Effect of cane use on tibial strain and strain rates

Stephen Mendelson, Charles Milgrom, Aharon Finestone, Jeremy Lewis, Michal Ronen, David Burr, David P Fyhrie, Susan Hoshaw, Ariel Simkin, Michael Soudry

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


The effect of cane ambulation on hip biomechanics has been well studied, but its effect on tibial strains and strain rates is not known. To test the hypothesis that cane use may lower tibial strain and strain rates during walking, percutaneous axial extensometers were mounted on the right medial cortex of the midtibial diaphysis in seven male volunteers. In vivo peak-to- peak axial tibial strains and strain rates were measured for ipsilateral and contralateral cane usage and compared with a no cane control. Cane-assisted ambulation was not found to significantly lower strain magnitudes; however, tibial strain rates were significantly lowered by both ipsilateral and contralateral cane usage. We conclude that either ipsilateral or contralateral cane usage may be beneficial when lowering tibial strain rate is desired, such as in the treatment of tibia stress fracture or osteoarthrosis of the knee.

Original languageEnglish (US)
Pages (from-to)333-338
Number of pages6
JournalAmerican Journal of Physical Medicine and Rehabilitation
Issue number4
StatePublished - Jul 1998
Externally publishedYes


  • Ambulatory Aids
  • Biomechanics
  • Bone
  • Canes
  • Strain
  • Stress Fractures

ASJC Scopus subject areas

  • Rehabilitation
  • Health Professions(all)
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation


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