dc.contributor.author |
Shull, PB |
en |
dc.contributor.author |
Silder, A |
en |
dc.contributor.author |
Shultz, R |
en |
dc.contributor.author |
Dragoo, JL |
en |
dc.contributor.author |
Besier, Thor |
en |
dc.contributor.author |
Delp, SL |
en |
dc.contributor.author |
Cutkosky, MR |
en |
dc.date.accessioned |
2014-10-01T01:47:17Z |
en |
dc.date.issued |
2013-07 |
en |
dc.identifier.citation |
Journal of Orthopaedic Research, 2013, 31 (7), pp. 1020 - 1025 |
en |
dc.identifier.issn |
0736-0266 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/23065 |
en |
dc.description.abstract |
This study examined the influence of a 6-week gait retraining program on the knee adduction moment (KAM) and knee pain and function. Ten subjects with medial compartment knee osteoarthritis and self-reported knee pain participated in weekly gait retraining sessions over 6 weeks. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores and a 10-point visual-analog pain scale score were measured at baseline, post-training (end of 6 weeks), and 1 month after training ended. Gait retraining reduced the first peak KAM by 20% (p < 0.01) post-training as a result of a 7° decrease in foot progression angle (i.e., increased internal foot rotation), compared to baseline (p < 0.01). WOMAC pain and function scores were improved at post-training by 29% and 32%, respectively (p < 0.05) and visual-analog pain scale scores improved by two points (p < 0.05). Changes in WOMAC pain and function were approximately 75% larger than the expected placebo effect (p < 0.05). Changes in KAM, foot progression angle, WOMAC pain and function, and visual-analog pain score were retained 1 month after the end of the 6-week training period (p < 0.05). These results show that a 6-week gait retraining program can reduce the KAM and improve symptoms for individuals with medial compartment knee osteoarthritis and knee pain. |
en |
dc.format.medium |
Print-Electronic |
en |
dc.language |
eng |
en |
dc.publisher |
Wiley - Blackwell |
en |
dc.relation.ispartofseries |
Journal of Orthopaedic Research |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. http://olabout.wiley.com/WileyCDA/Section/id-820227.html
http://www.sherpa.ac.uk/romeo/issn/0736-0266/ |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.subject |
Knee Joint |
en |
dc.subject |
Humans |
en |
dc.subject |
Arthralgia |
en |
dc.subject |
Osteoarthritis, Knee |
en |
dc.subject |
Pain Measurement |
en |
dc.subject |
Gait |
en |
dc.subject |
Range of Motion, Articular |
en |
dc.subject |
Treatment Outcome |
en |
dc.subject |
Severity of Illness Index |
en |
dc.subject |
Aged |
en |
dc.subject |
Middle Aged |
en |
dc.subject |
Female |
en |
dc.subject |
Male |
en |
dc.subject |
Physical Therapy Modalities |
en |
dc.subject |
Biomechanical Phenomena |
en |
dc.title |
Six-week gait retraining program reduces knee adduction moment, reduces pain, and improves function for individuals with medial compartment knee osteoarthritis. |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1002/jor.22340 |
en |
pubs.issue |
7 |
en |
pubs.begin-page |
1020 |
en |
pubs.volume |
31 |
en |
dc.description.version |
AM - Accepted Manuscript |
en |
dc.rights.holder |
Copyright:
Wiley - Blackwell |
en |
dc.identifier.pmid |
23494804 |
en |
pubs.end-page |
1025 |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Article |
en |
pubs.elements-id |
374501 |
en |
pubs.org-id |
Bioengineering Institute |
en |
pubs.org-id |
ABI Associates |
en |
dc.identifier.eissn |
1554-527X |
en |
pubs.record-created-at-source-date |
2014-10-01 |
en |
pubs.dimensions-id |
23494804 |
en |