What science says about Knee Kinesiography

Knee pain clinical assessment with KneeKGTM

KneeKGTM commercialized by Emovi Inc is a regulatory cleared* knee pain clinical assessment tool used to conduct a Knee Kinesiography. This technology evaluates knee functional deficiencies linked to patients' current symptoms or orthopaedic disease progression.

Obtaining a functional knee assessment is key to understanding the root cause of a patient’s symptoms.
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X-rays and MRIs can inform clinicians about the structure of the joint. However, a patient’s pain is correlated with dynamic movement patterns, not static imaging1.

The KneeKGTM evaluates knee function by identifying biomechanical markers associated with pain, injury, and the risk for future orthopaedic impairments.
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These markers are derived from the 3 dimensional (3D) kinematics of the knee and include flexion/extension, varus/valgus, internal/external tibial rotation.

The KneeKGTM is to the knee, what the EKG (electrocardiogram) is to the heart.

It provides objective information about knee joint function, and does not rely on a subjective interpretation of movement patterns. It allows the clinician to develop a patient-specific treatment plan to address the deficits identified from the KneeKGTM assessment. .

Use of the KneeKGTM as part of a patient’s clinical care, produced statistically significant and clinically meaningful improvements that are superior to standard of care3.
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KneeKGTM clinical trials have demonstrated outcomes of :

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Knee Kinesiography with KneeKGTM has over 100 publications. Contact us for literature

Represents a revolutionary clinical assessment platform

The KneeKGTM can play an integral role in the management of knee pain due to orthopedic conditions, including osteoarthritis, anterior knee pain, ligament injuries and others.

Proven treatment results have been demonstrated when incorporating the KneeKGTM as part of the clinical care pathway:

Treatment results for knee pain
decreased Knee

Decreased knee pain3

Improved function3

lesspain medication

Less pain medication5

Delayed the need for arthroplasty surgery5

Better adherence to treatment plan3

Knee Kinesiography

A Knee Kinesiography with KneeKGTM, is a brief in-clinic exam that accurately and objectively assesses movement of the knee while the patient walks on a conventional treadmill. KneeKGTM is to the knee what the electrocardiogram is to the heart – demonstrating exactly how the joint is functioning.

The computerized assessment provides data about dynamic alignment and other mechanical deficits to help understand the patient’s knee pain and symptoms. The exam provides insight to the causes of knee symptoms in patients with knee osteo-arthritis, ligament injuries, anterior knee pain and other knee problems, including residual pain after joint surgery.

Use of the KneeKGTM has been proven to increase patient adherence and compliance with a prescribed treatment plan, and has improved patient and provider satisfaction with medical care. Additionally, by enabling a more efficient, personalized approach, it has led to patients’ reporting reduced pain and increased function3.

Knee Kinesiography can also be used with athletes to better understand mechanical deficits that can impact athletic performance level and allow the healthcare professional to develop appropriate exercise programs to minimize the risk for potential injuries.

References:
1. Hannan MT, Felson DT, Pincus T, Analysis of the discordance between radiographic changes and knee pain in osteoarthritis of the knee. The Journal of Rheumatology, 31 May 2000, 27(6):1513-1517.
2. Cagnin, A. and al. (2019). Impact of a personalized home exercise program for knee osteoarthritis patients on 3d kinematics: A cluster randomized controlled trial. Osteoarthritis and Cartilage, 2019-04-01, Volume 27, Pages S34-S35.
3. Cagnin, A., Choinière, M., Bureau, N. J., Durand, M., Mezghani, N., Gaudreault, N., & Hagemeister, N. (2019). A multi-arm cluster randomized clinical trial of the use of knee kinesiography in the management of osteoarthritis patients in a primary care setting. Postgraduate Medicine, 5, 1–11.
4. Cagnin, A., et al. (2019). Effective conservative care targeting mechanical markers as risk factors for knee osteoarthritis progression: a cluster randomized controlled trial. Osteoarthritis and Cartilage/OARSI, Osteoarthritis Research Society, 27(S1), S485-S486.
5. Therrien, M., and al. (2016). Real-world clinical result from a multimodal management program for knee osteoarthritis. Osteoarthritis and Cartilage/OARSI, Osteoarthritis Research Society, 24(Supp 1), S431, presented at the OARSI conference 2016 after peer review by OARSI Scientific Committee Results demonstrates: Decrease % of patient reporting regular NSAID intake (≥2 times/day) from 60% to 30% and regular analgesic intake (≥3 times/day) from 71% to 47 %.
• Decrease absenteeism (initially 12 patients reported a mean of 20 work days missed vs a mean of 9 work days missed by 10 patients at follow up)
• 7/11 surgical patients postponed their surgery

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Founding Clinical Committee

Emovi is proud to present the four (4) founding members of its clinical comity, they have participated in numerous clinical studies demonstrating the value of the KneeKG system.

