Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses

Abstract Hip joint loads need careful consideration during postoperative physiotherapy after joint replacement. One factor influencing joint loads is the choice of footwear, but it remains unclear which footwear is favorable. The objective of the present study was to investigate the influence of foo...

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Autores principales:	Y. Palmowski, S. Popović, D. Kosack, P. Damm
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4aac4bd9ce874563997c2c9d71d26250
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spelling	oai:doaj.org-article:4aac4bd9ce874563997c2c9d71d262502021-12-02T17:15:36ZAnalysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses10.1038/s41598-021-89611-82045-2322https://doaj.org/article/4aac4bd9ce874563997c2c9d71d262502021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89611-8https://doaj.org/toc/2045-2322Abstract Hip joint loads need careful consideration during postoperative physiotherapy after joint replacement. One factor influencing joint loads is the choice of footwear, but it remains unclear which footwear is favorable. The objective of the present study was to investigate the influence of footwear on hip joint loads in vivo. Instrumented hip endoprostheses were used for in vivo load measurements. The parameters resultant contact force (Fres), bending moment (Mbend) and torsional moment (Mtors) were evaluated during treadmill walking at 4 km/h with different shoe types. In general, footwear tended to increase hip joint loading, with the barefoot shoe having the least influence. Fres and Mbend were significantly increased during heel strike for all shoe types in comparison to barefoot walking, with everyday shoe (34.6%; p = 0.028 and 47%; p = 0.028, respectively) and men’s shoe (33.2%; p = 0.043 and 41.1%; p = 0.043, respectively) resulting in the highest changes. Mtors at AbsMax was increased by all shoes except for the barefoot shoe, with the highest changes for men’s shoe (+ 17.6%, p = 0.043) and the shoe with stiffened sole (+ 17.5%, p = 0.08). Shoes, especially those with stiff soles or elaborate cuishing and guiding elements, increase hip joint loads during walking. The influence on peak loads is higher for Mtors than for Fres and Mbend. For patients in which a reduction of hip joints loads is desired, e.g. during physiotherapy after recent surgery or to alleviate symptoms of osteoarthritis, low profile shoes with a flexible sole may be preferred over shoes with a stiff sole or elaborate cushioning elements.Y. PalmowskiS. PopovićD. KosackP. DammNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Y. Palmowski S. Popović D. Kosack P. Damm Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses
description	Abstract Hip joint loads need careful consideration during postoperative physiotherapy after joint replacement. One factor influencing joint loads is the choice of footwear, but it remains unclear which footwear is favorable. The objective of the present study was to investigate the influence of footwear on hip joint loads in vivo. Instrumented hip endoprostheses were used for in vivo load measurements. The parameters resultant contact force (Fres), bending moment (Mbend) and torsional moment (Mtors) were evaluated during treadmill walking at 4 km/h with different shoe types. In general, footwear tended to increase hip joint loading, with the barefoot shoe having the least influence. Fres and Mbend were significantly increased during heel strike for all shoe types in comparison to barefoot walking, with everyday shoe (34.6%; p = 0.028 and 47%; p = 0.028, respectively) and men’s shoe (33.2%; p = 0.043 and 41.1%; p = 0.043, respectively) resulting in the highest changes. Mtors at AbsMax was increased by all shoes except for the barefoot shoe, with the highest changes for men’s shoe (+ 17.6%, p = 0.043) and the shoe with stiffened sole (+ 17.5%, p = 0.08). Shoes, especially those with stiff soles or elaborate cuishing and guiding elements, increase hip joint loads during walking. The influence on peak loads is higher for Mtors than for Fres and Mbend. For patients in which a reduction of hip joints loads is desired, e.g. during physiotherapy after recent surgery or to alleviate symptoms of osteoarthritis, low profile shoes with a flexible sole may be preferred over shoes with a stiff sole or elaborate cushioning elements.
format	article
author	Y. Palmowski S. Popović D. Kosack P. Damm
author_facet	Y. Palmowski S. Popović D. Kosack P. Damm
author_sort	Y. Palmowski
title	Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses
title_short	Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses
title_full	Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses
title_fullStr	Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses
title_full_unstemmed	Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses
title_sort	analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/4aac4bd9ce874563997c2c9d71d26250
work_keys_str_mv	AT ypalmowski analysisofhipjointloadingduringwalkingwithdifferentshoetypesusinginstrumentedtotalhipprostheses AT spopovic analysisofhipjointloadingduringwalkingwithdifferentshoetypesusinginstrumentedtotalhipprostheses AT dkosack analysisofhipjointloadingduringwalkingwithdifferentshoetypesusinginstrumentedtotalhipprostheses AT pdamm analysisofhipjointloadingduringwalkingwithdifferentshoetypesusinginstrumentedtotalhipprostheses
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Analysis of hip joint loading during walking with different shoe types using instrumented total hip prostheses

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