Effect of footwear on the external knee adduction moment - A systematic review.

CONTEXT Footwear modifications have been investigated as conservative interventions to decrease peak external knee adduction moment (EKAM) and pain associated with knee osteoarthritis (OA). OBJECTIVE To evaluate the literature on the effect of different footwear and orthotics on the peak EKAM during walking and/or running. METHODS A systematic search of databases resulted in 348 articles of which 33 studies were included. RESULTS Seventeen studies included healthy individuals and 19 studies included subjects with medial knee OA. Quality assessment (modified Downs and Black quality index) showed an (average±SD) of 73.1±10.1%. The most commonly used orthotic was the lateral wedge, with three studies on the medial wedge. Lateral wedging was associated with decreased peak EKAM in healthy participants and participants with medial knee OA while there is evidence for increased peak EKAM with the use of medial wedges. Modern footwear (subjects' own shoe, "stability" and "mobility" shoes, clogs) were likely to increase the EKAM compared to barefoot walking in individuals with medial knee OA. Walking in innovative shoes ("variable stiffness") decreased the EKAM compared to control shoes. Similarly, shoes with higher heels, sneakers and dress shoes increased EKAM in healthy individuals compared to barefoot walking. CONCLUSIONS Further development may be needed toward optimal footwear for patients with medial knee OA with the aim of obtaining similar knee moments to barefoot walking.

[1]  Craig Payne,et al.  Lateral wedges in knee osteoarthritis: what are their immediate clinical and biomechanical effects and can these predict a three-month clinical outcome? , 2008, Arthritis and rheumatism.

[2]  S. Crenshaw,et al.  Effects of Lateral-Wedged Insoles on Kinetics at the Knee , 2000, Clinical orthopaedics and related research.

[3]  T. Miyazaki,et al.  Dynamic load at baseline can predict radiographic disease progression in medial compartment knee osteoarthritis , 2002, Annals of the rheumatic diseases.

[4]  R. Hinman,et al.  Laterally wedged insoles in knee osteoarthritis: do biomechanical effects decline after one month of wear? , 2009, BMC musculoskeletal disorders.

[5]  T. Andriacchi,et al.  Changes in in vivo knee loading with a variable‐stiffness intervention shoe correlate with changes in the knee adduction moment , 2010, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[6]  T. B. Kirk,et al.  Muscle and external load contribution to knee joint contact loads during normal gait. , 2009, Journal of biomechanics.

[7]  Najia Shakoor,et al.  The biomechanics of osteoarthritis: Implications for therapy , 2009, Current rheumatology reports.

[8]  J. Duke,et al.  Physical activity of older Australians measured by pedometry , 2009, Australasian journal on ageing.

[9]  P. Costigan,et al.  Static and dynamic biomechanics of foot orthoses in people with medial compartment knee osteoarthritis. , 2002, Clinical biomechanics.

[10]  Kimitaka Nakazawa,et al.  Inconsistent Knee Varus Moment Reduction Caused by a Lateral Wedge in Knee Osteoarthritis , 2007, American journal of physical medicine & rehabilitation.

[11]  T. Andriacchi,et al.  A variable-stiffness shoe lowers the knee adduction moment in subjects with symptoms of medial compartment knee osteoarthritis. , 2008, Journal of biomechanics.

[12]  T. Andriacchi,et al.  Interaction between active and passive knee stabilizers during level walking , 1991, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[13]  D. Kerrigan,et al.  The Effect of Running Shoes on Lower Extremity Joint Torques , 2009, PM & R : the journal of injury, function, and rehabilitation.

[14]  D. Felson,et al.  Knee adduction moment and development of chronic knee pain in elders. , 2004, Arthritis and rheumatism.

[15]  Marcus G Pandy,et al.  Contributions of muscles, ligaments, and the ground‐reaction force to tibiofemoral joint loading during normal gait , 2006, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[16]  M. Andrews,et al.  Lower limb alignment and foot angle are related to stance phase knee adduction in normal subjects: A critical analysis of the reliability of gait analysis data , 1996, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[17]  M. Wada,et al.  Effects of disease severity on response to lateral wedged shoe insole for medial compartment knee osteoarthritis. , 2006, Archives of physical medicine and rehabilitation.

[18]  W. Kakihana,et al.  Effects of laterally wedged insoles on knee and subtalar joint moments. , 2005, Archives of physical medicine and rehabilitation.

[19]  Gheorghe Luta,et al.  Lifetime risk of symptomatic knee osteoarthritis. , 2008, Arthritis and rheumatism.

[20]  Annegret Mündermann,et al.  The role of ambulatory mechanics in the initiation and progression of knee osteoarthritis , 2006, Current opinion in rheumatology.

[21]  H. Menz,et al.  Factors associated with chronic plantar heel pain: a systematic review. , 2006, Journal of science and medicine in sport.

