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cheapbag214s
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flat shoes may be best for arthritic knees Nike Bl |
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flat shoes may be best for arthritic knees,[link widoczny dla zalogowanych]
And the findings suggest that flatter shoes with more flexible soles are easier on the knees than clogs or walking shoes. "It may not be the supportive,[link widoczny dla zalogowanych], stable shoes that we just thought would be shock-absorbing for them that they should wear," Dr. Knee osteoarthritis is particularly common, and can be disabling.
The "loading" of a person's weight onto the knee joint is a key factor in the development of arthritis,[link widoczny dla zalogowanych], Shakoor and her colleagues note. Abnormal loading can worsen wear and tear and add to joint pain,[link widoczny dla zalogowanych], while reducing joint loading can help ease pain.
Currently, the standard treatment for knee osteoarthritis includes giving a person painkillers,[link widoczny dla zalogowanych], Shakoor said, which can actually worsen the problem because when a person feels less pain they tend to walk in a way that loads the knee more heavily. "Pain can be protective,[link widoczny dla zalogowanych]," she noted.
In a previous study,[link widoczny dla zalogowanych], Shakoor and her team found that people walking barefoot had less loading on their knees than people wearing shoes. To investigate further, Shakoor and her colleagues analyzed the gait of 31 people with knee osteoarthritis as they walked barefoot and then as they wore four different types of shoes.
They looked specifically at the forces acting upon the inner, or medial, side of the knee joint,[link widoczny dla zalogowanych], which typically carries three times as much load as the outer, or lateral, side of the knee. "That's why we see a lot more people with medial knee osteoarthritis," Shakoor explained.
She and her colleagues tested the type of slip-on clogs often worn by doctors, nurses and others who need to spend a lot of time on their feet; walking shoes designed to maximize foot stability; flat sneaker-type shoes with flexible soles; and flip-flops.
Clogs and stability shoes produced the highest knee loading,[link widoczny dla zalogowanych], while knee loads were lightest with barefoot walking,[link widoczny dla zalogowanych], flip flops and flexible-sole sneakers. The reduction in loads with the latter shoe type was comparable to that produced by therapies designed to reduce knee loading such as braces and shoe inserts called orthotics, the researchers note.
While the Osteoarthritis Research Society International recommends that people with knee osteoarthritis get advice on appropriate footwear, Shakoor and her colleagues say,[link widoczny dla zalogowanych], there is "scant evidence" that recommended footwear actually reduces impact loads. The new findings can help provide an evidence base for footwear recommendations,[link widoczny dla zalogowanych], they add.
But for now, according to Shakoor,[link widoczny dla zalogowanych], it's too early to make blanket recommendations on the best footwear choice for people with osteoarthritis of the knee. "Everyone's different,[link widoczny dla zalogowanych], so we'll have to take into account those people's feet and the rest of their anatomy,[link widoczny dla zalogowanych]," she said. For example, it may be difficult for older or weaker people to wear flip flops without slipping, tripping and falling.相关的主题文章:
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