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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Influences of knee osteoarthritis and walking difficulty on knee kinematics and kinetics
Gait & posture, v 61, pp 439-444
01 Mar 2018
PMID: 29477961
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Self-reported walking difficulty is a problem among patients with knee osteoarthritis (OA), however, these patients have never been studied as a subgroup population.
Objective: The purpose of this study is to examine known knee OA gait mechanics among those with knee OA, with (Diff) and without (NoDiff) self-reported walking difficulty, as compared to age-and sex-matched controls without knee OA.
Methods: A total of 39 subjects in three groups of 13 individuals walked at a controlled gait speed during instrumented gait analysis. Gait mechanics were compared between a priori determined groups using the independent t-test.
Results: The results of the study found that among those with knee OA, knee excursion angles were not significantly different between the Diff and NoDiff groups. Whereas, external knee moments were significantly different between the Diff and NoDiff groups but not between the NoDiff and the control groups. The lack of difference between the NoDiff and control groups were especially interesting because of the moderate to severe OA in the NoDiff group. Therefore, the findings of this study suggest the importance of considering self-reported walking difficulty among those with knee OA. Perhaps patients with knee OA-related walking difficulties use alternative gait parameters that may need to be clinically addressed. Strengths of the study included a matched design and controlled walking speed, whereas limitations were the small sample size and cross-sectional design.
Conclusions: Given the relationships found among self-reported walking difficulty, OA presence, and gait parameters, addressing gait parameters specifically related to walking difficulty may be indicated in this subgroup knee OA population.
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Details
- Title
- Influences of knee osteoarthritis and walking difficulty on knee kinematics and kinetics
- Creators
- Annalisa Na - The University of Texas Medical Branch at GalvestonSara R. Piva - University of PittsburghThomas S. Buchanan - University of Delaware
- Publication Details
- Gait & posture, v 61, pp 439-444
- Publisher
- Elsevier
- Number of pages
- 6
- Grant note
- Orthopaedic Section of the American Physical Therapy Association U54GM104941 / NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of General Medical Sciences (NIGMS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Physical Therapy (and Rehabilitation Sciences)
- Web of Science ID
- WOS:000428028400065
- Scopus ID
- 2-s2.0-85042390990
- Other Identifier
- 991021867023904721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Neurosciences
- Orthopedics
- Sport Sciences