Online Program

Knee pain: Osteoarthritis in some religious sectors due to biomechanical postural loading. a literature review

Monday, November 4, 2013 : 3:10 p.m. - 3:20 p.m.

Karol A. Donaubauer, BA, DC, CCSP, Palmer's Community Outreach Clinic, Palmer College of Chiropractic-Davenport, Davenport, IA

INTRODUCTION Osteoarthritis (OA) is the most frequent chronic musculoskeletal disorder and leading cause of disability in the US and the world population. Approximately 43 million Americans and 15% of the world are affected. The pathogenic role of the biomechanical dysfunction in OA is well established and is influenced by many factors, including kinematics. OA affects the whole joint, including muscles, tendons, ligaments, synovium and bone. The knee anatomy, biomechanics of the knee and postural loading, and Muslim and Catholic religious praying practices and Vietnamese culture of squatting will be reviewed and discussed. Case management will also be discussed. METHODS A systematic literature search was performed in MeSH, MEDLINE and PubMed using the terms “osteoarthritis and knee pain”, “knee osteoarthritis and posture”, “religion and knee pain”, “pathophysiology of OA”. RESULTS The literature search identified 10 relevant papers pertaining to knee OA and posture. CONCLUSION The current research on postural loading affecting knee OA is limited. As chiropractic healthcare providers, one needs to take into consideration cultural diversity and consider or recommend postural modification during bowing or kneeling during prayer to relieve or prevent knee pain and OA.

Learning Areas:

Chronic disease management and prevention
Diversity and culture
Other professions or practice related to public health
Provision of health care to the public

Learning Objectives:
Define Osteoarthritis of the knee and possible causes related to knee biomechanics. Describe postural loading during two types of prayer: bowing and kneeling. Discuss recommendations to modify and reduce kinematic loading during prayer postures.

Keyword(s): Chiropractic, Health Care Managed Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a faculty clinician at Palmer College of Chiropractic and work in a culturally diverse clinic. I have done literature research on this subject and feel I am adequately qualified in the subject matter.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.