NDLI: Balance and gait adaptations in patients with early knee osteoarthritis.

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Balance and gait adaptations in patients with early knee osteoarthritis.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Duffell, Lynsey D. Southgate, Dominic F. L. Gulati, Vivek McGregor, Alison H.
Description	Author Affiliation: Duffell LD ( MSK Lab, Imperial College London, UK. Electronic address: l.duffell@imperial.ac.uk.); Southgate DF ( Bioengineering Department, Imperial College London, UK.); Gulati V ( MSK Lab, Imperial College London, UK.); McGregor AH ( MSK Lab, Imperial College London, UK.)
Abstract	Gait adaptations in people with severe knee osteoarthritis (OA) have been well documented, with increased knee adduction moments (KAM) the most commonly reported parameter. Neuromuscular adaptations have also been reported, including reduced postural control. However these adaptations may be the result of morphological changes in the joint, rather than the cause. This study aimed to determine if people with early OA have altered gait parameters and neuromuscular adaptations. Gait and postural tasks were performed by 18 people with early medial knee OA and 18 age and gender-matched control subjects. Parameters measured were kinematics and kinetics during gait and postural tasks, and centre of pressure and electromyographic activity during postural tasks. OA subjects showed no differences in the gait parameters measured, however they demonstrated postural deficits during one-leg standing on both their affected and unaffected sides and altered hip adduction moments compared with controls. Increased activity of the gluteus medius of both sides (p<0.05), and quadriceps and hamstrings of the affected side (p<0.05) during one-leg standing compared with controls were also noted. This study has demonstrated that gait adaptations commonly associated with OA do not occur in the early stages, while neuromuscular adaptations are evident. These results may be relevant for early interventions to delay or prevent osteoarthritis in its early stages.
File Format	HTM / HTML
ISSN	09666362
e-ISSN	18792219
DOI	10.1016/j.gaitpost.2014.01.005
Journal	Gait & Posture
Issue Number	4
Volume Number	39
Language	English
Publisher	Elsevier
Publisher Date	2014-04-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Adaptation, Physiological Research Support, Non-u.s. Gov't Discipline Orthopedics Gait Physiopathology Hip Joint Case-control Studies Osteoarthritis, Knee Physiology Electromyography Muscle, Skeletal Postural Balance
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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