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

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

Jaques, Guillaume
•
Ulrich, Baptiste
•
Hoffmann, Laurent
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March 1, 2023
Journal Of Clinical Medicine

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.

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Type
research article
DOI
10.3390/jcm12052016
Web of Science ID

WOS:000947102700001

Author(s)
Jaques, Guillaume
•
Ulrich, Baptiste
•
Hoffmann, Laurent
•
Jolles, Brigitte M. M.  
•
Favre, Julien
Date Issued

2023-03-01

Publisher

MDPI

Published in
Journal Of Clinical Medicine
Volume

12

Issue

5

Article Number

2016

Subjects

Medicine, General & Internal

•

General & Internal Medicine

•

adduction moment

•

ankle

•

eversion moment

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flexion angle

•

flexion moment

•

footwear

•

hip

•

knee

•

osteoarthritis

•

lateral wedge

•

personalized intervention

•

walking

•

lateral wedge insoles

•

adduction moment

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gait analysis

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reduce

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pain

•

progression

•

strategies

•

hip

Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
IBI-STI  
Available on Infoscience
April 10, 2023
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/196809
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