Measuring energy consumption increase in progressive bending knee deformities while walking
DOI:
https://doi.org/10.1016/j.rccot.2016.06.003Keywords:
walking energy expenditure, healthy young adults, knee flexion deformitiesAbstract
This study evaluated the energy expenditure of normal walking, simulating progressive flexion contractures in one and both knees, using knee braces at 10º, 20º, 30º and 45º of flexion, in 16 (n = 16) healthy subjects. There was a significant difference in energy expenditure with basal measurements and the simulated knee flexion with one and two braces (p < 0.005), and this occurred when flexion contracture exceeded 30◦ and 45◦ with one and both braces. About the perceived exertion measured with the Borg Scale, there was an increased perceived effort with the tests with two braces compared with the testes with one brace, and it rises progressively when the flexion contracture increases.
Evidence level: II.
Downloads
References
Saibene F, Minetti AE. Biomechanical and physiological aspects of legged locomotion in humans. Eur J Appl Physiol. 2003;88:297-316. https://doi.org/10.1007/s00421-002-0654-9
Waters RL, Mulroy S. The energy expenditure of normal and pathologic gait. Gait Posture. 1999;9:207-31. https://doi.org/10.1016/S0966-6362(99)00009-0
Levine JA. Measurement of energy expenditure. Public Health Nutr. 2005;8:1123-32. https://doi.org/10.1079/PHN2005800
Carpenter A, Pencharz P, Mouzaki M. Accurate estimation of energy requirements of young patients. J Pediatr Gastroenterol Nutr. 2015;60:4-10. https://doi.org/10.1097/MPG.0000000000000572
Murphy MT, Skinner TL, Cresswell AG, Crawford RW, Journeaux SF, Russell TG. The effect of knee flexion contracture following total knee arthroplasty on the energy cost of walking. J Arthroplasty. 2014;29:85-9. https://doi.org/10.1016/j.arth.2013.04.039
Perry J, Antonelli D, Ford W. Analysis of knee-joint forces during flexed-knee stance. J Bone Joint Surg Am. 1975;57: 961-7. https://doi.org/10.2106/00004623-197557070-00014
Strauss AC, Goldmann G, Schmolders J, Muller MC, Placzek R, Oldenburg J, et al. [Impact of Preoperative Knee Stiffness on the Postoperative Outcome after Total Knee Arthroplasty in Patients with Haemophilia]. Z Orthop Unfall. 2015;153: 526-32.
Abdulhadi HM, Kerrigan DC, LaRaia PJ. Contralateral shoe-lift: effect on oxygen cost of walking with an immobilized knee. Arch Phys Med Rehabil. 1996;77:670-2. https://doi.org/10.1016/S0003-9993(96)90006-4
Harato K, Nagura T, Matsumoto H, Otani T, Toyama Y, Suda Y. Extension limitation in standing affects weight-bearing asymmetry after unilateral total knee arthroplasty. J Arthroplasty. 2010;25:225-9. https://doi.org/10.1016/j.arth.2009.02.003
Ritter MA, Lutgring JD, Davis KE, Berend ME, Pierson JL, Meneghini RM. The role of flexion contracture on outcomes in primary total knee arthroplasty. J Arthroplasty. 2007;22:1092-6. https://doi.org/10.1016/j.arth.2006.11.009
Birmingham TB, Kramer JF, Kirkley A. Effect of a functional knee brace on knee flexion and extension strength after anterior cruciate ligament reconstruction. Arch Phys Med Rehabil. 2002;83:1472-5. https://doi.org/10.1053/apmr.2002.35093
Mattsson E, Brostrom LA. The increase in energy cost of walking with an immobilized knee or an unstable ankle. Scand J Rehabil Med. 1990;22:51-3. https://doi.org/10.2340/1650197790225153
Butler RJ, Queen RM, Wilson B, Stephenson J, Barnes CL. The effect of extension constraint knee bracing on dynamic balance, gait mechanics, and joint alignment. PM R. 2014;6:309-15. https://doi.org/10.1016/j.pmrj.2013.09.011
Castellanos Fajardo RPR, Marco Antonio. Validez y confiabilidad de la escala de esfuerzo percibido de Borg. Ensen˜anza e Investigacion' en Psicología. 2009;14:169-77.
Muñoz OM, García AA, Fernández-Ávila D, Higuera A, Ruiz AJ, Aschnera P, et al. Guía de práctica clínica para la prevención, detección temprana, diagnóstico, tratamiento y seguimiento de las dislipidemias: evaluación del riesgo cardiovascular. Rev Col Cardiol. 2015;22:263-9. https://doi.org/10.1016/j.rccar.2015.04.009
Cerny K, Perry J, Walker JM. Adaptations during the stance phase of gait for simulated flexion contractures at the knee. Orthopedics. 1994;17:501-12. https://doi.org/10.3928/0147-7447-19940601-04
Waters RL, Campbell J, Thomas L, Hugos L, Davis P. Energy costs of walking in lower-extremity plaster casts. J Bone Joint Surg Am. 1982;64:896-9. https://doi.org/10.2106/00004623-198264060-00013
Duffy CM, Hill AE, Graham HK. The influence of flexed-knee gait on the energy cost of walking in children. Dev Med Child Neurol. 1997;39:234-8. https://doi.org/10.1111/j.1469-8749.1997.tb07417.x
Foster GD, Wadden TA, Kendrick ZV, Letizia KA, Lander DP, Conill AM. The energy cost of walking before and after significant weight loss. Med Sci Sports Exerc. 1995;27:888-94. https://doi.org/10.1249/00005768-199506000-00014
Browning RC, Baker EA, Herron JA, Kram R. Effects of obesity and sex on the energetic cost and preferred speed of walking. J Appl Physiol. 2006;100:390-8. https://doi.org/10.1152/japplphysiol.00767.2005
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Revista Colombiana de ortopedia y traumatología
This work is licensed under a Creative Commons Attribution 3.0 Unported License.
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
