Saturday, 16 November 2013
Friday, 5 July 2013
Insoles for osteoarthritis
Wedged insoles have received the most attention and will be the major focus of this review. Other types that could potentially play a role in knee osteoarthritis, such as shock-absorbing insoles or textured insoles, will not be discussed given their lack of research in this patient population.
Knee osteoarthritis is a chronic joint disorder predominantly affecting older individuals. As there is no cure, traditional management aims to reduce pain, improve function and enhance quality-of-life while minimizing adverse effects of therapy. Nonpharmacological conservative interventions, such as insoles and shoes, are considered the first-line approach to disease management. However, given that a significant proportion of knee osteoarthritis cases demonstrate disease progression, contemporary management also aims to reduce the risk of structural deterioration. Research over the past decade demonstrates that increased knee joint loading is an important risk factor for progression. The knee adduction moment is widely accepted as an indicator of medial compartment load and, as such, offers a potential target for treatment strategies to slow disease course over time. This review aims to highlight recent research findings, including their clinical application, for insoles and footwear in knee osteoarthritis. In particular, it will examine their effect on knee load, osteoarthritis symptoms and disease progression.
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