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Exercise Alters Gait Pattern but Not Knee Load in Patients with Knee Osteoarthritis
Six female patients with bilateral medial knee OA and 6 healthy controls were recruited. Patients with knee OA received a 6-week physiotherapist-supervised and home-based exercise program. Outcome measures, including the Western Ontario and McMaster Universities Arthritis Index and Short Form-36 Hea...
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| Published in: | BioMed research international 2016-01, Vol.2016 (2016), p.1-12 |
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| creator | Chen, Li-Fei Chang, Chao-Chin Lin, Yuan-Hsiang Hsieh, Lin-Fen Hsu, Wei-Chun Lin, Yi-Jia Chang, Ssu-Yu Chou, You-Cai |
| description | Six female patients with bilateral medial knee OA and 6 healthy controls were recruited. Patients with knee OA received a 6-week physiotherapist-supervised and home-based exercise program. Outcome measures, including the Western Ontario and McMaster Universities Arthritis Index and Short Form-36 Health Survey as well as objective biomechanical indices were obtained at baseline and follow-up. After treatment, no significant difference was observed in the knee abductor moment (KAM), lever arm, and ground reaction force. We, however, observed significantly improved pain and physical function as well as altered gait patterns, including a higher hip flexor moment and hip extension angle with a faster walking speed. Although KAM was unchanged, patients with bilateral knee OA showed an improved walking speed and altered the gait pattern after 6 weeks of supervised exercise. This finding suggests that the exercise intervention improves proximal joint mechanics during walking and can be considered for patients with bilateral knee OA. Non-weight-bearing strengthening without external resistance combined with stretching exercise may be an option to improve pain and function in individuals with OA who cannot perform high resistance exercises owing to pain or other reasons. |
| doi_str_mv | 10.1155/2016/7468937 |
| format | article |
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Patients with knee OA received a 6-week physiotherapist-supervised and home-based exercise program. Outcome measures, including the Western Ontario and McMaster Universities Arthritis Index and Short Form-36 Health Survey as well as objective biomechanical indices were obtained at baseline and follow-up. After treatment, no significant difference was observed in the knee abductor moment (KAM), lever arm, and ground reaction force. We, however, observed significantly improved pain and physical function as well as altered gait patterns, including a higher hip flexor moment and hip extension angle with a faster walking speed. Although KAM was unchanged, patients with bilateral knee OA showed an improved walking speed and altered the gait pattern after 6 weeks of supervised exercise. This finding suggests that the exercise intervention improves proximal joint mechanics during walking and can be considered for patients with bilateral knee OA. Non-weight-bearing strengthening without external resistance combined with stretching exercise may be an option to improve pain and function in individuals with OA who cannot perform high resistance exercises owing to pain or other reasons.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2016/7468937</identifier><identifier>PMID: 27725941</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Adaptation, Physiological ; Aged ; Arthralgia - etiology ; Arthralgia - physiopathology ; Arthralgia - prevention & control ; Arthritis ; Biomechanics ; Biomedical research ; Care and treatment ; Exercise therapy ; Exercise Therapy - methods ; Female ; Gait ; Hospitals ; Humans ; Intervention ; Knee ; Knee Joint - physiopathology ; Male ; Middle Aged ; Older people ; Osteoarthritis ; Osteoarthritis, Knee - complications ; Osteoarthritis, Knee - physiopathology ; Osteoarthritis, Knee - therapy ; Pain ; Range of Motion, Articular ; Resistance Training ; Science ; Studies ; Treatment Outcome ; Walking ; Weight-Bearing</subject><ispartof>BioMed research international, 2016-01, Vol.2016 (2016), p.1-12</ispartof><rights>Copyright © 2016 Ssu-Yu Chang et al.</rights><rights>COPYRIGHT 2016 John Wiley & Sons, Inc.</rights><rights>Copyright © 2016 Ssu-Yu Chang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2016 Ssu-Yu Chang et al. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-71834a893f5dcc6055843490b2945ff2151fb48217c837c67e49313e026d2d293</citedby><cites>FETCH-LOGICAL-c532t-71834a893f5dcc6055843490b2945ff2151fb48217c837c67e49313e026d2d293</cites><orcidid>0000-0002-0869-5973 ; 0000-0002-9930-1975 ; 0000-0001-6018-8680 ; 0000-0001-6894-5690 ; 0000-0003-0630-7313</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1827850579/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1827850579?