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Titolo:
Effect of a novel insole on the subtalar joint of patients with medial compartment osteoarthritis of the knee
Autore:
Toda, Y; Segal, N; Kato, A; Yamamoto, S; Irie, M;
Indirizzi:
Toda Orthoped Rheumatol Clin, Osaka 5640051, Japan Toda Orthoped RheumatolClin Osaka Japan 5640051 n, Osaka 5640051, Japan St Joseph Hosp, Denver, CO USA St Joseph Hosp Denver CO USASt Joseph Hosp, Denver, CO USA
Titolo Testata:
JOURNAL OF RHEUMATOLOGY
fascicolo: 12, volume: 28, anno: 2001,
pagine: 2705 - 2710
SICI:
0315-162X(200112)28:12<2705:EOANIO>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
PAIN;
Keywords:
knee; osteoarthritis; subtalar joint; orthotic devices;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Toda, Y Toda Orthoped Rheumatol Clin, 14-1 Toyotsu Cho, Osaka 5640051, Japan Toda Orthoped Rheumatol Clin 14-1 Toyotsu Cho Osaka Japan 5640051
Citazione:
Y. Toda et al., "Effect of a novel insole on the subtalar joint of patients with medial compartment osteoarthritis of the knee", J RHEUMATOL, 28(12), 2001, pp. 2705-2710

Abstract

Objective. To assess the efficacy of a lateral wedge insole with elastic strapping of the subtalar joint for conservative treatment of osteoarthritis(OA) of the knee. Methods. The efficacy of a novel insole with elastic subtalar strapping and a traditional shoe insert wedge insole was compared. Ninety female outpatients with OA of the knee were treated with wedge insoles for 8 weeks. Randomization was performed according to birth date. Standing radiographs with unilateral insole use were used to analyze the femorotibial and talar tilt angles for each patient with and without their respective insole. Visual analog scale (VAS) score for subjective knee pain at the final assessment wascompared with that at baseline in both groups. Results. Participants wearing the elastically strapped insole (n = 46) hadsignificantly decreased femorotibial angle (p < 0.0001) and talar tilt angle (p = 0.005) and significantly improved VAS pain score (p = 0.045) in comparison with baseline assessments. These significant differences were not found in the group with the inserted insole (n = 44). Conclusion. The novel strapped insole leads to valgus angulation of the talus, resulting in correction of the femorotibial angle in patients with knee OA with varus deformity, and may have a therapeutic effect similar to that of high tibial osteotomy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 17:35:11