Joint loading decreased by inexpensive and minimalist footwear in elderly women with knee osteoarthritis during stair descent

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSACCO, I. C. N.
dc.contributor.authorTROMBINI-SOUZA, F.
dc.contributor.authorBUTUGAN, M. K.
dc.contributor.authorPASSARO, A. C.
dc.contributor.authorARNONE, A. C.
dc.contributor.authorFULLER, R.
dc.date.accessioned2013-07-30T14:45:48Z
dc.date.available2013-07-30T14:45:48Z
dc.date.issued2012
dc.description.abstractObjective Previous studies indicate that flexible footwear, which mimics the biomechanics of walking barefoot, results in decreased knee loads in patients with knee osteoarthritis (OA) during walking. However, the effect of flexible footwear on other activities of daily living, such as descending stairs, remains unclear. Our objective was to evaluate the influence of inexpensive and minimalist footwear (Moleca) on knee adduction moment (KAM) during stair descent of elderly women with and without knee OA. Methods. Thirty-four elderly women were equally divided into an OA group and a control group (CG). Stair descent was evaluated in barefoot condition, while wearing the Moleca, and while wearing heeled shoes. Kinematics and ground reaction forces were measured to calculate KAM by using inverse dynamics. Results. The OA group experienced a higher KAM during midstance under the barefoot condition (233.3%; P = 0.028), the Moleca (379.2%; P = 0.004), and heeled shoes (217.6%; P = 0.007). The OA group had a similar knee load during early, mid, and late stance with the Moleca compared with the barefoot condition. Heeled shoes increased the knee loads during the early-stance (versus barefoot [16.7%; P < 0.001] and versus the Moleca [15.5%; P < 0.001]), midstance (versus barefoot [8.6%; P = 0.014] and versus the Moleca [9.5%; P = 0.010]), and late-stance phase (versus barefoot [10.6%; P = 0.003] and versus the Moleca [9.2%; P < 0.001]). In the CG, the Moleca produced a knee load similar to the barefoot condition only during the early-stance phase. Conclusion. Besides the general foot protection, the inexpensive and minimalist footwear contributes to decreasing knee loads in elderly women with OA during stair descent. The loads are similar to the barefoot condition and effectively decreased when compared with heeled shoes.
dc.description.indexMEDLINE
dc.description.sponsorshipNational Council for Scientific and Technological Development (CNPq) [480209/2007-3]
dc.description.sponsorshipCoordination for Improvement of Higher Education Personnel (CAPES)
dc.description.sponsorshipState of Sao Paulo Research Foundation (FAPESP) [2011/01640-8]
dc.identifier.citationARTHRITIS CARE & RESEARCH, v.64, n.3, p.368-374, 2012
dc.identifier.doi10.1002/acr.20690
dc.identifier.issn2151-464X
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/595
dc.language.isoeng
dc.publisherWILEY-BLACKWELL
dc.relation.ispartofArthritis Care & Research
dc.rightsrestrictedAccess
dc.rights.holderCopyright WILEY-BLACKWELL
dc.subject.otheradduction moment
dc.subject.otherheeled shoes
dc.subject.otherprogression
dc.subject.otherwalking
dc.subject.otherindividuals
dc.subject.otherdisease
dc.subject.othergait
dc.subject.otherhip
dc.subject.otherperformance
dc.subject.otherarthritis
dc.subject.wosRheumatology
dc.titleJoint loading decreased by inexpensive and minimalist footwear in elderly women with knee osteoarthritis during stair descent
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus23
hcfmusp.contributor.author-fmusphcISABEL DE CAMARGO NEVES SACCO
hcfmusp.contributor.author-fmusphcFRANCIS TROMBINI DE SOUZA
hcfmusp.contributor.author-fmusphcMARCO KENJI BUTUGAN
hcfmusp.contributor.author-fmusphcANICE DE CAMPOS PASSARO
hcfmusp.contributor.author-fmusphcANTONIO CARLOS ARNONE
hcfmusp.contributor.author-fmusphcRICARDO FULLER
hcfmusp.description.beginpage368
hcfmusp.description.endpage374
hcfmusp.description.issue3
hcfmusp.description.volume64
hcfmusp.lim.ref2012
hcfmusp.origemWOS
hcfmusp.origem.pubmed22076748
hcfmusp.origem.scopus2-s2.0-84859847734
hcfmusp.origem.wosWOS:000300831500008
hcfmusp.publisher.cityMALDEN
hcfmusp.publisher.countryUSA
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hcfmusp.remissive.sponsorshipCAPES
hcfmusp.remissive.sponsorshipCNPq
hcfmusp.remissive.sponsorshipFAPESP
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