A Taiwanese study offers more evidence that offloading knee braces and wedged foot orthoses are both associated with significant biomechanical improvements in patients with knee osteoarthritis (OA).
Lower Extremity Review
The role of varus thrust in knee osteoarthritis
Varus thrust is a characteristic of dynamic alignment that has been shown to be predictive of medial tibiofemoral structural progression. Treatments aimed at minimizing varus thrust may reduce structural progression and symptoms related to knee osteoarthritis.
By Grace Hsiao-Wei Lo, MD, MSc
Whole body vibration for knee osteoarthritis
Whole body vibration may help improve strength and function in patients with knee osteoarthritis and may even slow disease progression. But contradictory findings, a lack of consensus on optimal parameters, and safety issues have even WBV advocates proceeding with caution.
By Cary Groner
Hip strength deficits characterize both patellofemoral pain and osteoarthritis
Patellofemoral osteoarthritis (PFOA) is associated with deficits in hip abduction strength, a similarity to patellofemoral pain syndrome (PFPS) that appears to support the theory that the two conditions lie on the same continuum, according to research from the University of Calgary presented in late May at the ACSM meeting.
Connecting instability and ankle osteoarthritis
Not all patients with chronic ankle instability develop ankle osteoarthritis, but evidence suggests the two conditions are related, which in turn suggests that ankle sprain prevention and management could help reduce ankle replacement rates.
By Larry Hand
FUTURE SHOCK: Youth sports and osteoarthritis risk
There’s no question that exercise is good for kids. But the trauma associated with some youth sports can dramatically increase the risk that those kids will develop knee or ankle osteoarthritis by the time they reach adulthood. The key next step is to determine what can be done about it.
By Yvonne M. Golightly, PT, PhD, Stephen W. Marshall, PhD, and Dennis J. Caine, PhD
Plantar loads influence knee osteoarthritis risk
Research suggests that redirecting ground reaction forces relative to the knee joint’s rotational center can be achieved by repositioning the foot through a number of different mechanisms.
By Roy H. Lidtke, DPM, CPed
Limited ROM after ACL reconstruction linked to radiographic osteoarthritis
Radiographic evidence of osteoarthritis five years after anterior cruciate ligament reconstruction is significantly more likely in patients with limited range of motion—even by just a few degrees—in the operated knee, according to research presented at the AAOS...
Offloading strategies for knee osteoarthritis
Altering joint alignment is associated with decreased pain and improved function. Researchers are working to explain the mechanisms underlying these effects, particularly with respect to bracing.
By Yatin Kirane, D.Orth, PhD; Rebecca Zifchock, PhD; and Howard Hillstrom, PhD
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