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Abstrak
Retro walking is a form of exercise that involves walking backwards as an alternative to forward walking. Previous studies highlighted its benefits in improving balance, coordination, and muscle strength, therefore improving functional ability of the lower extremities including the knee joints. This review aims to provide overview of the latest available studies regarding the impact of retro walking in patients with knee osteoarthritis. Studies that had been published until October 2023 in a peer-reviewed journal with the language limited to English and Indonesian were considered. The intervention was retro walking as an adjunct exercise program, and the outcome was aspects related to functional ability of the knee. After reviewing 20 included articles, it was found that the duration of retro walking exercise was generally given for 10 minutes per session for a total of about 70 minutes per week to patients with knee osteoarthritis 40 years old and over, with the exercise given using treadmill, with or without harness, or simply on the ground with cone with various distance and the patients’ comfortable walking speed. The findings suggest that retro walking is effective as an adjunct to rehabilitation program for the improvement of aspects that may eventually help improve and maintain functional abilities of knee osteoarthritis patients.
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Hak Cipta (c) 2024 Alifia Azzahra Putri Satrio, Farid Rahman

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Referensi
- Abolhasani, M., Halabchi, F., Honarpishe, R., Cleland, J. A., & Hakakzadeh, A. (2019). Effects of kinesiotape on pain, range of motion, and functional status in patients with osteoarthritis: a randomized controlled trial. Journal of Exercise Rehabilitation, 15(4), 603–609. https://doi.org/10.12965/jer.1938290.145
- Afifatuzzahra, S., Perdana, S. S., & Azizah, A. N. (2023). A Systematic Review: Does Land based Exercise Improve the Quality of Life in Patient with Knee Osteoarthritis? Kinestetik : Jurnal Ilmiah Pendidikan Jasmani, 7(4), 1139–1149. https://doi.org/10.33369/jk.v7i4.31824
- Alghadir, A. H., Anwer, S., Sarkar, B., Paul, A. K., & Anwar, D. (2019). Effect of 6-week retro or forward walking program on pain, functional disability, quadriceps muscle strength, and performance in individuals with knee osteoarthritis: a randomized controlled trial (retro-walking trial). BMC Musculoskeletal Disorders, 20(1), 159. https://doi.org/10.1186/s12891-019-2537-9
- AM, B., R, K., & B, K. (2018). Impact of Retro-Walking on Pain and Disability Parameters among Chronic Osteoarthritis Knee Patients. Journal of Physiotherapy & Physical Rehabilitation, 03(02). https://doi.org/10.4172/2573-0312.1000157
- Baby, E., & Thachil, A. (2022). Effectiveness of Retro Walking in Women with Osteoarthritis of Knee. International Journal of Health Sciences and Research, 12(3), 326–345. https://doi.org/10.52403/ijhsr.20220344
- Balasukumaran, T., Gottlieb, U., & Springer, S. (2020). Muscle activation patterns during backward walking in people with chronic ankle instability. BMC Musculoskeletal Disorders, 21(1), 489. https://doi.org/10.1186/s12891-020-03512-x
- Balasukumaran, T., Olivier, B., & Ntsiea, M. V. (2019). The effectiveness of backward walking as a treatment for people with gait impairments: a systematic review and meta-analysis. Clinical Rehabilitation, 33(2), 171–182. https://doi.org/10.1177/0269215518801430
- Bhatia, D., Bejarano, T., & Novo, M. (2013). Current interventions in the management of knee osteoarthritis. Journal of Pharmacy And Bioallied Sciences, 5(1), 30. https://doi.org/10.4103/0975-7406.106561
- Chen, Z., Ye, X., Wang, Y., Shen, Z., Wu, J., Chen, W., Jiang, T., Wu, H., & Xu, X. (2021). The Efficacy of Backward Walking on Static Stability, Proprioception, Pain, and Physical Function of Patients with Knee Osteoarthritis: A Randomized Controlled Trial. Evidence-Based Complementary and Alternative Medicine, 2021, 1–9. https://doi.org/10.1155/2021/5574966
- Cui, A., Li, H., Wang, D., Zhong, J., Chen, Y., & Lu, H. (2020). Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine, 29–30, 100587. https://doi.org/10.1016/j.eclinm.2020.100587
- Dewanti, W. R., & Rahmawati, N. A. (2022). The Effect Of Combination Of Retrowalking Exercise And Static Contraction In Increasing Activity Daily Living Functions In Knee Osteoarthritis Risk Tea Pickers. Jurnal Keperawatan Dan Fisioterapi (JKF), 5(1), 67–74. https://doi.org/10.35451/jkf.v5i1.1246
- Frye, E. (2001). An electromyographic analysis study of forward and backward walking.
