TY  - JOUR
PY  - 2016//
TI  - Stepping strategy used to recover balance during an induced fall is associated with impaired function and strength in people with knee osteoarthritis
JO  - International journal of rheumatic diseases
A1  - Levinger, Pazit
A1  - Downie, Calum
A1  - Nagano, Hanatsu
A1  - Petersen, Aaron
A1  - Hayes, Alan
A1  - Sanders, Kerrie M.
A1  - Cicuttini, Flavia
A1  - Begg, Rezaul
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - AIM: We investigated differences in function, strength and pain in those with knee osteoarthritis (OA) who responded with a single step compared to multiple steps during balance recovery during an induced forward fall. <br><br>METHOD: The stepping response of 24 participants with knee OA (50% female, age 68.6 ± 6.2 years) as they recovered balance from an induced forward fall was recorded. Participants were grouped based on their stepping response as single-stepper and multi-stepper. Comparison was made between the groups for functional and strength tests and self-reported pain, function, quality of life, fear of falls and physical activity. <br><br>RESULTS: Fourteen of the participants (58%) responded with a multiple step response. Multiple steppers demonstrated greater time for the up and go (P = 0.01), the stair climb tests (P = 0.05), as well as reduced distance during the 2 min walk test (P = 0.001) and reduced isokinetic knee extension strength (P = 0.02). <br><br>CONCLUSION: Those who demonstrated multiple step response had impaired function, reduced strength and were less physically active. Given the high prevalence of falls in people with knee OA, further studies are required to better understand the ability of people with knee OA to respond and avoid falls.<br><br>© 2016 Asia Pacific League of Associations for Rheumatology and John Wiley & Sons Australia, Ltd.<p />  <p>Language: en</p>
LA  - en
SN  - 1756-1841
UR  - http://dx.doi.org/10.1111/1756-185X.12891
ID  - ref1
ER  -