[22]  Effect of length on laterally-wedged insoles in knee osteoarthritis. , 2008, Arthritis and rheumatism.

[23]  Stephan Milosavljevic,et al.  Exploring a model of asymmetric shoe wear on lower limb performance. , 2010, Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine.

[24]  Ugo Della Croce,et al.  Moderate-heeled shoes and knee joint torques relevant to the development and progression of knee osteoarthritis. , 2005, Archives of physical medicine and rehabilitation.

[25]  T. Andriacchi,et al.  Dynamic knee loads during gait predict proximal tibial bone distribution. , 1998, Journal of biomechanics.

[26]  Seungbum Koo,et al.  A Framework for the in Vivo Pathomechanics of Osteoarthritis at the Knee , 2004, Annals of Biomedical Engineering.

[27]  K. Rudolph,et al.  Influences on knee movement strategies during walking in persons with medial knee osteoarthritis. , 2007, Arthritis and rheumatism.

[28]  T P Andriacchi,et al.  The anterior cruciate ligament-deficient knee with varus alignment , 1992, The American journal of sports medicine.

[29]  B M Nigg,et al.  Relationship between footwear comfort of shoe inserts and anthropometric and sensory factors. , 2001, Medicine and science in sports and exercise.

[30]  D. Kerrigan,et al.  Effectiveness of a lateral-wedge insole on knee varus torque in patients with knee osteoarthritis. , 2002, Archives of physical medicine and rehabilitation.

[31]  Thomas R Jenkyn,et al.  Test-retest reliability of the peak knee adduction moment during walking in patients with medial compartment knee osteoarthritis. , 2007, Arthritis and rheumatism.

[32]  Todd Royer,et al.  Effect of Laterally Wedged Foot Orthoses on Rearfoot and Hip Mechanics in Patients with Medial Knee Osteoarthritis , 2009, Prosthetics and orthotics international.

[33]  R. Hirsch,et al.  Prevalence of knee osteoarthritis in the United States: arthritis data from the Third National Health and Nutrition Examination Survey 1991-94. , 2006, The Journal of rheumatology.

[34]  G. Oskrochi,et al.  The role of foot and ankle assessment of patients with lower limb osteoarthritis. , 2009, Physiotherapy.

[35]  T. Andriacchi,et al.  In healthy subjects without knee osteoarthritis, the peak knee adduction moment influences the acute effect of shoe interventions designed to reduce medial compartment knee load , 2007, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[36]  Hylton B Menz,et al.  Effect of foot posture, foot orthoses and footwear on lower limb muscle activity during walking and running: a systematic review. , 2009, Gait & posture.

[37]  M. Maly,et al.  The effect of gait speed on the knee adduction moment depends on waveform summary measures. , 2009, Gait & posture.

[38]  C. Nester,et al.  Effect of foot orthoses on the kinematics and kinetics of normal walking gait. , 2003, Gait & posture.

[39]  W. Kakihana,et al.  Changes of Joint Moments in the Gait of Normal Subjects Wearing Laterally Wedged Insoles , 2004, American journal of physical medicine & rehabilitation.

[40]  Martin Englund,et al.  The role of biomechanics in the initiation and progression of OA of the knee. , 2010, Best practice & research. Clinical rheumatology.

[41]  F. Cicuttini,et al.  Meniscal tear as an osteoarthritis risk factor in a largely non-osteoarthritic cohort: a cross-sectional study. , 2007, The Journal of rheumatology.

[42]  Annegret Mündermann,et al.  Predicting changes in knee adduction moment due to load-altering interventions from pressure distribution at the foot in healthy subjects. , 2008, Journal of biomechanics.

[43]  H. Yack,et al.  Effects of Concurrent Use of an Ankle Support with a Laterally Wedged Insole for Medial Knee Osteoarthritis , 2009, PM & R : the journal of injury, function, and rehabilitation.

[44]  Annegret Mündermann,et al.  Changes in knee adduction moment, pain, and functionality with a variable‐stiffness walking shoe after 6 months , 2010, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[45]  Rana S. Hinman,et al.  Reducing joint loading in medial knee osteoarthritis: shoes and canes. , 2008, Arthritis and rheumatism.

[46]  Kevin J Deluzio,et al.  Detecting differences between asymptomatic and osteoarthritic gait is influenced by changing the knee adduction moment model. , 2008, Gait & posture.

[47]  D. Kerrigan,et al.  Women's shoes and knee osteoarthritis , 2001, The Lancet.

[48]  D. Kerrigan,et al.  The influence of arch supports on knee torques relevant to knee osteoarthritis. , 2008, Medicine and science in sports and exercise.

[49]  K. An,et al.  Gait characteristics of patients with knee osteoarthritis. , 2001, Journal of biomechanics.

