» Articles » PMID: 26644647

Does Decrease of the Thoracic Kyphosis Influence Decrease Knee Adduction Moment During Gait? A Preliminary Study of a Healthy Population

Overview
Journal J Phys Ther Sci
Date 2015 Dec 9
PMID 26644647
Citations 4
Authors
Affiliations
Soon will be listed here.
Abstract

[Purpose] The purpose of this study was to investigate the influence of a decrease in thoracic kyphosis angle on the knee adduction moment during gait in healthy young individuals. [Subjects and Methods] Twenty-nine healthy adults, consisting of 15 males and 14 females (21.6 ± 1.1 years old), participated. The draw-in maneuver was used to decrease thoracic kyphosis, and thoracic kyphosis was measured using a SpinalMouse during normal standing and standing with the draw-in maneuver. The participants were required to maintain the draw-in maneuver during gait. A 3-D motion analysis system and a force plate were used to obtain knee adduction moment. [Results] Thoracic kyphosis angles during the draw-in maneuver (41.0 ± 7.4 degrees) were significantly decreased compared with the angles during normal standing (43.0 ± 7.9 degrees). Although the knee adduction moment during gait with the draw-in maneuver was not significantly decreased compared with that during level gait, in the 20 subjects who had decreased kyphosis due to the draw-in maneuver, the 1st peak knee adduction moment (55.7 ± 24.3 × 10(-3)) with the draw-in maneuver was significantly decreased compared with the knee adduction moment (57.0 ± 16.3 × 10(-3)) during level gait. [Conclusion] Knee adduction moment in the case of a decreased thoracic kyphosis angle due to the draw-in maneuver was decreased compared with that during level gait.

Citing Articles

Relationship between gait parameter and spinal sagittal profiles in asymptomatic subjects.

Wilartratsami S, Nathasiri L, Vanadurongwan B, Santipas B, Suvithayasiri S, Luksanapruksa P BMC Musculoskelet Disord. 2023; 24(1):559.

PMID: 37422642 PMC: 10329316. DOI: 10.1186/s12891-023-06672-8.


Effects of walking with a "draw-in maneuver" on the knee adduction moment and hip muscle activity.

Fujita R, Ota S, Ogawa Y, Ota H J Phys Ther Sci. 2021; 33(4):329-333.

PMID: 33935356 PMC: 8079891. DOI: 10.1589/jpts.33.329.


Beneficial effects of a gait used while wearing a kimono to decrease the knee adduction moment in healthy adults.

Ota S, Ogawa Y, Ota H, Fujiwara T, Sugiyama T, Ochi A PLoS One. 2017; 12(6):e0179260.

PMID: 28640896 PMC: 5480874. DOI: 10.1371/journal.pone.0179260.


The relationship between the load on the knee joint during walking and the biomechanical characteristics of single-leg standing.

Chiba T, Yamanaka M, Samukawa M, Saito H, Sabashi K, Tohyama H J Phys Ther Sci. 2016; 28(8):2199-203.

PMID: 27630397 PMC: 5011561. DOI: 10.1589/jpts.28.2199.

References
1.
Dequeker J, Aerssens J, Luyten F . Osteoarthritis and osteoporosis: clinical and research evidence of inverse relationship. Aging Clin Exp Res. 2004; 15(5):426-39. DOI: 10.1007/BF03327364. View

2.
von Garnier K, Koveker K, Rackwitz B, Kober U, Wilke S, Ewert T . Reliability of a test measuring transversus abdominis muscle recruitment with a pressure biofeedback unit. Physiotherapy. 2009; 95(1):8-14. DOI: 10.1016/j.physio.2008.10.003. View

3.
Ettinger B, Black D, Palermo L, Nevitt M, Melnikoff S, Cummings S . Kyphosis in older women and its relation to back pain, disability and osteopenia: the study of osteoporotic fractures. Osteoporos Int. 1994; 4(1):55-60. DOI: 10.1007/BF02352262. View

4.
Sinaki M, Brey R, Hughes C, Larson D, Kaufman K . Significant reduction in risk of falls and back pain in osteoporotic-kyphotic women through a Spinal Proprioceptive Extension Exercise Dynamic (SPEED) program. Mayo Clin Proc. 2005; 80(7):849-55. DOI: 10.4065/80.7.849. View

5.
Mannion A, Knecht K, Balaban G, Dvorak J, Grob D . A new skin-surface device for measuring the curvature and global and segmental ranges of motion of the spine: reliability of measurements and comparison with data reviewed from the literature. Eur Spine J. 2003; 13(2):122-36. PMC: 3476568. DOI: 10.1007/s00586-003-0618-8. View