Knee Joint Load Reduction by using Lateral Wedge Insole in Different Body Mass Index Level Females
DOI:
https://doi.org/10.24203/ajas.v7i4.5882Keywords:
Lateral wedge insole, Knee joint load, Walking, Obesity, FemaleAbstract
Background: The higher body mass index is a risk factor that associated with onset and progression of knee osteoarthritis by increasing the knee adduction moment. Lateral wedge insoles are used for reducing the knee adduction moment which may prevent the occurrence of knee osteoarthritis in healthy population.
Purpose: The purpose of this study was to assess the effectiveness of the lateral wedge insole among normal, overweight, obese I and obese II female while walking.
Methods: A cross-sectional experimental design study was used to investigate 80 females who aged between 18 – 40 years using 3-D Motion Analysis. The peak external knee adduction moment was collected in walking shoes and walking shoes with 5-degree lateral wedge insoles conditions. The significant difference was determined using Paired-T test (p = 0.05).
Results: The peak external knee adduction moment was significantly decreased by the effect of shoes with lateral wedge insoles in normal, overweight and obese I (22.12%, 18.34% and 24.15%). However, it did not change in the obese II.
Conclusion: The peak external knee adduction moment was decreased by the immediate effect of lateral wedge insoles. It may prevent the onset of knee osteoarthritis in normal, overweight, and obese I. Further study should investigate long term effect of lateral wedge insoles on the knee joint load and the effect of dose in higher body mass index.
References
Jiang L, Rong J, Wang Y, Hu F, Bao C, Li X, et al. The relationship between body mass index and hip osteoarthritis: A systematic review and meta-analysis. Joint Bone Spine. 2011; 78(2): 150-5.
Haslam DW, James WPT. Obesity. Lancet. 366(9492): 1197-209.
Sangthong R, Wichaidit W, McNeil E, Chongsuvivatwong V, Chariyalertsak S, Kessomboon P, et al. Health behaviors among short- and long- term ex-smokers: Results from the Thai National Health Examination Survey IV, 2009. Prev Med. 2012; 55(1): 56-60.
Zheng H, Chen C. Body mass index and risk of knee osteoarthritis: systematic review and meta-analysis of prospective studies. BMJ open. 2015; 5(12): e007568.
Silverwood V, Blagojevic-Bucknall M, Jinks C, Jordan JL, Protheroe J, Jordan KP. Current evidence on risk factors for knee osteoarthritis in older adults: a systematic review and meta-analysis. Osteoarthritis Cartilage. 2015; 23(4): 507-15.
Nutalaya C, CHAIKUMARN M. Knee biomechanics in obese female during locomotion: a cross-sectional study. Journal of Sports Science Technology. 2017; 17(1): 21-35.
Foroughi N, Smith RM, Lange AK, Baker MK, Fiatarone Singh MA, Vanwanseele B. Lower limb muscle strengthening does not change frontal plane moments in women with knee osteoarthritis: A randomized controlled trial. Clin Biomech. 2011; 26(2): 167-74.
Koo S, Rylander JH, Andriacchi TP. Knee joint kinematics during walking influences the spatial cartilage thickness distribution in the knee. J Biomech. 2011; 44(7): 1405-9.
Sheehan KJ, Gormley J. The influence of excess body mass on adult gait. Clin Biomech. 2013; 28(3): 337-43.
Henriksen M, Aaboe J, Bliddal H. The relationship between pain and dynamic knee joint loading in knee osteoarthritis varies with radiographic disease severity. A cross sectional study. Knee. 2012; 19(4): 392-8.
Moyer RF, Birmingham TB, Dombroski CE, Walsh RF, Leitch KM, Jenkyn TR, et al. Combined effects of a valgus knee brace and lateral wedge foot orthotic on the external knee adduction moment in patients with varus gonarthrosis. Arch Phys Med Rehabil. 2013; 94(1): 103-12.
Jenkyn TR, Erhart JC, Andriacchi TP. An analysis of the mechanisms for reducing the knee adduction moment during walking using a variable stiffness shoe in subjects with knee osteoarthritis. J Biomech. 2011; 44(7): 1271-6.
Erhart JC, Mündermann A, Elspas B, Giori NJ, Andriacchi TP. A variable-stiffness shoe lowers the knee adduction moment in subjects with symptoms of medial compartment knee osteoarthritis. J Biomech. 2008; 41(12): 2720-5.
Erhart JC, Mündermann A, Mündermann L, Andriacchi TP. Predicting changes in knee adduction moment due to load-altering interventions from pressure distribution at the foot in healthy subjects. J Biomech. 2008; 41(14): 2989-94.
