Author: Jagodinsky A1, Fox J2, Decoux B1, Weimar W1, Liu W1.
Affiliation: 1School of Kinesiology, Auburn University, USA. 2Doctor of Physical Therapy Program, Methodist University, USA.
Conference/Journal: J Phys Ther Sci.
Date published: 2015 Sep
Other:
Volume ID: 27 , Issue ID: 9 , Special Notes: doi: 10.1589/jpts.27.2959 , Word Count: 191
Abstract
[Purpose] Medial knee osteoarthritis, a degenerative joint disease, affects adults. The external knee adduction moment, a surrogate knee-loading measure, has clinical implications for knee osteoarthritis patients. Tai Chi is a promising intervention for pain alleviation in knee osteoarthritis; however, the characteristics of external knee adduction moment during Tai Chi have not been established. [Subjects and Methods] During normal and Tai Chi walking, a gait analysis was performed to compare the external knee adduction moment moment-arm characteristics and paired t-tests to compare moment-arm magnitudes. [Results] A significant difference was observed in the average lateral direction of moment-arm magnitude during Tai Chi walking (-0.0239 ± 0.011 m) compared to that during normal walking (-0.0057 ± 0.004 m). No significant difference was found between conditions in average medial direction of moment-arm magnitude (normal walking: 0.0143 ± 0.010 m; Tai Chi walking: 0.0098 ± 0.014 m). [Conclusion] Tai Chi walking produced a larger peak lateral moment-arm value than normal walking during the stance phase, whereas Tai Chi walking and normal walking peak medial moment-arm values were similar, suggesting that medial knee joint loading may be avoided during Tai Chi walking.
KEYWORDS:
External knee adduction moment arm; Tai Chi gait; Walking
PMID: 26504334 [PubMed] PMCID: PMC4616135