Korean Journal of Applied Biomechanics (한국운동역학회지)

Korean Society of Applied Biomechanics (한국운동역학회)
권호 표지
DOI QR코드

DOI QR Code

Analysis of the Characteristics of Ground Reaction Force According to the Level of Knee Osteoarthritis During Gait

보행 시 농작업 종사자들의 슬관절 퇴행성 등급에 따른 지면반력 특성 분석

  • Lee, Kyung-Ill (Department of Physical Education, College of Physical Education, Chosun University) ;
  • Lee, Chul-Gab (Department of Occupational and Environmental Medicine, School of Medicine, Chosun University) ;
  • Hong, Wan-Ki (Department of Physical Education, College of Physical Education, Chosun University) ;
  • Kim, Min (Department of Physical Education, College of Physical Education, Chosun University)
  • 이경일 (조선대학교 체육대학 체육학과) ;
  • 이철갑 (조선대학교 의과대학 직업환경의학과) ;
  • 홍완기 (조선대학교 체육대학 체육학과) ;
  • 김민 (조선대학교 체육대학 체육학과)
  • Received : 2015.10.29
  • Accepted : 2015.12.18
  • Published : 2015.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : This study was conducted with an aim to use it as basic data for developing assistive devices, such as insoles that can suppress the progress of degenerative diseases and strategies, to improve early degenerative diseases by assessing walking characteristics of farm workers who were classified as KL-grade in the perspective of motor mechanics. Method : 38 male and female adults who complained of knee joint pain for more than six months were selected, and they were classified according to KL-grade. KL-grade was assessed by an orthopaedic specialist and an occupational environment health specialist. Filming equipment (FX-1, CASIO, Japan) and a ground reaction force system (AMTI OR6, AMTI, USA) were used to identify ground reaction force characteristics, and WOMAC was used for a pain rating scale. Results : There was a difference between the right and left side (axis-X) according to KL-grade, and when the grade was higher, the internal ground reaction force was also higher. Changes in COP were not affected by KL-grade of the knee joint, but it tended to increase as the grade increased. There were differences in the time required for limb support while walking according to the grades, and when the grade was higher, walking was more inefficient with long braking force and short propulsion forces. Also, pain rating scale, the right and left side, and COP changes while in support phase were related. Conclusion : There was a partial, statically significant difference in KL-grade and ground reaction force occurring during the support phase, and there were differences in ground reaction forces according to the grades of degenerative arthritis in the knee joint, indicating that this study is worthy as basic data for future studies.

