Walking with Different Insoles Changes Lower-Limb Biomechanics Globally in Patients with Medial Knee Osteoarthritis.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_DD5EBD3E8BF4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Walking with Different Insoles Changes Lower-Limb Biomechanics Globally in Patients with Medial Knee Osteoarthritis.
Journal
Journal of clinical medicine
Author(s)
Jaques G., Ulrich B., Hoffmann L., Jolles B.M. (co-last), Favre J. (co-last)
ISSN
2077-0383 (Print)
ISSN-L
2077-0383
Publication state
Published
Issued date
03/03/2023
Peer-reviewed
Oui
Volume
12
Number
5
Pages
2016
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Using insoles to modify walking biomechanics is of keen interest for the treatment of medial-compartment knee osteoarthritis. So far, insole interventions have focused on reducing the peak of the knee adduction moment (pKAM) and have led to inconsistent clinical outcomes. This study aimed to evaluate the changes in other gait variables related to knee osteoarthritis when patients walk with different insoles to provide insights into the necessity to enlarge the biomechanical analyses to other variables. Walking trials were recorded for 10 patients in four insole conditions. Changes among conditions were computed for six gait variables, including the pKAM. The associations between the changes in pKAM and the changes in the other variables were also assessed individually. Walking with different insoles had noticeable effects on the six gait variables, with high heterogeneity among patients. For all variables, at least 36.67% of the changes were of medium-to-large effect size. The associations with the changes in pKAM varied among variables and patients. In conclusion, this study showed that varying the insole could globally influence ambulatory biomechanics and that limiting measurement to the pKAM could lead to an important loss of information. Beyond the consideration of additional gait variables, this study also encourages personalized interventions to address inter-patient variability.
Keywords
adduction moment, ankle, eversion moment, flexion angle, flexion moment, footwear, hip, knee, lateral wedge, osteoarthritis, personalized intervention, walking
Pubmed
Web of science
Open Access
Yes
Create date
20/03/2023 11:58
Last modification date
21/01/2024 8:14
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