Abstract

Purpose: Gait retraining strategies are being developed worldwide to improve the mechanical loading of knee joints with medial osteoarthritis (OA). A dual kinetic change (DKC), aimed to decrease the peak knee adduction moment (pKAM) by at least 10% without increasing the peak knee flexion moment (pKFM), is particularly sought in this case. Interesting results have been obtained by instructing the patients to modify their footprint parameters, particularly reducing the foot progression angle (FPA), a modification also known as toeing-in, and more recently, by modifying step-width (SW).

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