Keywords

References

  1. Bellamy, N. (1989). Pain assessment in osteoarthritis: experience with the WOMAC osteoarthritis index. Semin Arthritis Rheumatism, 18(4), 14-17. https://doi.org/10.1016/0049-0172(89)90010-3
  2. Emrani, P. S., Katz, J. N., Kessler, C. L., Reichmann, W. M., Wright, E. A., McAlindon, T. E., & Losina, E. (2008). Joint space narrowing and Kellgren-Lawrence progression in knee osteoarthritis: An analytic literature synthesis. Osteoarthritis and Cartilage, 16(8), 873-882. https://doi.org/10.1016/j.joca.2007.12.004
  3. England, S. A., & Granata, K P. (2007). The influence of gait speed on local dynamic stability of walking. Gait & Posture, 25(2), 172-178. https://doi.org/10.1016/j.gaitpost.2006.03.003
  4. Hanlon, M., & Anderson, R. (2006). Prediction methods to account for the effect of gait speed on lower limb angular kinematics. Gait Posture, 24(3), 280-287. https://doi.org/10.1016/j.gaitpost.2005.10.007
  5. Kaufman, K. R., Hughes, C., Morrey, B. F., Morrey, M., & An, K. (2001). Gait characteristics of patients with knee osteoarthritis. Journal of Biomechanics, 34, 907-915. https://doi.org/10.1016/S0021-9290(01)00036-7
  6. Kim, H. Y. (2006). Gait analysis of the Patients with Degenertive Arthritis in the Bilateral Knee Joints. Unpublished Doctoral Dissertation, Graduate School of Wongwang University.
  7. Lee, J. H., & Jang, J. G. (2014). The comparative analysis of gait safety between elderly female and adult female. Korean Journal of Sport Biomechanics, 24(3), 249-258. https://doi.org/10.5103/KJSB.2014.24.3.249
  8. Lee, K, I., Lee, C, G., Song, H. S., & Hong, W, K. (2015). Analysis of biomechanical changes according to mechanical alignment of the lower limbs when gait with a heavy load. Korean Journal of Sport Biomechanics, 25(2), 183-190. https://doi.org/10.5103/KJSB.2015.25.2.183
  9. Miyaguchi, M., Kobayashi, A., Kadoya, Y., Ohashi, H., Yamano, Y., & Takaoka, K. (2003). Biochemical change in joint fluid after isometric quadriceps exercise for patients with osteoarthritis of the knee. Osteoarthritis and Cartilage, 11(4), 252-259. https://doi.org/10.1016/S1063-4584(02)00372-2
  10. Mundermann, A., Dyrby, C. O., Hurwitz, D. E., Sharma, L., & Andriacchi, T. P. (2004). Potential strategies to reduce medial compartment loading in patients with knee osteoarthritis of varying severity: reduced walking speed. Arthritis Rheumatism, 50(4), 1172-1178. https://doi.org/10.1002/art.20132
  11. Naredo, E., Cabero, F., Palop, M. J., Collado, P., Cruz, A., & Crespo, M. (2005). Ultrasonographic findings in knee osteoarthritis: a comparative study with clinical and radiographic assessment. Osteoarthritis Cartilage, 13(7), 568-574. https://doi.org/10.1016/j.joca.2005.02.008
  12. Neumann, D. A. (2004). Kinesiology of the Musculoskeletal System; Foundations for Physical Rehabilitation. St. Louis : Mosby.
  13. Osborne, A., Blake, C., Fullen, B. M., Meredith, D., Phelan, J., McNamara, J., & Cunningham, C. (2012). Prevalence of musculoskeletal disorders among farmers: a systematic review. American Journal of Medicine, 55, 143-158.
  14. Perry, J. (1992). Gait analtsis. SLACK incorporated:NJ.
  15. Prince, F. L., Corriveau, H., Hebert, R., & Winter, D. A. (1997). Gait int the elderly. Gait and Posture, 5, 128-135. https://doi.org/10.1016/S0966-6362(97)01118-1
  16. Riddle, D. L., Jiranek, W. A., & Hull, J. R. (2013). Validity and reliability of radiographic knee osteoarthritis measures by arthroplasty surgeons. Orthopedics, 36(1), 25-32. https://doi.org/10.3928/01477447-20130122-54
  17. Rural Development Administration (2012). http://www.rda.go.kr.
  18. Ryu, J. S. (2008). Dynamic stability analysis of patients with degenerative osteoarthritise during walking. Korean Journal of Sport Biomechanics, 18(1), 12-20.
  19. Sharma, L., Hurwitz, D E., Thonar, E. A., Sum, J. A., Lenz, M. E., Dunlop, D. D., Schnitzer, T. J., KirwanMellis, G., & Thomas, P. A. (1997). Knee adduction moment, serum hyaluronan level, and disease severity in medial tibiofemoral osteoarthritis. Arthritis & Rheumatism, 41(7), 1233-1240. https://doi.org/10.1002/1529-0131(199807)41:7<1233::AID-ART14>3.0.CO;2-L
  20. Son, H. H. (2011). A Biomechanical Analysis of the Patients with Knee Osteoarthritis with Different Gait Conditions. Unpublished Doctoral Dissertation, Graduate School of Daegu University.
  21. Whittle, M. (1996). Gait Analysis : An Introduction, 2nd ed. Oxford, Butterworth-Heinemann. Ltd.