- Ganu, S. S., & Merchant, A. J. (2018). Effect of retrowalking on pain, functional disability and functional mobility in patients with chronic knee osteoarthritis. International Journal of Health Sciences and Research, 8(11), 109–115.
- Gondhalekar, G., & Deo, M. (2013). Retrowalking as an adjunct to conventional treatment versus conventional treatment alone on pain and disability in patients with acute exacerbation of chronic knee osteoarthritis: A randomized clinical trial. North American Journal of Medical Sciences, 5(2), 108. https://doi.org/10.4103/1947-2714.107527
- Gurjalwar, I., Kalaskar, G., Phansopkar, P., Shah, P., Chitale, N., & Wadhokar, O. C. (2022). Impact of a retro walking on degenerative osteoarthritis of knee joint. Journal of Medical Pharmaceutical and Allied Sciences, 11(2320), 255–258. https://doi.org/10.55522/jmpas.V11S1.1251
- Gurudut, P., Patel, R., Mukkannavar, P., & Vira, P. (2019). Effect of retro-walking on treadmill on hamstring flexibility, gait, kinesiophobia, and psychometry in individuals with chronic knee osteoarthritis. Indian Journal of Physical Therapy and Research, 1(2), 93. https://doi.org/10.4103/ijptr.ijptr_29_19
- Hsu, H., & Siwiec, R. M. (2018). Knee osteoarthritis.
- Joshi, S., Singh, S. K., & Vij, J. S. (2019). Effect of Retrowalking, a Non-Pharmacological Treatment on Pain, Disability, Balance and Gait in Knee Osteoarthritis: A Randomized Controlled Trial. Indian Journal of Public Health Research & Development, 10(2), 214. https://doi.org/10.5958/0976-5506.2019.00288.2
- Krishnan, V., & Pithadia, K. (2021). Effect of retro walking versus balance training on pain and disability in patients with osteoarthritis of the knee: a randomized controlled trial. Bulletin of Faculty of Physical Therapy, 26(1). https://doi.org/10.1186/s43161-021-00035-x
- Lespasio, M. J., Piuzzi, N. S., Husni, M. E., Muschler, G. F., Guarino, A. J., & Mont, M. A. (2017). Knee osteoarthritis: a primer. The Permanente Journal, 21.
- Li-Yuan Chen, Fong-Chin Su, & Ping-Yen Chiang. (2000). Kinematic and EMG analysis of backward walking on treadmill. Proceedings of the 22nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (Cat. No.00CH37143), 2, 825–827. https://doi.org/10.1109/IEMBS.2000.897841
- M, N. M., & M, A. S. (2023). Comparative study between effect of Retrowalking and self-selected pace forward walking on improving pain and function in people with osteoarthritis knee. International Journal of Physical Education, Sports and Health, 10(1), 196–203. https://doi.org/10.22271/kheljournal.2023.v10.i1c.2773
- Manisha, N., Joginder, Y., & Priyanka, R. (2015). Effect of Retro Walking on Pain, Balance and Functional Performance in Osteoarthritis of Knee. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 9(3), 154. https://doi.org/10.5958/0973-5674.2015.00115.X
- Naik, R. P., Rathod, D., & Kumar, A. (2020). Effects of Retro-Walking Underwater Treadmill Training on Pain, Functional Performance & Functional Mobility in Patients With Knee Osteoarthritis. International Journal of Physiotherapy and Research, 8(5), 3580–3585. https://doi.org/10.16965/ijpr.2020.154
- Parikh, P. R., & Desai, D. S. (2022). Effectiveness of Forward Walking Versus Retro Walking on Balance, Gait Speed and Lower Body Functional Strength among the Elderly Population - A Comparative Study. International Journal of Health Sciences and Research, 12(4), 283–291. https://doi.org/10.52403/ijhsr.20220433
- Peters, M. D. J., Godfrey, C. M., Khalil, H., McInerney, P., Parker, D., & Soares, C. B. (2015). Guidance for conducting systematic scoping reviews. International Journal of Evidence-Based Healthcare, 13(3), 141–146. https://doi.org/10.1097/XEB.0000000000000050
