Simulated weight reduction using an anti-gravity treadmill - A pilot study of the impact of weight loss on foot and ankle arthritis

被引:4
作者
Morley, William J. [1 ]
Dawe, Edward [2 ]
Boyd, Robert [3 ]
Creasy, James [4 ]
Grice, John [5 ]
Marsland, Daniel [6 ]
Taylor, Heath [4 ]
机构
[1] Orthopaed Registrar, Wessex Deanery, England
[2] St Richards Hosp, Chichester, England
[3] Salisbury Hosp, Salisbury, Wilts, England
[4] Royal Bournemouth & Christchurch Hosp, Bournemouth, Dorset, England
[5] Great Western Hosp, Swindon, Wilts, England
[6] Royal Hampshire Cty Hosp, Winchester, Hants, England
关键词
Ankle; Anti-gravity; BMI; Foot; Obesity; Osteoarthritis; Pain; Simulated; VAS; Weight; OBESE OLDER-ADULTS; KNEE OSTEOARTHRITIS; PAIN; POPULATION; MANAGEMENT; PATIENT;
D O I
10.1016/j.fas.2020.10.009
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Despite a paucity of evidence, obesity is frequently cited as an exacerbator of symptoms in foot and ankle arthritis. The aims of the current study were to determine whether simulated weight loss would improve symptoms in obese patients with foot and ankle arthritis. Methods: Patients walked on an "anti-gravity" treadmill allowing simulated weight reduction. Pain was recorded at baseline weight and then compared with pain at simulated normal BMI. Results: Simulated reduction to BMI 25 caused a significant reduction in pain. Mean pain scores improved from baseline to BMI 25 by 32% (15.9 points, p = 0.04). Paired analysis showed a significant improvement in pain scores (p = 0.016) from BMI of 30 to 25. Conclusion: Simulated weight loss from high to normal BMI improved arthritic symptoms. This could be used to power future studies to further investigate the effects of weight loss in foot and ankle patients. (C) 2020 The Authors. Published by Elsevier Ltd on behalf of European Foot and Ankle Society.
引用
收藏
页码:809 / 812
页数:4
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