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  4. Modifying Stride Length in Isolation and in Combination With Foot Progression Angle and Step Width Can Improve Knee Kinetics Related to Osteoarthritis; A Preliminary Study in Healthy Subjects
 
research article

Modifying Stride Length in Isolation and in Combination With Foot Progression Angle and Step Width Can Improve Knee Kinetics Related to Osteoarthritis; A Preliminary Study in Healthy Subjects

Edd, Shannon N.
•
Bennour, Sami
•
Ulrich, Baptiste
Show more
July 1, 2020
Journal Of Biomechanical Engineering-Transactions Of The Asme

The purpose of this study was to determine the effects of modifying stride length (SL) on knee adduction and flexion moments, two markers of knee loading associated with medial-compartment knee osteoarthritis (OA) progression. This study also tested if SL modifications, in addition to foot progression angle (FP) and step width (SW) modifications, provide solutions in more subjects for reducing knee adduction moment (KAM) without increasing knee flexion moment (KFM), potentially protecting the joint. Fourteen healthy subjects (six female) were enrolled in this preliminary study. Walking trials were collected first without instructions, and then following foot placement instructions for 50 combinations of SL, FP, and SW modifications. Repeated measures analysis of variance was used to detect group-average effects of footprint modifications on maximum KAM and KFM and on KAM impulse. Subject-specific dose-responses between footprint modifications and kinetics changes were modeled with linear regressions, and the models were used to identify modification solutions, per subject, for various kinetics change conditions. Shorter SL significantly decreased the three kinetics measures (p<0.01). Potential solutions for 10% reductions in maximum KAM and KAM impulse without increasing maximum KFM were identified for five subjects with FP and SW modifications. A significantly higher proportion of subjects had solutions when adding SL modifications (11 subjects, p=0.04). In conclusion, SL is a valuable parameter to modify, especially in combination with FP and SW modifications, to reduce markers of medial knee loading. Future work is needed to extend these findings to osteoarthritic knees.

  • Details
  • Metrics
Type
research article
DOI
10.1115/1.4046713
Web of Science ID

WOS:000550290400017

Author(s)
Edd, Shannon N.
Bennour, Sami
Ulrich, Baptiste
Jolles, Brigitte M.  
Date Issued

2020-07-01

Published in
Journal Of Biomechanical Engineering-Transactions Of The Asme
Volume

142

Issue

7

Article Number

074505

Subjects

Biophysics

•

Engineering, Biomedical

•

Biophysics

•

Engineering

•

footprint parameters

•

gait retraining

•

rehabilitation

•

knee adduction moment

•

knee flexion moment

•

adduction moment

•

toe-in

•

gait

•

reduce

•

joint

•

patterns

•

disease

•

walking

•

pain

•

load

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
IBI-STI  
Available on Infoscience
August 5, 2020
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/170606
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