Changes in In Vivo Knee Contact Forces through Gait Modification

Gait modification represents a non-invasive method for reducing knee joint loading in patients with knee osteoarthritis. Previous studies have shown that a variety of gait modifications are effective in reducing the external knee adduction moment. The external knee adduction moment is often used as a surrogate measure of medial compartment force. However, a recent study showed that reductions in the external knee adduction moment do not guarantee reductions in medial compartment loads. Therefore, direct measurement of changes in knee contact force is important for determining the effectiveness of gait modifications. A previous study found that medial thrust gait and walking with hiking poles reduced contact force in a patient with a force-measuring knee replacement. The purpose of this study was to investigate the effects of additional gait modifications (mild crouch, moderate crouch, forefoot strike and bouncy gait) and four configurations of hiking poles on medial and lateral contact forces measured by a force-measuring knee replacement