- Pratiwi, A. N., Idris, I., Ariyandy, A., Mutmainnah, M., & Abdullah, A. R. A. H. (2023). The Effect of Retrowalking Programme on Walking Pattern and Functional Ability in Knee Osteoarthritis Patients at Hasanuddin University Hospital. https://doi.org/10.48047/ecb/2023.12.10.022
- R., K., Velkumar, V., & E., S. (2023). Effectiveness of Retro Walking Exercise Versus Core Stability Exercise for Coastal Patients with Osteoarthritis of the Knee – A Randomized Active Control Study. Journal of Coastal Life Medicine, 11(1 SE-Articles), 2452–2461. https://www.jclmm.com/index.php/journal/article/view/703
- Rangey, P., Sheth, M., & Vyas, N. (2016). Comparison of effectiveness of forward and backward walking on pain, physical function, and quality of life in subjects with osteoarthritis of knee. International Journal of Health & Allied Sciences, 5(4), 220. https://doi.org/10.4103/2278-344X.194085
- Rathi, M., Palekar, T., & Varghese, A. (2014). Efficacy of Backward walking on Patients with Osteoarthritis of Knee on Quadriceps Strength, Pain and Physical Functions. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 8(4), 192. https://doi.org/10.5958/0973-5674.2014.00036.7
- Shabbir, S., Hashim, M., Sajjad, R., Kayani, M. S., Syed, F. A., Ibrahim, M., Hassan, D., & Ghouri, M. H. (2022). Effects of Retro-Walking on Pain, Functional Disability and Performance in Knee Osteoarthritis. Pakistan Journal of Medical and Health Sciences, 16(2), 38–41. https://doi.org/10.53350/pjmhs2216238
- Shu, Y., Gu, Y., Mei, Q., Ren, X., Popik, S., & Fernandez, J. (2016). Movement Analysis of Lower Limb During Backward Walking with Unstable Intervention. Journal of Medical and Biological Engineering, 36(5), 718–725. https://doi.org/10.1007/s40846-016-0166-4
- Somashekar, S., R, R., J N, S., Timsina, S., & Jha, V. (2015). A Study to Compare the Effectiveness of Transcutaneous Electrical Nerve Stimulation With Retro - Walking Versus Ultrasound Therapy With Retro - Walking in Chronic Osteoarthritis of Knee. Journal of Evolution of Medical and Dental Sciences, 4(60), 10494–10503. https://doi.org/10.14260/jemds/2015/1512
- Tahreem, R., Saima, R., Faraz, A., Shehzadi, I., Nimra, I., & Sidra, A. (2023). Effects of Retro Walking on Pain, Physical Function and Flexibility in Chronic Non-Specific Low Back Pain. Iranian Rehabilitation Journal, 21(2), 13.
- Wallis, J. A., Webster, K. E., Levinger, P., Singh, P. J., Fong, C., & Taylor, N. F. (2015). The maximum tolerated dose of walking for people with severe osteoarthritis of the knee: a phase I trial. Osteoarthritis and Cartilage, 23(8), 1285–1293. https://doi.org/10.1016/j.joca.2015.04.001
Referensi
Abolhasani, M., Halabchi, F., Honarpishe, R., Cleland, J. A., & Hakakzadeh, A. (2019). Effects of kinesiotape on pain, range of motion, and functional status in patients with osteoarthritis: a randomized controlled trial. Journal of Exercise Rehabilitation, 15(4), 603–609. https://doi.org/10.12965/jer.1938290.145
Afifatuzzahra, S., Perdana, S. S., & Azizah, A. N. (2023). A Systematic Review: Does Land based Exercise Improve the Quality of Life in Patient with Knee Osteoarthritis? Kinestetik : Jurnal Ilmiah Pendidikan Jasmani, 7(4), 1139–1149. https://doi.org/10.33369/jk.v7i4.31824
Alghadir, A. H., Anwer, S., Sarkar, B., Paul, A. K., & Anwar, D. (2019). Effect of 6-week retro or forward walking program on pain, functional disability, quadriceps muscle strength, and performance in individuals with knee osteoarthritis: a randomized controlled trial (retro-walking trial). BMC Musculoskeletal Disorders, 20(1), 159. https://doi.org/10.1186/s12891-019-2537-9
AM, B., R, K., & B, K. (2018). Impact of Retro-Walking on Pain and Disability Parameters among Chronic Osteoarthritis Knee Patients. Journal of Physiotherapy & Physical Rehabilitation, 03(02). https://doi.org/10.4172/2573-0312.1000157
