The outcome of a novel biomechanical therapy for patients suffering from anterior knee pain
This study was devised to examine the effect of a novel biomechanical therapy for patients suffering from anterior knee pain (AKP).
A retrospective analysis of 48 patients suffering from AKP was performed. Patients under went a gait evaluation, using an electronic walk way mat, and completed the SF-36 health survey and the WOMAC que stionnaireat baseline and af te r 3 and 6 months of therapy. As pecial biomechanical device was individually calibrated for each patient. AposTherapy is a functional , non-invasi verehabilitati on the r-apy consisting of a biomechanical foot-worn device that is used during activities of daily living. Repeated measures analyses were performed to compare gait parameters and self-ev aluation questionnaires between baseline, 3 months and 6 months.
Walking velocity significantly increased by 5.7 cm/s, cadence increased by 1.6 steps/minute, and stride length increased by 3.4 cm in relation to pretreatment testing (p b 0. 001 for al l) . E nd-point ev al uation revealedad-ditional improvement of these parameters; however these did not significantly differ from that of mid-treatment. Pain decreased by 36.6% and 49.2% following 13 and 26 weeks of treatment, respectively (P b 0.0 1) a nd function improved by 25.2% and 41.7% following 13 and 26 weeks of treatment, respectively (P = 0.01).
The males show significantly greater coronal dimensions of the trochlea than women which are like-ly to contribute to the higher prevalence of prosthetic overhang in women with some standard implants.
Based on the current study's results it may be concluded that this therapy might have a positive effect for patients with AKP.http://www.sciencedirect.com/science/article/pii/S0968016012002311