Fantini Pagani CH, Böhle C, Potthast W, Brüggemann G-P. Short-Term Effects of a Dedicated Knee Orthosis on Knee Adduction Moment, Pain, and Function in Patients With Osteoarthritis. Arch Phys Med Rehabil. 2010; 91(12): 1936-41.
Radzimski AO, Mündermann A, Sole G. Effect of footwear on the external knee adduction moment — A systematic review. Knee. 2012; 19(3): 163-75.
Russell EM, Hamill J. Lateral wedges decrease biomechanical risk factors for knee osteoarthritis in obese women. J Biomech. 2011; 44(12): 2286-91.
Wilken JM, Rodriguez KM, Brawner M, Darter BJ. Reliability and minimal detectible change values for gait kinematics and kinetics in healthy adults. Gait Posture. 2012; 35(2): 301-7.
Jones RK, Zhang M, Laxton P, Findlow AH, Liu A. The biomechanical effects of a new design of lateral wedge insole on the knee and ankle during walking. Hum Mov Sci. 2013; 32(4): 596-604.
Cofré LE, Lythgo N, Morgan D, Galea MP. Aging modifies joint power and work when gait speeds are matched. Gait Posture. 2011; 33(3): 484-9.
Tipnis RA, Anloague PA, Laubach LL, Barrios JA. The dose–response relationship between lateral foot wedging and the reduction of knee adduction moment. Clin Biomech. 2014; 29(9): 984-9.
Barrios JA, Butler RJ, Crenshaw JR, Royer TD, Davis IS. Mechanical effectiveness of lateral foot wedging in medial knee osteoarthritis after 1 year of wear. J Orthop Res. 2013; 31(5): 659-64.
Hinman RS, Bowles KA, Metcalf BB, Wrigley TV, Bennell KL. Lateral wedge insoles for medial knee osteoarthritis: Effects on lower limb frontal plane biomechanics. Clin Biomech. 2012; 27(1): 27-33.
Kerrigan DC, Lelas JL, Goggins J, Merriman GJ, Kaplan RJ, Felson DT. Effectiveness of a lateral-wedge insole on knee varus torque in patients with knee osteoarthritis. Arch Phys Med Rehabil. 2002; 83(7): 889-93.
Reilly KA, Barker KL, Shamley D. A systematic review of lateral wedge orthotics—how useful are they in the management of medial compartment osteoarthritis? Knee. 2006; 13(3): 177-83.
Weinhandl JT, Sudheimer SE, Van Lunen BL, Stewart K, Hoch MC. Immediate and 1 week effects of laterally wedge insoles on gait biomechanics in healthy females. Gait Posture. 2016; 45: 164-9.
Brisson NM, Stratford PW, Maly MR. Relative and absolute test–retest reliabilities of biomechanical risk factors for knee osteoarthritis progression: benchmarks for meaningful change. Osteoarthritis Cartilage. 2018; 26(2): 220-6.
Brisson NM, Stratford PW, Totterman S, Tamez-Peña JG, Beattie KA, Adachi JD, et al. Do knee moments normalized to measures of knee cartilage area better classify the severity of knee osteoarthritis? J Appl Biomech. 2015; 31(6): 415-22.
Robbins SM, Astephen Wilson JL, Rutherford DJ, Hubley-Kozey CL. Reliability of principal components and discrete parameters of knee angle and moment gait waveforms in individuals with moderate knee osteoarthritis. Gait Posture. 2013; 38(3): 421-7.
Robbins SMK, Birmingham TB, Maly MR, Chesworth BM, Giffin JR. Comparative diagnostic accuracy of knee adduction moments in knee osteoarthritis: A case for not normalizing to body size. J Biomech. 2011; 44(5): 968-71.
Downloads
Published
How to Cite
Issue
Section
License
- Papers must be submitted on the understanding that they have not been published elsewhere (except in the form of an abstract or as part of a published lecture, review, or thesis) and are not currently under consideration by another journal published by any other publisher.
- It is also the authors responsibility to ensure that the articles emanating from a particular source are submitted with the necessary approval.
- The authors warrant that the paper is original and that he/she is the author of the paper, except for material that is clearly identified as to its original source, with permission notices from the copyright owners where required.
- The authors ensure that all the references carefully and they are accurate in the text as well as in the list of references (and vice versa).
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Attribution-NonCommercial 4.0 International that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- The journal/publisher is not responsible for subsequent uses of the work. It is the author's responsibility to bring an infringement action if so desired by the author.