Tuesday, 18 July 2017

Effect of Knee-Ankle-Foot Orthosis (KAFO) on Knee Kinematics and Kinetics in an Individual with Knee Varus Alignment

The medial compartment knee osteo arthritis (OA) is the most affected location for OA. The main knee biomechanics changes which are associated with the medial compartment knee OA are less knee flexion value (the normal mean maximum knee flexion has been shown to be 64.6° during walking, 98.6° during ascending, and 90.3 °during descending), high knee varus angle and an increased the external knee adduction moment(EKAM) during walking and stairs climbing due to shifting the knee joint centre more laterally and the centre of the load medially.

Knee-Ankle-Foot Orthosis
These changes lead to pain during daily activities and progression of the knee OA. The EKAM is considered as the most important variable in the frontal plan and has two peaks: The first peak is a sharp one after initial contact during early stance phase, while the second one is in the late stance phase. The first peak is affected by the amount of knee varus, joint space narrowing, OA severity, and progression level, while the second one is more correlated to the amount of toe out and pain levels. Read more>>>>>>

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