Static Plantar Pressure Distribution and Position Correlations in Early and Mid-term Knee Osteoarthritis Patients

Original Article | Vol 3 | Issue 2 | July-December 2023 | page: 73-80 | Wan Yiqun, Gao Weiyu, Wang Lixin, Wang Ruiyue, Yang Zhikai, Wang Xin

DOI: https://doi.org/10.13107/jrs.2023.v03.i02.113

Author: Wan Yiqun [1], Gao Weiyu [2], Wang Lixin [1], Wang Ruiyue [3], Yang Zhikai [4], Wang Xin [1]

[1] Department of Orthopaedic Medicine, Institute of Orthopedics, Fourth Medical Center of PLA General Hospital, Beijing, China,
[2] Geriatrics Center, The People’s Hospital of Inner Mongolia Autonomous Region, Hohhot, China,
[3] College of Nursing and Rehabilitation, North China University of Science and Technology, Qinhuangdao, China,
[4] Department of Rehabilitation, Capital Medical University Electric Teaching Hospital/State Gird Beijing Electric Power Hospital, Beijing, China.

Address of Correspondence

Dr. Wang Xin,
Department of Orthopaedic Medicine, Institute of Orthopedics, Fourth Medical Center of PLA General Hospital, Beijing, China.
E-mail: wangx126@126.com

Abstract

Background: Knee osteoarthritis (KOA) is the most common degenerative joint disease, and patients will develop abnormalities in the movement model. Plantar pressure distribution and body postural characteristics may differ in patients with KOA compared to healthy adults and may affect physical function in these patients. At present, most related studies focus on patients with advanced KOA, and there are few studies on patients in early and middle stages. This study aims to apply the plantar pressure detection and human joint point identification technology to explore the characteristics of body posture and plantar pressure distribution in the early and middle-term KOA patients.
Materials and Methods: Data from 38 middle and early KOA patients (age =54.58 ± 7.32 years) and 28 healthy volunteers (age =54.93 ± 7.90 years including), lower limb weight bearing, peak foot pressure distribution, pressure center (center of pressure [CoP]) offset, offset area, Q angle, pelvic position, spine offset, and other data were compared by statistical analysis of independent sample t-test and Pearson’s Chi-square test.
Result: The results showed that the foot pressure in the early and mid-term KOA patients tended to be distributed in the medial heel, and the body CoP swing range was smaller than that in the control group (P < 0.05). In addition, patients in the KOA group had a larger left Q angle than the control group and had a smaller rate of right pelvis bias (P < 0.05). There was no statistical difference in lower limb weight bearing and spinal posture between the two groups.
Conclusion: In standing conditions, patients in the KOA group have exhibited abnormal postural patterns and foot pressure distribution in the early and middle stages compared with healthy volunteers. Assessment of plantar pressure distribution, pelvic position, and positioning of lower limb joints may be important for evaluating patients with KOA.

Keywords: Knee osteoarthritis, Plantar pressure, Posture

References:

