The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Effects of Contralateral and Ipsilateral Cane Use on Knee Moment

동측과 반대편의 지팡이 사용에 대한 무릎의 모멘트 분석

  • Lee, Hyun-Ok (Department of Physical Therapy, College of Health Science, Catholic University of Pusan) ;
  • Yang, Kyung-Hye (Department of Physical Therapy, College of Health Science, Catholic University of Pusan) ;
  • Kwon, Yu-Jeong (Department of Physical Therapy, Dong-Eui Institute of Technology)
  • 이현옥 (부산가톨릭대학교 보건과학대학 물리치료학과) ;
  • 양경혜 (부산가톨릭대학교 보건과학대학 물리치료학과) ;
  • 권유정 (동의과학대학 물리치료학과)
  • Received : 2014.03.20
  • Accepted : 2014.04.17
  • Published : 2014.04.25
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Abstract

Purpose: The purpose of this study was to compare the effects of force of ipsilateral versus contralateral cane usage on knee moments in healthy young adults. Methods: A convenience sample of 10 subjects volunteered for this study. Subjects walked over a force plate under three different conditions; unaided and ipsilateral cane and contralateral cane. Analysis of data on moment of the knee joint and ground reaction force was performed using the OrthoTrak program. Results: Flexion moment of the knee was decreased with the contralateral cane, but increased with the ipsilateral cane compared with normal gait. Extension moment of the knee was decreased with the contralateral cane compared with normal gait(p<0.05) and it was showed a greater decrease with the contralateral cane than with the ipsilateral cane gait(p=0.00). Valgus moment of the knee joint was increased with the ipsilateral cane but decreased with the contralateral cane. Vertical ground peak force was decreased with the ipsilateral cane compared with normal gait (p<0.05). Conclusion: The following conclusions were drawn from our data. Contralateral cane gait is more efficacious for persons with weakness of knee extensors, however, for a patient with varus deformity, the cane should be used in the ipsilateral hand.

Keywords

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