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首页> 外文期刊>Journal of orthopaedic research >The effect of different types of insoles or shoe modifications on medial loading of the knee in persons with medial knee osteoarthritis: a randomised trial
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The effect of different types of insoles or shoe modifications on medial loading of the knee in persons with medial knee osteoarthritis: a randomised trial

机译:不同类型的鞋垫或鞋底修饰对内侧膝骨性关节炎患者膝关节内侧负荷的影响:一项随机试验

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Many conservative treatments exist for medial knee osteoarthritis (OA) which aims to reduce the external knee adduction moment (EKAM). The objective of this study was to determine the difference between different shoes and lateral wedge insoles on EKAM, knee adduction angular impulse (KAAI), external knee flexion moment, pain, and comfort when walking in individuals with medial knee OA. Seventy individuals with medial knee OA underwent three-dimensional walking gait analysis in five conditions (barefoot, control shoe, typical wedge, supported wedge, and mobility shoe) with pain and comfort recorded concurrently. The change in EKAM, KAAI, external knee flexion moment, pain, and comfort were assessed using multiple linear regressions and pairwise comparisons. Compared with the control shoe, lateral wedge insoles and barefoot walking significantly reduced early stance EKAM and KAAI. The mobility shoe showed no effect. A significant reduction in latter stance EKAM was seen in the lateral wedge insoles compared to the other conditions, with only the barefoot condition reducing the external knee flexion moment. However, the mobility shoe showed significant immediate knee pain reduction and improved comfort scores. Different lateral wedge insoles show comparable reductions in medial knee loading and in our study, the mobility shoe did not affect medial loading. (c) 2015 The Authors. Journal of Orthopaedic Research Published by Wiley Periodicals, Inc. J Orthop Res 33:1646-1654, 2015.
机译:对于内侧膝骨关节炎(OA),存在许多保守治疗,旨在减少外侧膝关节内收力矩(EKAM)。这项研究的目的是确定内侧膝关节炎患者行走时不同鞋子和外侧楔形鞋垫在EKAM,膝内收角冲量(KAAI),外膝屈曲力矩,疼痛和舒适度之间的差异。七十名膝内侧关节炎患者在五种情况(赤脚,控制鞋,典型的楔形,支撑楔形和活动性鞋)中进行了三维步行步态分析,同时记录了疼痛和舒适度。使用多重线性回归和成对比较评估EKAM,KAAI,外部膝盖屈曲力矩,疼痛和舒适度的变化。与控制鞋相比,外侧楔形鞋垫和赤脚行走可显着降低EKAM和KAAI的早期姿态。运动鞋没有显示效果。与其他情况相比,外侧楔形鞋垫的后一种姿态EKAM明显降低,只有赤脚状态减少了外部膝盖屈曲力矩。但是,运动鞋立即显示出明显的膝部疼痛减轻和舒适度评分。不同的外侧楔形鞋垫在膝部内侧负荷方面显示出可比的降低,在我们的研究中,活动性鞋没有影响内侧负荷。 (c)2015作者。骨科研究杂志由Wiley Periodicals,Inc.出版,J Orthop Res 33:1646-1654,2015。

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