006 Effects of Lateral Wedge Insoles on Symptoms and Structural Disease Progression in Medial Knee Osteoarthritis: A 12-Month Randomised Controlled Trial

Is the Wedged Insole an Effective Treatment Option When Compared with a Flat (Placebo) Insole: A Systematic Review and Meta‐Analysis

“…This left 37 articles assessed after reading whole article for eligibility. Of these, 8 met the inclusion criteria [20–23, 28–31] (see Table 1).…”

“…A total of 4 different outcome variables were identified in this review. The Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Indexes that were reported in 4 studies [21, 23, 29, 30] included the WOMAC pain (4 studies) [21, 23, 29, 30], WOMAC stiffness (3/4 studies) [21, 23, 30], and WOMAC function (3/4 studies) [21, 23, 30]; pain was reported in 5 studies [20, 23, 28, 29, 31]; Lequesne index was reported in 3 studies [20, 22, 29]; and FTA was report in 2 studies [20, 22]. According to the different intervention time of the wedge insole, Toda et al [22] divided the treatment components into three subgroups compared with the flat insole.…”

“…These divided into groups by random order were considered as low risk. Three studies showed allocation concealment [23, 28, 29]. The other studies did not report it clearly.…”

Is increased joint loading detrimental to obese patients with knee osteoarthritis? A secondary data analysis from a randomized trial

“…While dynamic loading of the knee joint is widely accepted as a risk factor for structural disease progression 9,10 the current evidence does not support dynamic loading modifications as effective to prevent structural progression over a 1-year followup 46 . Our results showed that increased loading did not yield detectable structural disease progression when compared to a group with reduced joint loading.…”

Effects of medial and lateral wedged orthoses on knee and ankle joint loading in female runners

“…Foot orthoses are available in both medial and lateral configurations, which are utilized in order to specifically modify the alignment of the lower extremities and redistribute the loads experienced at the lower body joints . The effects of medial/lateral orthoses on the biomechanics of the lower extremities have been examined previously; however, they have habitually been examined during walking in pathological patients (Pham, et al, 2004;Rubin & Menz, 2005;Baker, et al, 2007;Barrios & Davis, 2010;Bennell, et al, 2010;Rafiaee & Karimi, 2012;Barrios, Butler, Crenshaw, Royer, & Davis, 2013) and there is only limited information concerning their effects during running. Boldt et al (2013) examined the effects of 6° medially wedged orthoses on the biomechanics of the hip and knee joint in female runners with and without patellofemoral pain.…”