An evaluation of the use of a lateral wedged insole and a valgus knee brace in combination in subjects with medial compartment knee osteoarthritis (OA).

Aim: The aim of this study was to evaluate the effect (6 weeks) of the use of a knee brace and a lateral wedge insole, both in isolation and combined, on the knee adduction moment (KAM), pain levels, kinematics (velocity, stride length, cadence), knee ROM, function, and satisfaction in patients with...

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Publicado en:Assistive Technology Vol. 33; no. 2; pp. 87 - 95
Autores principales: Khosravi, Mobina, Arazpour, Mokhtar, Sharafat Vaziri, Arash
Formato: pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Taylor & Francis Ltd 2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2021
      vid: 33
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/10400435.2019.1595788
        149414144
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        atl: An evaluation of the use of a lateral wedged insole and a valgus knee brace in combination in subjects with medial compartment knee osteoarthritis (OA).
      aug:
        au:
          Khosravi, Mobina
          Arazpour, Mokhtar
          Sharafat Vaziri, Arash
        affil: Orthotics and Prosthetics department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
      sug:
        subj:
          Foot Orthoses
          Osteoarthritis, Knee Therapy
          Knee Physiopathology
          Treatment Outcomes
          Human
          Male
          Female
          Aged
          Kinematics
          Patient Satisfaction
          Random Assignment
          Randomized Controlled Trials
          Patient Isolation
          Descriptive Statistics
          Body Mass Index
          Self Report
          Summated Rating Scaling
          Questionnaires
          Gait Analysis
          Motion Analysis Systems
          Software
          Multivariate Analysis of Variance
          Post Hoc Analysis
          Paired T-Tests
          Aged: 65+ years
          Male
          Female
      ab: Aim: The aim of this study was to evaluate the effect (6 weeks) of the use of a knee brace and a lateral wedge insole, both in isolation and combined, on the knee adduction moment (KAM), pain levels, kinematics (velocity, stride length, cadence), knee ROM, function, and satisfaction in patients with knee osteoarthritis (OA). Methods: Twenty-one patients with medial compartment knee OA were participated in this study. A relatively light three-point valgus knee brace (VB) and full length custom-made lateral wedge insole with arch support were prepared for each subject. Patients divided into three groups at random. Results: The use of a custom fit valgus brace with lateral edge insole concurrently can reduce a greater peak KAM than use in isolation (30%). In addition, the use of both interventions can improve walking velocity, cadence, and reduce levels of pain in patients with medial compartment OA. Conclusion: All parameters except stride length and KAM in comparison with first day of wearing interventions improved significantly in the combined, concurrent usage group. The use of a lateral wedge insole and a valgus knee brace in combination can improve the kinetic and kinematic parameters in patients with medial compartment knee OA.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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