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,25732,27903,27904,36991,36992,44569,74873</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27725941$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Ciolac, Emmanuel G.</contributor><creatorcontrib>Chen, Li-Fei</creatorcontrib><creatorcontrib>Chang, Chao-Chin</creatorcontrib><creatorcontrib>Lin, Yuan-Hsiang</creatorcontrib><creatorcontrib>Hsieh, Lin-Fen</creatorcontrib><creatorcontrib>Hsu, Wei-Chun</creatorcontrib><creatorcontrib>Lin, Yi-Jia</creatorcontrib><creatorcontrib>Chang, Ssu-Yu</creatorcontrib><creatorcontrib>Chou, You-Cai</creatorcontrib><title>Exercise Alters Gait Pattern but Not Knee Load in Patients with Knee Osteoarthritis</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Six female patients with bilateral medial knee OA and 6 healthy controls were recruited. Patients with knee OA received a 6-week physiotherapist-supervised and home-based exercise program. Outcome measures, including the Western Ontario and McMaster Universities Arthritis Index and Short Form-36 Health Survey as well as objective biomechanical indices were obtained at baseline and follow-up. After treatment, no significant difference was observed in the knee abductor moment (KAM), lever arm, and ground reaction force. We, however, observed significantly improved pain and physical function as well as altered gait patterns, including a higher hip flexor moment and hip extension angle with a faster walking speed. Although KAM was unchanged, patients with bilateral knee OA showed an improved walking speed and altered the gait pattern after 6 weeks of supervised exercise. This finding suggests that the exercise intervention improves proximal joint mechanics during walking and can be considered for patients with bilateral knee OA. Non-weight-bearing strengthening without external resistance combined with stretching exercise may be an option to improve pain and function in individuals with OA who cannot perform high resistance exercises owing to pain or other reasons.</description><subject>Adaptation, Physiological</subject><subject>Aged</subject><subject>Arthralgia - etiology</subject><subject>Arthralgia - physiopathology</subject><subject>Arthralgia - prevention & control</subject><subject>Arthritis</subject><subject>Biomechanics</subject><subject>Biomedical research</subject><subject>Care and treatment</subject><subject>Exercise therapy</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Gait</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intervention</subject><subject>Knee</subject><subject>Knee Joint - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Older people</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Knee - complications</subject><subject>Osteoarthritis, Knee - physiopathology</subject><subject>Osteoarthritis, Knee - therapy</subject><subject>Pain</subject><subject>Range of Motion, Articular</subject><subject>Resistance Training</subject><subject>Science</subject><subject>Studies</subject><subject>Treatment Outcome</subject><subject>Walking</subject><subject>Weight-Bearing</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNqNkk1rVDEYhYMottTuXEvAjdCOzffHRhhKreJgBXUdMrnv7aTcualJrtV_3wwzjtVVs0nCeTicnLwIvaTkLaVSnjFC1ZkWyliun6BDxqmYKSro0_2Z8wN0XMoNactQRax6jg6Y1kxaQQ_R14tfkEMsgOdDhVzwpY8Vf_G1XUa8nCr-nCr-NALgRfIdjuNGjDDWgu9iXW2lq1Ih-VxXOdZYXqBnvR8KHO_2I_T9_cW38w-zxdXlx_P5YhYkZ3WmqeHCt-S97EJQREojuLBkyayQfc-opP1SGEZ1MFwHpUFYTjkQpjrWMcuP0Lut7-20XEMXWqjsB3eb49rn3y756P5Vxrhy1-mnk0QYwlUzeLMzyOnHBKW6dSwBhsGPkKbiWkDNuaJWPgaVXGslSUNf_4fepCmPrYlGMW0kkdr-pa79AC6OfWoRw8bUzSUjmkrFWaNOt1TIqZQM_f51lLjNBLjNBLjdBDT81cNG9vCf_27AyRZYxbHzd_GRdtAY6P0D2hrdWrkH2yC-Uw</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Chen, Li-Fei</creator><creator>Chang, Chao-Chin</creator><creator>Lin, Yuan-Hsiang</creator><creator>Hsieh, Lin-Fen</creator><creator>Hsu, Wei-Chun</creator><creator>Lin, Yi-Jia</creator><creator>Chang, Ssu-Yu</creator><creator>Chou, You-Cai</creator><general>Hindawi Publishing Corporation</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0869-5973</orcidid><orcidid>https://orcid.org/0000-0002-9930-1975</orcidid><orcidid>https://orcid.org/0000-0001-6018-8680</orcidid><orcidid>https://orcid.org/0000-0001-6894-5690</orcidid><orcidid>https://orcid.org/0000-0003-0630-7313</orcidid></search><sort><creationdate>20160101</creationdate><title>Exercise Alters Gait Pattern but Not Knee Load in Patients with Knee Osteoarthritis</title><author>Chen, Li-Fei ; Chang, Chao-Chin ; Lin, Yuan-Hsiang ; Hsieh, Lin-Fen ; Hsu, Wei-Chun ; Lin, Yi-Jia ; Chang, Ssu-Yu ; Chou, You-Cai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c532t-71834a893f5dcc6055843490b2945ff2151fb48217c837c67e49313e026d2d293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adaptation, Physiological</topic><topic>Aged</topic><topic>Arthralgia - etiology</topic><topic>Arthralgia - physiopathology</topic><topic>Arthralgia - prevention & control</topic><topic>Arthritis</topic><topic>Biomechanics</topic><topic>Biomedical research</topic><topic>Care and treatment</topic><topic>Exercise therapy</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Gait</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intervention</topic><topic>Knee</topic><topic>Knee Joint - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Older people</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis, Knee - complications</topic><topic>Osteoarthritis, Knee - physiopathology</topic><topic>Osteoarthritis, Knee - therapy</topic><topic>Pain</topic><topic>Range of Motion, Articular</topic><topic>Resistance Training</topic><topic>Science</topic><topic>Studies</topic><topic>Treatment Outcome</topic><topic>Walking</topic><topic>Weight-Bearing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Li-Fei</creatorcontrib><creatorcontrib>Chang, Chao-Chin</creatorcontrib><creatorcontrib>Lin, Yuan-Hsiang</creatorcontrib><creatorcontrib>Hsieh, Lin-Fen</creatorcontrib><creatorcontrib>Hsu, Wei-Chun</creatorcontrib><creatorcontrib>Lin, Yi-Jia</creatorcontrib><creatorcontrib>Chang, Ssu-Yu</creatorcontrib><creatorcontrib>Chou, You-Cai</creatorcontrib><collection>الدوريات العلمية والإحصائية - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Li-Fei</au><au>Chang, Chao-Chin</au><au>Lin, Yuan-Hsiang</au><au>Hsieh, Lin-Fen</au><au>Hsu, Wei-Chun</au><au>Lin, Yi-Jia</au><au>Chang, Ssu-Yu</au><au>Chou, You-Cai</au><au>Ciolac, Emmanuel G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exercise Alters Gait Pattern but Not Knee Load in Patients with Knee Osteoarthritis</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>2016</volume><issue>2016</issue><spage>1</spage><epage>12</epage><pages>1-12</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Six female patients with bilateral medial knee OA and 6 healthy controls were recruited. Patients with knee OA received a 6-week physiotherapist-supervised and home-based exercise program. Outcome measures, including the Western Ontario and McMaster Universities Arthritis Index and Short Form-36 Health Survey as well as objective biomechanical indices were obtained at baseline and follow-up. After treatment, no significant difference was observed in the knee abductor moment (KAM), lever arm, and ground reaction force. We, however, observed significantly improved pain and physical function as well as altered gait patterns, including a higher hip flexor moment and hip extension angle with a faster walking speed. Although KAM was unchanged, patients with bilateral knee OA showed an improved walking speed and altered the gait pattern after 6 weeks of supervised exercise. This finding suggests that the exercise intervention improves proximal joint mechanics during walking and can be considered for patients with bilateral knee OA. Non-weight-bearing strengthening without external resistance combined with stretching exercise may be an option to improve pain and function in individuals with OA who cannot perform high resistance exercises owing to pain or other reasons.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>27725941</pmid><doi>10.1155/2016/7468937</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-0869-5973</orcidid><orcidid>https://orcid.org/0000-0002-9930-1975</orcidid><orcidid>https://orcid.org/0000-0001-6018-8680</orcidid><orcidid>https://orcid.org/0000-0001-6894-5690</orcidid><orcidid>https://orcid.org/0000-0003-0630-7313</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adaptation, Physiological Aged Arthralgia - etiology Arthralgia - physiopathology Arthralgia - prevention & control Arthritis Biomechanics Biomedical research Care and treatment Exercise therapy Exercise Therapy - methods Female Gait Hospitals Humans Intervention Knee Knee Joint - physiopathology Male Middle Aged Older people Osteoarthritis Osteoarthritis, Knee - complications Osteoarthritis, Knee - physiopathology Osteoarthritis, Knee - therapy Pain Range of Motion, Articular Resistance Training Science Studies Treatment Outcome Walking Weight-Bearing |
| title | Exercise Alters Gait Pattern but Not Knee Load in Patients with Knee Osteoarthritis |
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