Additional Effects of Medial Wedge Insole Coupled with Conventional Therapy in Patients with Bilateral Lateral Compartmental Knee Osteoarthritis: A Clinical Trial Study

Authors

  • Fatema Campwala
  • Vinit Mody

DOI:

https://doi.org/10.37506/ijpot.v17i3.19545

Keywords:

Medial wedge insole, Lateral compartmental knee OA

Abstract

Background: Osteoarthritis (OA) is the most prevalent disorder of the locomotor system, and involves the large
weight bearing joints of the lower limb such as knee joint. The progression of OA knee is typically affected by
mechanical stress created by varus and valgus malalignment, which in turn overloads the medial and lateral
compartments, respectively. The rationale of wedged insoles is to transfer the load from the affected knee
compartment to the joint contralateral compartment. So, the aim of the study was to compare the effectiveness of
conventional therapy plus medial wedge insole in the footwear and conventional therapy alone on pain, physical
function and alignment in lateral compartmental knee osteoarthritic patients.
Method: Study included 30 patients with bilateral lateral compartmental knee OA, aged 40-60 years and
divided into 2 groups: Group A received conventional therapy plus medial wedge insole and Group B received
conventional therapy alone for 6 weeks (3 sets of 10 repetitions daily). Inter-group analysis by unpaired t-test
showed statistically significant improvement in Lequesne index score and tibiofemoral angle (P value ≤ 0.05).
Conclusion: In patients with lateral compartmental knee OA, conventional therapy plus medial wedge insole were
more effective than conventional therapy alone in reducing pain, improving functional disability and tibiofemoral
angle.

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Author Biographies

  • Fatema Campwala

    Student, Department of Physiotherapy, (MPT Musculoskeletal disorders & Sports)

  • Vinit Mody

     Associate Professor,(MPT Musculoskeletal conditions) Pioneer Physiotherapy College, Sayajipura, Vadodara, Gujarat, India.

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Published

2023-07-21

How to Cite

Additional Effects of Medial Wedge Insole Coupled with Conventional Therapy in Patients with Bilateral Lateral Compartmental Knee Osteoarthritis: A Clinical Trial Study. (2023). Indian Journal of Physiotherapy & Occupational Therapy - An International Journal, 17(3), 21-26. https://doi.org/10.37506/ijpot.v17i3.19545