PMID- 37599518
OWN - NLM
STAT- MEDLINE
DCOM- 20240115
LR  - 20240115
IS  - 1878-6324 (Electronic)
IS  - 1053-8127 (Linking)
VI  - 37
IP  - 1
DP  - 2024
TI  - Clinically significant effects of gait modification on knee pain: A systematic 
      review and meta-analysis.
PG  - 3-12
LID - 10.3233/BMR-220291 [doi]
AB  - BACKGROUND: Knee pain is the main symptom of knee osteoarthritis. Walking is 
      effective against knee pain, and some studies have shown that gait modification 
      can also relieve this condition. However, the quality of evidence for the 
      clinically significant effects of gait modification on knee pain has not been 
      examined. OBJECTIVE: This systematic review and meta-analysis aimed to evaluate 
      the level of evidence for the clinically significant effects of gait modification 
      on knee pain and determine if the effects are greater than the minimal clinically 
      important difference (MCID). METHODS: We comprehensively searched electronic 
      databases such as MEDLINE, Cochrane Central Register of Controlled Trials, 
      Physiotherapy Evidence Database, and Cumulative Index to Nursing and Allied 
      Health Literature. Intervention studies with experimental groups who received 
      gait modification and control groups who did not were evaluated. The Grading of 
      Recommendations Assessment, Development and Evaluation system was used to assess 
      the level of evidence. RESULTS: Nine studies met the inclusion criteria. All were 
      included in the systematic review and two in the meta-analysis. Results showed 
      that gait modification have significant effects (p= 0.02), and the quality of 
      evidence was very low. However, several studies have revealed that the effects of 
      gait modification, when used as a foot-focused intervention, were greater than 
      the MCID. CONCLUSIONS: We concluded that there is a lack of high-quality evidence 
      that supports the general efficacy of gait modification. Although based on 
      low-quality evidence, when applied to the foot, it may have clinically 
      significant effects.
FAU - Tamura, Hiroyuki
AU  - Tamura H
AD  - Graduate School of Humanities and Social Sciences, Hiroshima University, 
      Hiroshima, Japan.
AD  - Karada care Business Promotion Office, NEC Livex Ltd., Tokyo, Japan.
FAU - Hirohama, Kenta
AU  - Hirohama K
AD  - Graduate School of Humanities and Social Sciences, Hiroshima University, 
      Hiroshima, Japan.
AD  - Department of Rehabilitation, Sakamidorii Hospital, Hiroshima, Japan.
FAU - Hamada, Kazuaki
AU  - Hamada K
AD  - Graduate School of Humanities and Social Sciences, Hiroshima University, 
      Hiroshima, Japan.
AD  - Department of Rehabilitation, Wako Orthopedic Clinic, Hiroshima, Japan.
FAU - Imura, Takeshi
AU  - Imura T
AD  - Department of Rehabilitation, Faculty of Health Sciences, Hiroshima Cosmopolitan 
      University, Hiroshima, Japan.
FAU - Mitsutake, Tsubasa
AU  - Mitsutake T
AD  - Department of Physical Therapy, Fukuoka International University of Health and 
      Welfare, Fukuoka, Japan.
FAU - Tanaka, Ryo
AU  - Tanaka R
AD  - Graduate School of Humanities and Social Sciences, Hiroshima University, 
      Hiroshima, Japan.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PT  - Systematic Review
PL  - Netherlands
TA  - J Back Musculoskelet Rehabil
JT  - Journal of back and musculoskeletal rehabilitation
JID - 9201340
SB  - IM
MH  - Humans
MH  - *Osteoarthritis, Knee/therapy/diagnosis
MH  - Walking
MH  - Pain
MH  - Gait
OTO - NOTNLM
OT  - Osteoarthritis
OT  - minimal clinically important difference
OT  - walking
EDAT- 2023/08/21 06:42
MHDA- 2024/01/15 12:42
CRDT- 2023/08/21 03:09
PHST- 2024/01/15 12:42 [medline]
PHST- 2023/08/21 06:42 [pubmed]
PHST- 2023/08/21 03:09 [entrez]
AID - BMR220291 [pii]
AID - 10.3233/BMR-220291 [doi]
PST - ppublish
SO  - J Back Musculoskelet Rehabil. 2024;37(1):3-12. doi: 10.3233/BMR-220291.