1. Cui A, Li H, Wang D, Zhong J, Chen Y, Lu H. Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine 2020;29-30:100587.
2. Yanhong L, Xiaobing S. Status and progress of epidemiological studies on knee osteoarthritis at home and abroad. Chin J Orthop Tradit Chin Med 2012;20:81-4.
3. Liew JW, King LK, Mahmoudian A, Wang Q, Atkinson HF, Flynn DB, et al. A scoping review of how early-stage knee osteoarthritis has been defined. Osteoarthritis Cartilage 2023;31:1234-41.
4. Mahmoudian A, Lohmander LS, Jafari H, Luyten FP. Towards classification criteria for early-stage knee osteoarthritis: A population-based study to enrich for progressors. Semin Arthritis Rheum 2021;51:285-91.
5. Van Rossom S, Wesseling M, Smith CR, Thelen DG, Vanwanseele B, Dieter VA, et al. The influence of knee joint geometry and alignment on the tibiofemoral load distribution: A computational study. Knee 2019;26:813-23.
6. Kang KT, Son J, Kwon SK, Kwon OR, Koh YG. Preservation of femoral and tibial coronal alignment to improve biomechanical effects of medial unicompartment knee arthroplasty: Computational study. Biomed Mater Eng 2018;29:651-64.
7. Mahmoudian A, Lohmander LS, Mobasheri A, Englund M, Luyten FP. Early-stage symptomatic osteoarthritis of the knee – time for action. Nat Rev Rheumatol 2021;17:621-32.
8. Roos EM, Arden NK. Strategies for the prevention of knee osteoarthritis. Nat Rev Rheumatol 2016;12:92-101.
9. Ghram A, Young JD, Soori R, Behm DG. Unilateral knee and ankle joint fatigue induce similar impairment to bipedal balance in judo athletes. J Hum Kinet 2019;66:7-18.
10. Lin Q, Zheng Y, Liao W, Luo Z, Li WY, Ou LN, et al. Analysis of plantar pressure in static balance in stroke patients. Rehabil Theor Pract China 2021;27:290-6.
11. Fischler MA, Bolles RC. Random sample consensus: A paradigm for model fitting with applications to image analysis and automated cartography. Commun ACM 1987;24:726-40.
12. Jiao C. Recognition of human body feature changes in sports health based on deep learning. Comput Math Methods Med 2022;2022:1736350.
13. Shah N, Costello K, Mehta A, Kumar D. Applications of digital health technologies in knee osteoarthritis: Narrative review. JMIR Rehabil Assist Technol 2022;9:e33489.
14. Román-Belmonte JM, Corte-Rodríguez H, Rodríguez-Merchán EC. Artificial intelligence in musculoskeletal conditions. Front Biosci (Landmark Ed) 2021;26:1340-8.
15. Laur O, Wang B. Musculoskeletal trauma and artificial intelligence: Current trends and projections. Skeletal Radiol 2022;51:257-69.
16. Miura N, Nagai K, Tagomori K, Ikutomo H, Okamura K, Okuno T, et al. Plantar pressure distribution during standing in women with end-stage hip osteoarthritis. Gait Posture 2020;76:39-43.
17. Li K, Sun FL, Guo HB, Shi ZJ, Yao R, Zhang H. Comparison of the plantar pressure distribution and mechanical alignment in patients with varus knee osteoarthritis following high tibial osteotomy. BMC Musculoskelet Disord 2023;24:479.
18. Vasudevan D, Stotts AL, Mandayam S, Omegie LA. Comparison of BMI and anthropometric measures among South Asian Indians using standard and modified criteria. Public Health Nutr 2011;14:809-16.
19. Hu H, Wang J, Han X, Li Y, Wang F, Yuan J, et al. BMI, waist circumference and all-cause mortality in a middle-aged and elderly Chinese population. J Nutr Health Aging 2018;22:975-81.
20. Jang S, Lee K, Ju JH. Recent updates of diagnosis, pathophysiology, and treatment on osteoarthritis of the knee. Int J Mol Sci 2021;22:2619.
21. Unver B, Erdem EU, Akbas E. Effects of short-foot exercises on foot posture, pain, disability, and plantar pressure in pes planus. J Sport Rehabil 2019;29:436-40.
22. Hawrylak A, Brzeźna A, Chromik K. Distribution of plantar pressure in soccer players. Int J Environ Res Public Health 2021;18:4173.
23. He YJ, Zheng XL, Wang DF, Mu ZZ, Li GY, Fang ZZ, et al. Static and dynamic plantar pressure distribution in 94 patients with different stages of unilateral knee osteoarthritis using the footscan® platform system: An observational study. Med Sci Monit 2023;29:e938485.
24. Wang Y, Zhang K, Zeng J, Yan S. Coordination of lower limbs in patients with knee osteoarthritis during walking. Gait Posture 2021;83:160-6.
25. Suzuki Y, Ohkoshi Y, Kawakami K, Shimizu K, Chida S, Ukishiro K, et al. Assessing knee joint biomechanics and trunk posture according to medial osteoarthritis severity. Sci Rep 2023;13:19186.
26. Robadey J, Staudenmann D, Schween R, Gehring D, Gollhofer A, Taube W. Lower between-limb asymmetry during running on treadmill compared to overground in subjects with laterally pronounced knee osteoarthritis. PLoS One 2018;13:e0205191.
27. Lo GH, Merchant MG, Driban JB, Duryea J, Price LL, Eaton CB, et al. Knee alignment is quantitatively related to periarticular bone morphometry and density, especially in patients with osteoarthritis. Arthritis Rheumatol 2018;70:212-21.
28. Zhang C, Zhuang Z, Chen X, Li K, Lin T, Pang F, et al. Osteoporosis is associated with varus deformity in postmenopausal women with knee osteoarthritis: A cross-sectional study. BMC Musculoskelet Disord 2021;22:694.
29. Wang WJ, Liu F, Zhu YW, Sun MH, Qiu Y, Weng WJ. Sagittal alignment of the spine-pelvis-lower extremity axis in patients with severe knee osteoarthritis: A radiographic study. Bone Joint Res 2016;5:198-205.
30. Shimizu M, Kobayashi T, Chiba H, Senoo I, Abe S, Matsukura K, et al. Examination of the changes in lower extremities related to progression of adult spinal deformity: A longitudinal study of over 22 years. Sci Rep 2020;10:11605.
31. Panyarachun P, Angthong C, Jindasakchai P, Rajbhandari P, Rungrattanawilai N. Abnormal foot pressure in older adults with knee osteoarthritis: A systematic review. Eur Rev Med Pharmacol Sci 2022;26:6236-41.

[Full Text HTML] [Full Text PDF]