MedPath

The effectiveness of a lateral wedge insole on osteoarthritis pain, activity level and joint loading

Not Applicable
Completed
Conditions
Medial knee osteoarthritis
Musculoskeletal Diseases
Registration Number
ISRCTN10388252
Lead Sponsor
niversity of Salford (UK)
Brief Summary

2017 results in https://doi.org/10.1016/j.joca.2017.02.676 (added 26/10/2020)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
20
Inclusion Criteria

1. Age 40-85
2. Pain with walking.
3. Participants have been diagnosed with mild-moderate medial knee OA by GP based on the clinical and radiographic criteria
4. On AP or PA view x-ray (weight bearing, if possible) within the last 2 years of screening. Therefore, for a patient to be eligible on x-ray they must fulfil the following criteria
4.1. KL grade 2 or 3 in the tibiofemoral joint (TFJ)
4.2. The KL grade in the TFJ must be higher than the PFJ and cannot be equal
4.3. The medial joint space narrowing score must be higher that the lateral joint space narrowing score and cannot be equal
5. Medial tenderness. Absence of PF tenderness on examination.
6. They are able to walk for 100 metres non-stop - participant response.
7. Can walk without any walking aid.

Exclusion Criteria

1. A history of high tibial osteotomy or other realignment surgery or total knee replacement on the affected side
2. Knee Arthroscopy with the last 6 months
3. Intra-articular injection into the treatment knee in the last 3 months.
4. Inflammatory arthritis including Rheumatoid Arthritis
5. Complex pain conditions such as fibromyalgia
6. Any foot and ankle problems
7. Severe coexisting medical morbidities,
8. Use, or have used, orthoses within the last 2 months.
9. BMI >35 since gait laboratory cannot perform accurate measurements.
10. Unable to walk unaided.
If the participants cannot walk for 100 metres without stopping they will also be excluded, as they may be unable to complete the full testing protocol.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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