Baby, E., & Thachil, A. (2022). Effectiveness of Retro Walking in Women with Osteoarthritis of Knee. International Journal of Health Sciences and Research, 12(3), 326–345. https://doi.org/10.52403/ijhsr.20220344
Balasukumaran, T., Gottlieb, U., & Springer, S. (2020). Muscle activation patterns during backward walking in people with chronic ankle instability. BMC Musculoskeletal Disorders, 21(1), 489. https://doi.org/10.1186/s12891-020-03512-x
Balasukumaran, T., Olivier, B., & Ntsiea, M. V. (2019). The effectiveness of backward walking as a treatment for people with gait impairments: a systematic review and meta-analysis. Clinical Rehabilitation, 33(2), 171–182. https://doi.org/10.1177/0269215518801430
Bhatia, D., Bejarano, T., & Novo, M. (2013). Current interventions in the management of knee osteoarthritis. Journal of Pharmacy And Bioallied Sciences, 5(1), 30. https://doi.org/10.4103/0975-7406.106561
Chen, Z., Ye, X., Wang, Y., Shen, Z., Wu, J., Chen, W., Jiang, T., Wu, H., & Xu, X. (2021). The Efficacy of Backward Walking on Static Stability, Proprioception, Pain, and Physical Function of Patients with Knee Osteoarthritis: A Randomized Controlled Trial. Evidence-Based Complementary and Alternative Medicine, 2021, 1–9. https://doi.org/10.1155/2021/5574966
Cui, A., Li, H., Wang, D., Zhong, J., Chen, Y., & Lu, H. (2020). Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine, 29–30, 100587. https://doi.org/10.1016/j.eclinm.2020.100587
Dewanti, W. R., & Rahmawati, N. A. (2022). The Effect Of Combination Of Retrowalking Exercise And Static Contraction In Increasing Activity Daily Living Functions In Knee Osteoarthritis Risk Tea Pickers. Jurnal Keperawatan Dan Fisioterapi (JKF), 5(1), 67–74. https://doi.org/10.35451/jkf.v5i1.1246
Frye, E. (2001). An electromyographic analysis study of forward and backward walking.
Ganu, S. S., & Merchant, A. J. (2018). Effect of retrowalking on pain, functional disability and functional mobility in patients with chronic knee osteoarthritis. International Journal of Health Sciences and Research, 8(11), 109–115.
Gondhalekar, G., & Deo, M. (2013). Retrowalking as an adjunct to conventional treatment versus conventional treatment alone on pain and disability in patients with acute exacerbation of chronic knee osteoarthritis: A randomized clinical trial. North American Journal of Medical Sciences, 5(2), 108. https://doi.org/10.4103/1947-2714.107527
Gurjalwar, I., Kalaskar, G., Phansopkar, P., Shah, P., Chitale, N., & Wadhokar, O. C. (2022). Impact of a retro walking on degenerative osteoarthritis of knee joint. Journal of Medical Pharmaceutical and Allied Sciences, 11(2320), 255–258. https://doi.org/10.55522/jmpas.V11S1.1251
Gurudut, P., Patel, R., Mukkannavar, P., & Vira, P. (2019). Effect of retro-walking on treadmill on hamstring flexibility, gait, kinesiophobia, and psychometry in individuals with chronic knee osteoarthritis. Indian Journal of Physical Therapy and Research, 1(2), 93. https://doi.org/10.4103/ijptr.ijptr_29_19
Hsu, H., & Siwiec, R. M. (2018). Knee osteoarthritis.
Joshi, S., Singh, S. K., & Vij, J. S. (2019). Effect of Retrowalking, a Non-Pharmacological Treatment on Pain, Disability, Balance and Gait in Knee Osteoarthritis: A Randomized Controlled Trial. Indian Journal of Public Health Research & Development, 10(2), 214. https://doi.org/10.5958/0976-5506.2019.00288.2
Krishnan, V., & Pithadia, K. (2021). Effect of retro walking versus balance training on pain and disability in patients with osteoarthritis of the knee: a randomized controlled trial. Bulletin of Faculty of Physical Therapy, 26(1). https://doi.org/10.1186/s43161-021-00035-x
Lespasio, M. J., Piuzzi, N. S., Husni, M. E., Muschler, G. F., Guarino, A. J., & Mont, M. A. (2017). Knee osteoarthritis: a primer. The Permanente Journal, 21.
