Viton J-M, Bertera-Blanchard C, Guegen N, Mouchnino L, Mesure S, Gimet G, Franceschi J-P, Delarque A
Département universitaire de médecine physique et de réadaptation, faculté de médecine, AP-HM, université de la Méditerranée, 92 rue A.-Blanqui, 13005 Marseille, France.
Ann Readapt Med Phys. 2003 May;46(4):191-7. doi: 10.1016/s0168-6054(03)00060-6.
The aim of this work was to study the compensatory strategies built up by patients with unilateral knee arthritis during stair descent. These compensatory strategies might induce increased biomechanical constraints on the unaffected knee.
A kinetic and kinematic analysis was performed in 11 patients with unilateral knee arthritis and in 14 control subjects using an ELITE system and two force-plates. The peak of vertical ground reaction forces when landing on the reception force-plate, the time to reach the peak and the duration of the different phases of the movement were studied during stair descent.
The peak of vertical ground reaction forces was more important when landing on the unaffected limb than when landing on the affected limb. The time to reach this peak was longer in patients than in controls no matter which side was supporting. The duration of the single support phase was longer on the unaffected limb than on the affected limb.
This work has shown that patients with unilateral knee arthritis develop new strategies during stair descent. These new strategies imply increased biomechanical constraints on the unaffected limb and might favor arthritis on the sound side. These results support the idea that rehabilitation protocols of patients with unilateral knee arthritis should also involve the unaffected limb.
