Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses

Hip joint loads need careful consideration during postoperative physiotherapy after joint replacement. One factor influencing joint loads is the choice of footwear, but it remains unclear which footwear is favorable. The objective of the present study was to investigate the influence of footwear on...

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Autores principales: Palmowski, Y., Popović, S., Kosack, D., Damm, P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8115277/
https://www.ncbi.nlm.nih.gov/pubmed/33980984
http://dx.doi.org/10.1038/s41598-021-89611-8
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author Palmowski, Y.
Popović, S.
Kosack, D.
Damm, P.
author_facet Palmowski, Y.
Popović, S.
Kosack, D.
Damm, P.
author_sort Palmowski, Y.
collection PubMed
description Hip joint loads need careful consideration during postoperative physiotherapy after joint replacement. One factor influencing joint loads is the choice of footwear, but it remains unclear which footwear is favorable. The objective of the present study was to investigate the influence of footwear on hip joint loads in vivo. Instrumented hip endoprostheses were used for in vivo load measurements. The parameters resultant contact force (F(res)), bending moment (M(bend)) and torsional moment (M(tors)) were evaluated during treadmill walking at 4 km/h with different shoe types. In general, footwear tended to increase hip joint loading, with the barefoot shoe having the least influence. F(res) and M(bend) were significantly increased during heel strike for all shoe types in comparison to barefoot walking, with everyday shoe (34.6%; p = 0.028 and 47%; p = 0.028, respectively) and men’s shoe (33.2%; p = 0.043 and 41.1%; p = 0.043, respectively) resulting in the highest changes. M(tors) at AbsMax was increased by all shoes except for the barefoot shoe, with the highest changes for men’s shoe (+ 17.6%, p = 0.043) and the shoe with stiffened sole (+ 17.5%, p = 0.08). Shoes, especially those with stiff soles or elaborate cuishing and guiding elements, increase hip joint loads during walking. The influence on peak loads is higher for M(tors) than for F(res) and M(bend). For patients in which a reduction of hip joints loads is desired, e.g. during physiotherapy after recent surgery or to alleviate symptoms of osteoarthritis, low profile shoes with a flexible sole may be preferred over shoes with a stiff sole or elaborate cushioning elements.
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spelling pubmed-81152772021-05-14 Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses Palmowski, Y. Popović, S. Kosack, D. Damm, P. Sci Rep Article Hip joint loads need careful consideration during postoperative physiotherapy after joint replacement. One factor influencing joint loads is the choice of footwear, but it remains unclear which footwear is favorable. The objective of the present study was to investigate the influence of footwear on hip joint loads in vivo. Instrumented hip endoprostheses were used for in vivo load measurements. The parameters resultant contact force (F(res)), bending moment (M(bend)) and torsional moment (M(tors)) were evaluated during treadmill walking at 4 km/h with different shoe types. In general, footwear tended to increase hip joint loading, with the barefoot shoe having the least influence. F(res) and M(bend) were significantly increased during heel strike for all shoe types in comparison to barefoot walking, with everyday shoe (34.6%; p = 0.028 and 47%; p = 0.028, respectively) and men’s shoe (33.2%; p = 0.043 and 41.1%; p = 0.043, respectively) resulting in the highest changes. M(tors) at AbsMax was increased by all shoes except for the barefoot shoe, with the highest changes for men’s shoe (+ 17.6%, p = 0.043) and the shoe with stiffened sole (+ 17.5%, p = 0.08). Shoes, especially those with stiff soles or elaborate cuishing and guiding elements, increase hip joint loads during walking. The influence on peak loads is higher for M(tors) than for F(res) and M(bend). For patients in which a reduction of hip joints loads is desired, e.g. during physiotherapy after recent surgery or to alleviate symptoms of osteoarthritis, low profile shoes with a flexible sole may be preferred over shoes with a stiff sole or elaborate cushioning elements. Nature Publishing Group UK 2021-05-12 /pmc/articles/PMC8115277/ /pubmed/33980984 http://dx.doi.org/10.1038/s41598-021-89611-8 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Palmowski, Y.
Popović, S.
Kosack, D.
Damm, P.
Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses
title Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses
title_full Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses
title_fullStr Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses
title_full_unstemmed Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses
title_short Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses
title_sort analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8115277/
https://www.ncbi.nlm.nih.gov/pubmed/33980984
http://dx.doi.org/10.1038/s41598-021-89611-8
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