Email this article Video-analysis of the effect of different types of adapted shoes on knee adduction moment
- Authors: Aksenov A.Y.1, Klishkovskaya T.A.1
-
Affiliations:
- Saint Petersburg Electrotechnical University LETI Faculty of Information Measurement and Biotechnical Systems Department of Bioengineering Systems
- Issue: Vol 5, No 1 (2017)
- Pages: 45-52
- Section: Articles
- URL: https://journals.rcsi.science/turner/article/view/6157
- DOI: https://doi.org/10.17816/PTORS5145-52
- ID: 6157
Cite item
Abstract
Background. The effect of different footwear profiles on knee adduction moment have not been fully studied.
Methods. Fifteen healthy volunteer subjects, age 25.3 (±2.73), undertook a series of gait laboratory trials with adapted shoes. Kinematic and kinetic data were collect using 16 Oqus 3+ cameras and the walking speed was controlled using timing gates. High street shoes were adapted to include five different heel heights (varying from a 1.5 cm to 5.5 cm heels), two heel profile conditions (curved and semi-curved heels), three varying apex angles (10, 15, and 20 degrees), and barefoot and 3CR footwear conditions. The baseline shoe had no heel curve, a heel height of 3.5cm, an apex position of 62.5% of the shoe length, an apex angle of 15 deg, and a rigid forepart of the shoe.
Results. The shoe with 5.5 cm heel height significantly increased the mean knee adduction moment during 50%–100% of the stance phase compared to the 1.5 cm heel (p = 0.008). The high heel shoe also significantly increased knee adduction impulse (area under the curve) versus the 1.5, 2.5, and 3.5 cm heels, and the 10° toe angle and barefoot condition. Ten degrees of toe angle reduced mean knee adduction moment during 0%–50% of the stance phase versus 20° and significantly reduced mean knee adduction moment during the late stance phase versus 15° and 20° toe angle footwear conditions. Walking with the curved heel for the healthy subjects increased mean knee adduction moment during 0%–50% of the stance phase compared to the heel without curvature (p < 0.0009).
Conclusion. Further study is required to investigate those changes in patients with high risk of knee osteoarthritis.
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##article.viewOnOriginalSite##About the authors
Andrey Yu. Aksenov
Saint Petersburg Electrotechnical University LETI Faculty of Information Measurement and Biotechnical Systems Department of Bioengineering Systems
Author for correspondence.
Email: a.aksenov@hotmail.com
PhD (Lead author)
Russian FederationTatiana A. Klishkovskaya
Saint Petersburg Electrotechnical University LETI Faculty of Information Measurement and Biotechnical Systems Department of Bioengineering Systems
Email: tatianaklishkov@mail.ru
BSc
Russian FederationReferences
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