assessed gait retraining during 1 laboratory visit while not documenting the difficulty of the gait retraining style. CONCLUSIONS: Gait retraining techniques may reduce knee joint loading; however, the biomechanical effects to the pelvis, hip, and ankle is unknown, and there is a lack of understanding for the ease of application of the gait retraining styles. |
format | Online Article Text |
id | pubmed-7853380 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-78533802021-02-03 Does Gait Retraining Have the Potential to Reduce Medial Compartmental Loading in Individuals With Knee Osteoarthritis While Not Adversely Affecting the Other Lower Limb Joints? A Systematic Review Bowd, Jake Biggs, Paul Holt, Cathy Whatling, Gemma Arch Rehabil Res Clin Transl Systematic Review and Meta-Analysis OBJECTIVES: To review the literature regarding gait retraining to reduce knee adduction moments and their effects on hip and ankle biomechanics. DATA SOURCES: Twelve academic databases were searched from inception to January 2019. Key words “walk*” OR “gait,” “knee” OR “adduction moment,” “osteoarthriti*” OR “arthriti*” OR “osteo arthriti*” OR “OA,” and “hip” OR “ankle” were combined with conjunction “and” in all fields. STUDY SELECTION: Abstracts and full-text articles were assessed by 2 individuals against a predefined criterion. DATA SYNTHESIS: Of the 11 studies, sample sizes varied from 8-40 participants. Eight different gait retraining styles were evaluated: hip internal rotation, lateral trunk lean, toe-in, toe-out, increased step width, medial thrust, contralateral pelvic drop, and medial foot weight transfer. Using the Black and Downs tool, the methodological quality of the included studies was fair to moderate ranging between 12 of 25 to 18 of 28. Trunk lean and medial thrust produced the biggest reductions in first peak knee adduction moment. Studies lacked collective sagittal and frontal plane hip and ankle joint biomechanics. Generally, studies had a low sample size of healthy participants with no osteoarthritis and assessed gait retraining during 1 laboratory visit while not documenting the difficulty of the gait retraining style. CONCLUSIONS: Gait retraining techniques may reduce knee joint loading; however, the biomechanical effects to the pelvis, hip, and ankle is unknown, and there is a lack of understanding for the ease of application of the gait retraining styles. Elsevier 2019-09-05 /pmc/articles/PMC7853380/ /pubmed/33543053 http://dx.doi.org/10.1016/j.arrct.2019.100022 Text en Crown Copyright © 2019 Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Systematic Review and Meta-Analysis Bowd, Jake Biggs, Paul Holt, Cathy Whatling, Gemma Does Gait Retraining Have the Potential to Reduce Medial Compartmental Loading in Individuals With Knee Osteoarthritis While Not Adversely Affecting the Other Lower Limb Joints? A Systematic Review |
title | Does Gait Retraining Have the Potential to Reduce Medial Compartmental Loading in Individuals With Knee Osteoarthritis While Not Adversely Affecting the Other Lower Limb Joints? A Systematic Review |
title_full | Does Gait Retraining Have the Potential to Reduce Medial Compartmental Loading in Individuals With Knee Osteoarthritis While Not Adversely Affecting the Other Lower Limb Joints? A Systematic Review |
title_fullStr | Does Gait Retraining Have the Potential to Reduce Medial Compartmental Loading in Individuals With Knee Osteoarthritis While Not Adversely Affecting the Other Lower Limb Joints? A Systematic Review |
title_full_unstemmed | Does Gait Retraining Have the Potential to Reduce Medial Compartmental Loading in Individuals With Knee Osteoarthritis While Not Adversely Affecting the Other Lower Limb Joints? A Systematic Review |
title_short | Does Gait Retraining Have the Potential to Reduce Medial Compartmental Loading in Individuals With Knee Osteoarthritis While Not Adversely Affecting the Other Lower Limb Joints? A Systematic Review |
title_sort | does gait retraining have the potential to reduce medial compartmental loading in individuals with knee osteoarthritis while not adversely affecting the other lower limb joints? a systematic review |
topic | Systematic Review and Meta-Analysis |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7853380/ https://www.ncbi.nlm.nih.gov/pubmed/33543053 http://dx.doi.org/10.1016/j.arrct.2019.100022 |
work_keys_str_mv | AT bowdjake doesgaitretraininghavethepotentialtoreducemedialcompartmentalloadinginindividualswithkneeosteoarthritiswhilenotadverselyaffectingtheotherlowerlimbjointsasystematicreview AT biggspaul doesgaitretraininghavethepotentialtoreducemedialcompartmentalloadinginindividualswithkneeosteoarthritiswhilenotadverselyaffectingtheotherlowerlimbjointsasystematicreview AT holtcathy doesgaitretraininghavethepotentialtoreducemedialcompartmentalloadinginindividualswithkneeosteoarthritiswhilenotadverselyaffectingtheotherlowerlimbjointsasystematicreview AT whatlinggemma doesgaitretraininghavethepotentialtoreducemedialcompartmentalloadinginindividualswithkneeosteoarthritiswhilenotadverselyaffectingtheotherlowerlimbjointsasystematicreview |