Effects of lateral wedge insole versus lateral wedge with medial arch support insole on pain, functional activities and joint space reduction in tibiofemoral osteoarthritis of knee
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- WOMAC
Study Overview
Brief Summary
osteoarthritis is a chronic degenerative condition characterized by bone remodeling and articular cartilage loss patients with osteoarthritis mainly complains of pain joint stiffness ,functional impairments intensity of symptoms vary from patients to patients .one of the initial steps in the diagnosis of osteoarthritis is joint space narrowing less space restricts joints range of motion .resulting in stiffness and increases stress on joint
recent research confirms the link between knee and foot problems in people with knee osteoarthritis ,on examination it is showed that 25% people reported pain in the foot and during dynamic walking the effect of genu varum is causing subtalar joint pronation during loading and propulsive phase of gait
numerous research have hypothesized that changing ones footwear can reduce pressure on the medial knee joint which in turn reduce pain and enhance functional status .but there is lack of evidence on comparison of effects of lateral wedges with medial arch support and lateral heel rise therefore the need of this study to compare to different footwear modification along with physiotherapy treatment in osteoarthritis patients
here in my study we are including 60 patients from 40 - 80 years both male and female with grade 2 and grade 3 osteoarthritis based on x-ray and patients with genu varum and allocating them into two different groups group A and group B and assessing pain ,joint space, range of motion, muscle strength, functional ability on WOMAC on day one and after 8 weeks
group A will receive lateral wedge with medial arch support and group B will receive lateral heel rise only and data will be analyzed using statistical t test comparing baseline and post intervention
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Masking
- None
Eligibility Criteria
- Ages
- 40.00 Year(s) to 80.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Age group 40 -80
- •Early to midstage (KL grade 2-3) OA of the medial compartment of the knee based on recent X-RAY 2.Subjects able to walk independently 3.Average knee pain of at least 3 out of 10(using VAS) ï‚· Either of the gender ï‚· Bilateral osteoarthritis of knee ï‚· Subjects with varus deformity of knee.
Exclusion Criteria
- •knee surgery or intra articular injections for pain 1.History of knee joint replacement or tibial osteotomy
- •Foot or ankle problems that contraindicated the use of footwear load modifying interventions 3.Relevant ligamentous instability 4.Relevant OA of lateral compartment of knee based on X-ray
- •History of fracture in the of area knee joint which is under the study
- •Any major lower limb surgery in the past 7.Locomotion with assistive device 8.Neurological disorders such as stroke 9.Grade 4 of KL classification 10.Cardiac and respiratory conditions.
Outcomes
Primary Outcomes
WOMAC
Time Frame: baseline and after 8weeks
VAS
Time Frame: baseline and after 8weeks
joint space measurement
Time Frame: baseline and after 8weeks
Range of motion
Time Frame: baseline and after 8weeks
Secondary Outcomes
- Range of motion(muscle strength)
Investigators
Arpitha D
Shri Dharmasthala Manjunatheshwara College of Physiotherapy