[50]  F. Cicuttini,et al.  Association between meniscal tears and the peak external knee adduction moment and foot rotation during level walking in postmenopausal women without knee osteoarthritis: a cross-sectional study , 2008, Arthritis research & therapy.

[51]  T. Schmalz,et al.  The influence of sole wedges on frontal plane knee kinetics, in isolation and in combination with representative rigid and semi-rigid ankle-foot-orthoses. , 2006, Clinical biomechanics.

[52]  P. Allard,et al.  Effect of foot orthoses on magnitude and timing of rearfoot and tibial motions, ground reaction force and knee moment during running. , 2009, Journal of science and medicine in sport.

[53]  Lauren Snyder,et al.  Walking toward a new me: the impact of prescribed walking 10,000 steps/day on physical and psychological well-being. , 2010, Journal of physical activity & health.

[54]  J. Block,et al.  Relationship between pain and medial knee joint loading in mild radiographic knee osteoarthritis. , 2007, Arthritis and rheumatism.

[55]  Irene S Davis,et al.  The effect of a subject‐specific amount of lateral wedge on knee mechanics in patients with medial knee osteoarthritis , 2007, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[56]  H. Skinner,et al.  Medial compartment arthrosis of the knee. , 1996, American journal of orthopedics.

[57]  D. Kerrigan,et al.  Knee osteoarthritis and high-heeled shoes , 1998, The Lancet.

[58]  N. Black,et al.  The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. , 1998, Journal of epidemiology and community health.

[59]  Richard K. Jones,et al.  A new biomechanical model for the functional assessment of knee osteoarthritis. , 2004, The Knee.

[60]  Masami Akai,et al.  Addition of an arch support improves the biomechanical effect of a laterally wedged insole. , 2009, Gait & posture.

[61]  M. Kuster,et al.  Function, osteoarthritis and activity after ACL-rupture: 11 years follow-up results of conservative versus reconstructive treatment , 2008, Knee Surgery, Sports Traumatology, Arthroscopy.

[62]  Y Toyama,et al.  The lateral wedged insole with subtalar strapping significantly reduces dynamic knee load in the medial compartment gait analysis on patients with medial knee osteoarthritis. , 2007, Osteoarthritis and cartilage.

[63]  D. Kerrigan,et al.  Men's shoes and knee joint torques relevant to the development and progression of knee osteoarthritis. , 2003, The Journal of rheumatology.

[64]  M. Lewek,et al.  Control of frontal plane knee laxity during gait in patients with medial compartment knee osteoarthritis. , 2004, Osteoarthritis and cartilage.

[65]  V. Chuter.  Relationships between foot type and dynamic rearfoot frontal plane motion , 2010, Journal of foot and ankle research.

[66]  A. Hede,et al.  Late changes in bone mineral density of the proximal tibia following total or partial medial meniscectomy: A randomized study , 1996, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[67]  T. Andriacchi,et al.  Secondary gait changes in patients with medial compartment knee osteoarthritis: increased load at the ankle, knee, and hip during walking. , 2005, Arthritis and rheumatism.

[68]  Najia Shakoor,et al.  Effects of specialized footwear on joint loads in osteoarthritis of the knee. , 2008, Arthritis and rheumatism.

[69]  Mohammad R Fotoohabadi,et al.  Foot posture in people with medial compartment knee osteoarthritis , 2010, Journal of foot and ankle research.

[70]  J. Block,et al.  Walking barefoot decreases loading on the lower extremity joints in knee osteoarthritis. , 2006, Arthritis and rheumatism.

[71]  Michael A Hunt,et al.  Gait modification strategies for altering medial knee joint load: A systematic review , 2011, Arthritis care & research.

[72]  T. Andriacchi,et al.  The knee adduction moment during gait in subjects with knee osteoarthritis is more closely correlated with static alignment than radiographic disease severity, toe out angle and pain , 2002, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[73]  Jack P Callaghan,et al.  Developing an estimate of daily cumulative loading for the knee: examining test-retest reliability. , 2009, Gait & posture.

[74]  T. Andriacchi,et al.  Increased knee joint loads during walking are present in subjects with knee osteoarthritis. , 2002, Osteoarthritis and cartilage.

[75]  Joel A. Block,et al.  Effects of common footwear on joint loading in osteoarthritis of the knee , 2010, Arthritis care & research.

[76]  I. Singh,et al.  Functional asymmetry in the lower limbs. , 1970, Acta anatomica.

[77]  W. Kakihana,et al.  Effect of a Lateral Wedge on Joint Moments During Gait in Subjects with Recurrent Ankle Sprain , 2005, American journal of physical medicine & rehabilitation.

[78]  M. Lewek,et al.  Age-Related Changes in Strength, Joint Laxity, and Walking Patterns: Are They Related to Knee Osteoarthritis? , 2007, Physical Therapy.