Li-Yuan Chen, Fong-Chin Su, & Ping-Yen Chiang. (2000). Kinematic and EMG analysis of backward walking on treadmill. Proceedings of the 22nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (Cat. No.00CH37143), 2, 825–827. https://doi.org/10.1109/IEMBS.2000.897841
M, N. M., & M, A. S. (2023). Comparative study between effect of Retrowalking and self-selected pace forward walking on improving pain and function in people with osteoarthritis knee. International Journal of Physical Education, Sports and Health, 10(1), 196–203. https://doi.org/10.22271/kheljournal.2023.v10.i1c.2773
Manisha, N., Joginder, Y., & Priyanka, R. (2015). Effect of Retro Walking on Pain, Balance and Functional Performance in Osteoarthritis of Knee. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 9(3), 154. https://doi.org/10.5958/0973-5674.2015.00115.X
Naik, R. P., Rathod, D., & Kumar, A. (2020). Effects of Retro-Walking Underwater Treadmill Training on Pain, Functional Performance & Functional Mobility in Patients With Knee Osteoarthritis. International Journal of Physiotherapy and Research, 8(5), 3580–3585. https://doi.org/10.16965/ijpr.2020.154
Parikh, P. R., & Desai, D. S. (2022). Effectiveness of Forward Walking Versus Retro Walking on Balance, Gait Speed and Lower Body Functional Strength among the Elderly Population - A Comparative Study. International Journal of Health Sciences and Research, 12(4), 283–291. https://doi.org/10.52403/ijhsr.20220433
Peters, M. D. J., Godfrey, C. M., Khalil, H., McInerney, P., Parker, D., & Soares, C. B. (2015). Guidance for conducting systematic scoping reviews. International Journal of Evidence-Based Healthcare, 13(3), 141–146. https://doi.org/10.1097/XEB.0000000000000050
Pratiwi, A. N., Idris, I., Ariyandy, A., Mutmainnah, M., & Abdullah, A. R. A. H. (2023). The Effect of Retrowalking Programme on Walking Pattern and Functional Ability in Knee Osteoarthritis Patients at Hasanuddin University Hospital. https://doi.org/10.48047/ecb/2023.12.10.022
R., K., Velkumar, V., & E., S. (2023). Effectiveness of Retro Walking Exercise Versus Core Stability Exercise for Coastal Patients with Osteoarthritis of the Knee – A Randomized Active Control Study. Journal of Coastal Life Medicine, 11(1 SE-Articles), 2452–2461. https://www.jclmm.com/index.php/journal/article/view/703
Rangey, P., Sheth, M., & Vyas, N. (2016). Comparison of effectiveness of forward and backward walking on pain, physical function, and quality of life in subjects with osteoarthritis of knee. International Journal of Health & Allied Sciences, 5(4), 220. https://doi.org/10.4103/2278-344X.194085
Rathi, M., Palekar, T., & Varghese, A. (2014). Efficacy of Backward walking on Patients with Osteoarthritis of Knee on Quadriceps Strength, Pain and Physical Functions. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 8(4), 192. https://doi.org/10.5958/0973-5674.2014.00036.7
Shabbir, S., Hashim, M., Sajjad, R., Kayani, M. S., Syed, F. A., Ibrahim, M., Hassan, D., & Ghouri, M. H. (2022). Effects of Retro-Walking on Pain, Functional Disability and Performance in Knee Osteoarthritis. Pakistan Journal of Medical and Health Sciences, 16(2), 38–41. https://doi.org/10.53350/pjmhs2216238
Shu, Y., Gu, Y., Mei, Q., Ren, X., Popik, S., & Fernandez, J. (2016). Movement Analysis of Lower Limb During Backward Walking with Unstable Intervention. Journal of Medical and Biological Engineering, 36(5), 718–725. https://doi.org/10.1007/s40846-016-0166-4
Somashekar, S., R, R., J N, S., Timsina, S., & Jha, V. (2015). A Study to Compare the Effectiveness of Transcutaneous Electrical Nerve Stimulation With Retro - Walking Versus Ultrasound Therapy With Retro - Walking in Chronic Osteoarthritis of Knee. Journal of Evolution of Medical and Dental Sciences, 4(60), 10494–10503. https://doi.org/10.14260/jemds/2015/1512
Tahreem, R., Saima, R., Faraz, A., Shehzadi, I., Nimra, I., & Sidra, A. (2023). Effects of Retro Walking on Pain, Physical Function and Flexibility in Chronic Non-Specific Low Back Pain. Iranian Rehabilitation Journal, 21(2), 13.
Wallis, J. A., Webster, K. E., Levinger, P., Singh, P. J., Fong, C., & Taylor, N. F. (2015). The maximum tolerated dose of walking for people with severe osteoarthritis of the knee: a phase I trial. Osteoarthritis and Cartilage, 23(8), 1285–1293. https://doi.org/10.1016/j.joca.2015.04.001