2026

Osteoarthritis and Cartilage 34

A Wearable Musical Feedback System for Medical Knee Osteoarthritis: Feasability and Biomechanical Effects

Luisa Cedin, Camilla Antognini, Christopher Knowlton, Christopher Ferrigno, Markus Wimmer

Department of Orthopedic Surgery, Rush University Medical Center, Chicago, USA

Keywords

musical feedback, knee osteoarthritis, gait retraining, center of pressure, knee adduction moment, biofeedback, wearable sensors, plantar pressure, moticon

Abstract

Medial knee joint overload is a key biomechanical driver of knee osteoarthritis (OA), with the knee adduction moment (KAM) serving as a biomarker of disease progression [1]. Several gait retraining strategies targeting KAM have been proposed to manage pain and improve function, although few focus on long-term patient engagement [2]. We developed a musical-feedback gait retraining device to medialize the center of pressure (CoP) to reduce medial knee loading [3]. Prior to deploying the intervention in individuals with knee OA, we aimed to evaluate its feasibility, acceptability, and biomechanical effects in a chronic knee pain cohort. This study represents an early translational step toward developing an engaging gait-retraining therapeutic tool for medial knee OA.

Moticon's Summary

This publication investigates the feasibility and biomechanical impact of a wearable musical-feedback system designed to counter medial knee osteoarthritis. The system leverages Moticon wireless sensor insoles (such as OpenGo and ReGo) to capture real-time plantar pressure and center of pressure (CoP) data at a high sampling rate. By translating these metrics into real-time auditory adjustments (musification), the device dynamically alerts users to modify their walking patterns. The Moticon sensor insoles directly influenced the results by providing the high-fidelity biomechanical data necessary to guide participants to successfully medialize their CoP, thereby reducing the knee adduction moment (KAM) and mitigating medial joint overload without altering natural walking speed or cadence.

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