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 journalArticle

19 Citations (Scopus)

Abstract

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
Volume77
Issue number4
DOIs
StatePublished - Jul 1998
Externally publishedYes

Fingerprint

Canes
Walking
Diaphyses
Stress Fractures
Tibia
Biomechanical Phenomena
Osteoarthritis
Hip
Volunteers
Knee

Keywords

  • 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

Cite this

Mendelson, S., Milgrom, C., Finestone, A., Lewis, J., Ronen, M., Burr, D., ... Soudry, M. (1998). Effect of cane use on tibial strain and strain rates. American Journal of Physical Medicine and Rehabilitation, 77(4), 333-338. https://doi.org/10.1097/00002060-199807000-00014

Effect of cane use on tibial strain and strain rates. / Mendelson, Stephen; Milgrom, Charles; Finestone, Aharon; Lewis, Jeremy; Ronen, Michal; Burr, David; Fyhrie, David P; Hoshaw, Susan; Simkin, Ariel; Soudry, Michael.

In: American Journal of Physical Medicine and Rehabilitation, Vol. 77, No. 4, 07.1998, p. 333-338.

Research output: Contribution to journalArticle

Mendelson, S, Milgrom, C, Finestone, A, Lewis, J, Ronen, M, Burr, D, Fyhrie, DP, Hoshaw, S, Simkin, A & Soudry, M 1998, 'Effect of cane use on tibial strain and strain rates', American Journal of Physical Medicine and Rehabilitation, vol. 77, no. 4, pp. 333-338. https://doi.org/10.1097/00002060-199807000-00014
Mendelson, Stephen ; Milgrom, Charles ; Finestone, Aharon ; Lewis, Jeremy ; Ronen, Michal ; Burr, David ; Fyhrie, David P ; Hoshaw, Susan ; Simkin, Ariel ; Soudry, Michael. / Effect of cane use on tibial strain and strain rates. In: American Journal of Physical Medicine and Rehabilitation. 1998 ; Vol. 77, No. 4. pp. 333-338.
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