Effectiveness of Lateral Wedge Insole on Knee Osteoarthritis Outcomes in Pakistani Population
Medial Compartment Knee Osteoarthritis
About this trial
This is an interventional treatment trial for Medial Compartment Knee Osteoarthritis focused on measuring Knee osteoarthritis, functional independence, musculoskeletal physiotherapy, orthotics, quality of life.
Eligibility Criteria
Inclusion Criteria:
- Patients with the age criteria of 40-70 years, and who had a history of knee OA were included in the study.
Exclusion Criteria:
- Patients had knee OA due to trauma or any pathology, multiple fractures, or had a medical condition due to which rehabilitation wasn't possible, and not willing to participate in the clinical trials were excluded from the study.
Sites / Locations
- Rabbiya Riaz
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Lateral wedge insoles with home exercises group(Group 1)
Traditional physiotherapy with home exercises group (Group 2)
In this group, participants were advised to use lateral wedge insole during walking and long-standing. Non customized full-length lateral wedge insoles of 7mm made of silicon material with 5 degrees angulation (because greater wedging is associated with foot discomfort) was used. Full-length wedge extends under the lesser metatarsal heads which increases the lever arm for rearfoot eversion and thus can prevent subtalar joint rotation. The evaluations were performed every week till fourth week.
Each participant received 40-45 minutes long session, started in lying position. The therapeutic low-intensity pulsed ultrasound (US) was used for 7 minutes with the frequency of 1 MHz, Spatial Average Intensity was 0.2 W /cm2, pulsed duty cycle 20%, therapeutic dose was 112.5 J/cm2 with fixed application on the medial side of the knee joint. The model of US was Unit Intelect Mobile, (Chattanooga Inc). After US therapy passive stretching of calf, hamstring, quadriceps, hip flexors, adductors & abductor s was done, which was followed by the manual strengthening exercises and strengthening with quadriceps bench. The session was repeated thrice a week and 12 sessions per month. The home program was guided in both groups including avoiding low sitting, cross leg sitting along with Isometrics of quadriceps atleast 3 times a day, with 5-10 seconds hold of each contraction.