Guy Grimard, MD, FRCSC

Guy Grimard is an orthopedic surgeon. He obtained his Medical Degree from the University of Sherbrooke, in 1983 and went on to graduate in orthopedic surgery from the University of Montreal, in 1988. He completed his specialization in pediatric orthopedics at: CHU Sainte-Justine (in Montreal), the Royal Children’s Hospital (in Melbourne) and Hôpital Debrousse (in Lyon). He also completed his training in epidemiology and biostatistics at McGill University. He has been a clinical assistant professor, in the department of surgery and has been an orthopedic surgeon at CHU Sainte-Justine since 1994, as well as an active member of the Shriners Hospital, in Montreal.

 

He was the Chief of the Orthopedics, at CHU Sainte-Justine from 2010 to 2014 and is an active member of the CHU Sainte-Justine Research Center. Dr. Grimard has also been a consultant in performance medicine, at Cirque du Soleil. He has served on the Executive Committee of the Quebec Orthopedic Association for 5 years. In addition he enjoys sports, having practiced ice hockey for over 30 years, and more recently becoming an avid cyclist. His practice, clinical expertise and research interests, are mainly focused on sports medicine in the pediatric population.

 

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Dr. Pierre Ranger

Born in Montreal, a graduate of the University of Montreal’s Faculty of Medicine in 1979.

Training in orthopaedic surgery at the University of Montreal from 1979 to 1985. Overspecialty in kneeligament and arthrosis surgery in 1985 and 1986, at the Centre hospitalier universitaire de Lyon (Hôpital Jules Courmont) in France and at the Karolinska University Hospital in Stockholm, Sweden. University practice at the Hôtel-Dieu in Montreal from 1986 to 1991 and at the Sacré-Coeur Hospital of Montreal as an associateprofessor of surgery at the University of Montreal in the orthopedic surgery program from 1991 to this day. Head of the orthopedic surgery department and person in charge of the arthroplasty program of the Jean-Talon Hospital from 1995 to this day. His additional activities include the functions of medical director of the Clinique chirurgicale de Laval and the Clinique de médecine sportive de Laval.

Dr. David Baillargeon MD, CM, FRCSC

Dr. David Baillargeon has been practicing orthopedic surgery for over fifteen years. He holds a doctorate in medicine from McGill University, as well as having completed his residency in orthopedic surgery at the University of Montreal. In 2004, Dr. Baillargeon furthered his training with a subspecialty in sports medicine at the University of California, San Francisco (UCSF). During the same year, he joined the orthopedics department of the Cité de la Santé Hospital in Laval, where he was the head of the orthopedic department, from 2011 to 2019.

Since he began his practice, Dr. Baillargeon has treated numerous sports injuries, for both amateurs and professionals. He has also been a consultant to many sports associations. Since 2005, Dr. Baillargeon has been the official physician for ATP and WTA players, during Rogers Cup tennis events.

Dr. Baillargeon is a great sportsman himself, who regularly enjoys cycling and alpine skiing. He is also an accomplished pianist. He is married and the father of two children.

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Dr. Patrick Lavigne MD, PhD, FRCSC

Dr. Patrick Lavigne completed his Doctorate in Medicine, as well as his residency in Orthopedics at the University of Montreal. Pursuant to training in Australia, Dr. Lavigne joined the Édouard Samson Orthopedic Program, where he currently holds the position of Associate Professor and Director of the Residency Training Program for Orthopedics at the University of Montreal. Dr. Lavigne also works at the CIUSSS de l’Est-de-Île-de-Montréal, as an orthopedic surgeon, specializing in arthroscopy and sports medicine. He has both a research and clinical focus, in the prevention and surgical treatment of early stage osteoarthritis. He is an orthopedic consultant to the athletes from several university and college teams.