+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Effects of specialized footwear on joint loads in osteoarthritis of the knee



Effects of specialized footwear on joint loads in osteoarthritis of the knee



Arthritis and Rheumatism 59(9): 1214-1220



Elevated dynamic joint loads have been associated with the severity and progression of osteoarthritis (OA) of the knee. This study compared the effects of a specialized shoe (the mobility shoe) designed to lower dynamic loads at the knee with self-chosen conventional walking shoes and with a commercially available walking shoe as a control. Subjects with knee OA were evaluated in 2 groups. Group A (n = 28) underwent gait analyses with both their self-chosen walking shoes and the mobility shoes. Group B (n = 20) underwent gait analyses with a control shoe and the mobility shoe. Frontal plane knee loads were compared between the different footwear conditions. Group A demonstrated an 8% reduction in the peak external knee adduction moment with the mobility shoe compared with self-chosen walking shoes (mean +/- SD 49 +/- 0.80 versus 2.71 +/- 0.84 %BW x H; P < 0.05). Group B demonstrated a 12% reduction in the peak external knee adduction moment with the mobility shoe compared with the control shoe (mean +/- SD 2.66 +/- 0.69 versus 3.07 +/- 0.75 %BW x H; P < 0.05). Specialized footwear can effectively reduce joint loads in subjects with knee OA, compared with self-chosen shoes and control walking shoes. Footwear may represent a therapeutic target for the treatment of knee OA. The types of shoes worn by subjects with knee OA should be evaluated more closely in terms of their effects on the disease.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 052886782

Download citation: RISBibTeXText

PMID: 18759313

DOI: 10.1002/art.24017


Related references

Effects of common footwear on joint loading in osteoarthritis of the knee. Arthritis Care & Research 62(7): 917-923, 2010

Improvement in knee loading after use of specialized footwear for knee osteoarthritis Results of a 6-month pilot investigation. 2013

Improvement in knee loading after use of specialized footwear for knee osteoarthritis: results of a six-month pilot investigation. Arthritis and Rheumatism 65(5): 1282-1289, 2013

Effects of intensive diet and exercise on knee joint loads, inflammation, and clinical outcomes among overweight and obese adults with knee osteoarthritis: the IDEA randomized clinical trial. JAMA 310(12): 1263-1273, 2013

Inexpensive footwear decreases joint loading in elderly women with knee osteoarthritis. Gait & Posture 34(1): 126-130, 2011

Increased knee joint loads during walking are present in subjects with knee osteoarthritis. Osteoarthritis and Cartilage 10(7): 573-579, 2002

Effectiveness of a long-term use of a minimalist footwear versus habitual shoe on pain, function and mechanical loads in knee osteoarthritis: a randomized controlled trial. Bmc Musculoskeletal Disorders 13: 121-121, 2012

Weight loss reduces knee-joint loads in overweight and obese older adults with knee osteoarthritis. Arthritis and Rheumatism 52(7): 2026-2032, 2005

Inexpensive and minimalist footwear decreases joint loading in elderly women with knee osteoarthritis during stair descent. 2011

Joint loading decreased by inexpensive and minimalist footwear in elderly women with knee osteoarthritis during stair descent. Arthritis Care & Research 64(3): 368-374, 2012

Effects of footwear on the knee adduction moment in medial knee osteoarthritis: classification criteria for flat flexible vs stable supportive shoes. Osteoarthritis and Cartilage 25(2): 234-241, 2016

Effects of footwear on medial compartment knee osteoarthritis. Journal of Rehabilitation Research and Development 43(4): 427-434, 2006

Increased joint loads during walking--a consequence of pain relief in knee osteoarthritis. Knee 13(6): 445-450, 2006

Long-term use of minimal footwear on pain, self-reported function, analgesic intake, and joint loading in elderly women with knee osteoarthritis: A randomized controlled trial. Clinical Biomechanics 30(10): 1194-1201, 2016

On the role of knee joint in balance control and postural strategies: effects of total knee replacement in elderly subjects with knee osteoarthritis. Gait & Posture 32(2): 155-160, 2010