Foot Wear Modification Along With Physical Therapy in Knee Osteoarthritis
Osteo Arthritis Knee
About this trial
This is an interventional treatment trial for Osteo Arthritis Knee focused on measuring osteoarthritis, knee joint
Eligibility Criteria
Inclusion Criteria:
- both gender
- diagnosed patient with knee osteoarthritis on clinical and radiographic basis,
- aged 50 years or above,
- knee pain from at least one month with an intensity equal or more than 4 on 11 points Numeric rating pain scale,
- falling between grade 2-3 on Kellgren-Lawrence Classification System for knee osteoarthritis,
- having BMI range between 22-25 kg/m2 and participating in study with their own will with a signed consent form.
Exclusion Criteria:
- trauma in knee region,
- having knee or lower limb surgery for fracture or arthroplasty,
- getting steroid based intra-articular injection or physiotherapy treatment in last 6 months,
- getting lidocaine intra-articular injection in last one month, with condition of systemic arthritic condition, severe co-morbidities or
- serious medical conditions or systemic disease causing dependent edema making difficult to wear foot wear in open or close shoes.
Sites / Locations
- Janjua Rehab Center, Gujranwala
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Lateral Heel Wedged Insole Alone with physical therapy
Lateral aand medial Heel Wedged Insole with physiotherapy
the lateral heel wedged insole (19) comprised non-custom, high density based on insoles of ethyl-vinyl acetate distributed bilaterally, preferably, covered in leather, were used in the study. The insole were equipped with a lateral wedge of 50 to 60. In the case of unilateral knee osteoarthritis, the non-wedge insole were used to compensate for possible leg length discrepancy in the contra-lateral leg. Shoes used was based on gymnast type to keep wedge insole in place. This further finalized individual to individual with unanimous decisions of Cordwainers, orthotics, and principal researcher, physiotherapist.
medial arch support part were combine with aforementioned lateral heel wedged support, full length support. There is a debate, however, 4 to 6 mm of full length support is considered to be effective for required alteration in mechanics