Linked Life Data

10831813

Source:http://linkedlifedata.com/resource/pubmed/id/10831813

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
2000-8-3
pubmed:abstractText
OBJECTIVE: To use forward dynamic simulations of forward and backward pedaling in order to determine whether backward pedaling offers theoretical advantages over forward pedaling to rehabilitate common knee disorders.DESIGN. A comparison of knee joint loads was performed during forward and backward pedaling.BACKGROUND. Pedaling has been shown to be an effective rehabilitation exercise for a variety of knee disorders. Recently, backward gait has been shown to produce greater knee extensor moments and reduced patellofemoral joint loads compared to forward gait. But to date, no study has examined the efficacy of backward pedaling as a safe alternative to forward pedaling in rehabilitation programs.METHODS. A musculoskeletal model and optimization framework was used to generate simulations of forward and backward pedaling. Tibiofemoral and patellofemoral joint reaction forces were quantified.RESULTS. Lower tibiofemoral compressive loads, but higher patellofemoral compressive loads, were observed in backward pedaling. Lower protective anterior-posterior shear force was observed in backward pedaling near peak extension.CONCLUSIONS. Backward pedaling offers reduced tibiofemoral compressive loads for those patients with knee disorders such as menisci damage and osteoarthritis, but higher patellofemoral compressive loads. Therefore, backward pedaling is not recommended for patients experiencing patellofemoral pain. Further, backward pedaling should not be recommended after anterior cruciate ligament injury or reconstruction.RelevanceThe results of this study indicate that the design of rehabilitation programs including pedaling exercises should be injury specific with particular attention paid to the mechanics of the task.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0268-0033
pubmed:author
pubmed:issnType
Print
pubmed:volume
15
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
528-35
pubmed:dateRevised
2010-3-24
pubmed:meshHeading
pubmed:year
2000
pubmed:articleTitle
Knee joint loading in forward versus backward pedaling: implications for rehabilitation strategies.
pubmed:affiliation
Rehabilitation R & D Center (153), VA Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, CA 94304 USA. neptune@roses.stanford.edu
pubmed:publicationType
Journal Article, Comparative Study, Research Support, U.S. Gov't, P.H.S., Research Support, U.S. Gov't, Non-P.H.S.