Effect of gait retraining strategies on clinical and biomechanical outcomes in subjects with knee osteoarthritis: a systematic review with meta-analysis and GRADE recommendations.
Purpose: To assess the effects of gait retraining strategies on clinical and/or biomechanical variables in knee osteoarthritis. Methods: This study was registered in PROSPERO-CRD42023402778. Studies were searched up to June/2024. PEDro scale and GRADE approach were used to assess methodological qual...
| Publicado en: | Disability & Rehabilitation Vol. 47; no. 24; pp. 6271 - 6280 |
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| Autores principales: | , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189650978&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189650978 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Dec2025 vid: 47 iid: 24 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 189650978 185174457 189650978 189650978 10.1080/09638288.2025.2502586 189650978 ppf: 6271 ppct: 9 formats: tig: atl: Effect of gait retraining strategies on clinical and biomechanical outcomes in subjects with knee osteoarthritis: a systematic review with meta-analysis and GRADE recommendations. aug: au: Castro, Rayane Quintão Oliveira, João Victor Volker Veras, Priscila Monteiro Correa, Cyntia Pace Schmitz Peixoto, Jennifer Granja Fonseca, Diogo Simões affil: Programa de Pós-graduação em Ciências da Reabilitação e Desempenho Físico-Funcional, Universidade Federal de Juiz de Fora, Juiz de Fora, Brazil sug: subj: Osteoarthritis, Knee Therapy Gait Training Biomechanics Evaluation Treatment Outcomes Funding Source Human Systematic Review Meta Analysis Cochrane Library PubMed Physiotherapy Evidence Database Embase Walking Adduction Rotation Kinematics Pain Management Confidence Intervals Data Analysis Software Descriptive Statistics Checklists ab: Purpose: To assess the effects of gait retraining strategies on clinical and/or biomechanical variables in knee osteoarthritis. Methods: This study was registered in PROSPERO-CRD42023402778. Studies were searched up to June/2024. PEDro scale and GRADE approach were used to assess methodological quality and certainty of evidence. A meta-analysis was conducted using R-software. Results: The included studies employed backward walking (5), toe-out (1), and freely strategies (2). The meta-analysis revealed a significant difference with low quality of evidence favoring gait retraining for pain (MD = −1.12; 95% CI: [-1.61; −0.62]; I2 = 78%; p < 0.01) and with high quality for function (SMD = −0.80; 95% CI: [-1.12; −0.48]; I2 = 0%; p = 0.42). A significant difference also favoring gait retraining was observed for first knee adduction moment (KAM) (MD = −0.20; 95% CI: [-0.38; −0.02]; I2 = 84%; p < 0.01). The comparisons indicated similarity between groups for second KAM (MD = −0.16; 95% CI: [−0.47; 0.16]; I2 = 79%; p = 0.03) and for knee flexion moment (MD = 0.07; 95% CI: [-0.07; 0.20]; I2 = 76%; p = 0.02). Conclusion: Gait retraining improved pain, function and first KAM. Second KAM and knee flexion moment did not modify. IMPLICATIONS FOR REHABILITATION: Knee osteoarthritis is a chronic and complex disease, typically manifesting as pain, stiffness and impaired movement; Gait retraining strategies improved pain in knee osteoarthritis patients. However, pain improvement was not of clinical importance. Gait retraining strategies improved function and first knee adduction moment in knee osteoarthritis patients; Clinical practice maybe improved adding gait retraining to knee osteoarthritis core treatment. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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