Use of Laterally Wedged Custom Foot Orthoses to Reduce Pain Associated with Medial Knee Osteoarthritis

2005 ◽  
Vol 95 (4) ◽  
pp. 347-352 ◽  
Author(s):  
Russel Rubin ◽  
Hylton B. Menz
Keyword(s):  
Knee Osteoarthritis ◽  
Pain Scale ◽  
Medial Compartment ◽  
Control Group ◽  
Osteoarthritis Of The Knee ◽  
Foot Orthoses ◽  
Treatment Control Group ◽  
Larger Sample ◽  
Foot Orthosis

Osteoarthritis of the knee is a common condition that can cause considerable pain and disability. Various forms of lateral wedging may be effective in the treatment of medial compartment osteoarthritis, but it is not known whether incorporating a lateral wedge into a custom-molded foot orthosis will achieve similar results. Therefore, 30 subjects (21 men and 9 women) aged 29 to 77 years (mean ± SD, 58.1 ± 11.6 years) with radiographically confirmed medial compartment knee osteoarthritis were issued custom-molded foot orthoses with a 5° lateral heel wedge. Pain levels were recorded using a 100-mm visual analog pain scale on the date of issue of the orthoses (baseline) and again 3 and 6 weeks later. Mean ± SD pain levels were significantly reduced at 3 weeks (34 ± 22 mm) and 6 weeks (23 ± 22 mm) versus baseline (69 ± 19 mm) (F2 = 39.57). The degree of pain reduction was greater in patients with less severe osteoarthritis. At 6 weeks, all subjects had achieved at least some reduction in pain, and 28 reported that their orthoses were comfortable. This preliminary study indicates that laterally wedged foot orthoses may be beneficial in the treatment of mild-to-moderate osteoarthritis of the medial compartment of the knee. Further investigations using a larger sample, longer follow-up, and a no-treatment control group seem warranted. (J Am Podiatr Med Assoc 95(4): 347–352, 2005)

scholarly journals Platelet-rich plasma injection is more effective than hyaluronic acid in the treatment of knee osteoarthritis

2014 ◽  
Vol 2 (12_suppl4) ◽  
pp. 2325967114S0024
Author(s):  
Esteban Holguin
Keyword(s):  
Hyaluronic Acid ◽  
Platelet Rich Plasma ◽  
Low Cost ◽  
Study Groups ◽  
Womac Score ◽  
Pain Scale ◽  
Control Group ◽  
Osteoarthritis Of The Knee ◽  
Clear Result

Objectives: To determine and compare the effects of autologous platelet rich plasma (PRP) and hyaluronic acid (HA) for the treatment of osteoarthritis of the knee. Methods: This prospective study included 150 patients affected by severe osteoarthritis of the knee. Gonarthrosis was graded using the Kellgren-Lawrence and Albhack radiographic classification scale. 150 patients were randomized into 2 study groups .In the PRP group (n=55) three intraarticular injection were applied andthe control group (n=55) received 3 intra-articular injections of high molecular weight HA. An unblinded physician performed infiltration once a week for 3 weeks into the knee affected by clinically relevant gonarthrosis (in both groups). All patients were evaluated with the Western Ontario and McMaster (WOMAC) score and visual pain scale before the infiltration and at 3, 6, and 12 months after the first injection. Results: No severe adverse events was observed. Statistically significant better results in the WOMAC score and visual pain scale was determined in PRP group than HA group at 3 months and 6 months follow up. The cost of the application for the PRP group was lower than that of the HA group.At 12 months' of follow-up, PRP and HA treatments offered similar results. Conclusion: The results of this study have shown the application of autologousPRP to be a safe, effective and low-cost method for treating OA tan HA. However, further studies are required for a more clear result

scholarly journals The Effect of a Period of Kinesiotherapy and Reflexology on Pain Intensity and Range of Motion in Elderly Women With Knee Osteoarthritis

2020 ◽  
Vol 6 (2) ◽  
pp. 98-109
Author(s):  
Fatemeh Kiani Dooghabadi ◽  
◽  
Nahid Khoshraftar Yazdi ◽  
Hossein Farzaneh ◽  
◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Pain Intensity ◽  
Range Of Motion ◽  
Elderly Women ◽  
Pain Scale ◽  
Control Group ◽  
Osteoarthritis Of The Knee ◽  
Therapeutic Exercise ◽  
Exercise Protocol ◽  
Rate Of Increase

Objective: The aim of this study was to compare the effect of a period of therapeutic exercise and reflexology on pain intensity and range of motion in elderly women with knee osteoarthritis. Methods: 45 elderly women with osteoarthritis of the knee were purposefully selected and randomly divided into three groups of 15: therapeutic exercise, reflexology and control. The therapeutic exercise and reflexology group practiced therapy and reflexology for 4 weeks and 5 sessions per week. The control group also performed their daily activities. To assess the intensity of pain and the range of motion of the subjectchr('39')s knee, the visual pain scale VAS and goniometer were used in pre-test and post-test, respectively. Data analysis was performed by one-way analysis of variance and Tukeychr('39')s Post Hoc test. Results: The results showed that both types of therapeutic exercise protocol and reflexology have positive and significant effects on reducing pain intensity and increasing range of motion of the knee joint of the subjects (P≤0.05), and the therapeutic exercise protocol compared to the protocol. Reflexology had more significant effects on the rate of increase in range of motion (P=0.001; P=0.001, respectively). Conclusion: Based on the results, the use of both protocols of therapeutic exercise and reflexology is recommended to reduce the severity of pain and increase the range of motion of elderly women with osteoarthritis of the knee. Simultaneous use of these two protocols for treatment and greater effectiveness in this group of patients is recommended

The Effects of Talus Control Foot Orthoses in Children with Flexible Flatfoot

2017 ◽  
Vol 107 (1) ◽  
pp. 46-53 ◽  
Author(s):  
So Young Ahn ◽  
Soo Kyung Bok ◽  
Bong Ok Kim ◽  
In Sik Park
Keyword(s):  
Therapeutic Effect ◽  
Foot Orthoses ◽  
Talonavicular Joint ◽  
Radiographic Measurements ◽  
Flexible Flatfoot ◽  
Foot Orthosis

Background: A talus control foot orthosis (TCFO) combines an inverted rigid foot orthosis (RFO) with a broad upright portion that rises well above the navicular to cover and protect the talonavicular joint. We sought to identify the therapeutic effect of TCFOs in children with flexible flatfoot. Methods: Flexible flatfoot was diagnosed in 40 children when either of the feet had greater than 4° valgus of resting calcaneal stance position (RCSP) angle and one of the radiographic indicators was greater than 30° in anteroposterior talocalcaneal angles, 45° in lateral talocalcaneal angles, and 4° in lateral talometatarsal angles and less than 10° of calcaneal pitch in barefoot radiographs. Of 40 children with flexible flatfoot, 20 were fitted with a pair of RFOs and 20 with TCFOs, randomly. Follow-up clinical and radiographic measurements were completed 12 months later. Results: All of the radiographic indicators changed toward the corrective direction in both groups. There were significant improvements in calcaneal pitch and RCSP in both groups (P < .05). In the TCFO group, the anteroposterior talocalcaneal angle and the RCSP showed statistically significant improvement compared with the RFO group. Conclusions: In this study, the TCFO was more effective than the RFO at treating children with flexible flatfoot.

Effects of short-wave therapy in patients with knee osteoarthritis: a systematic review and meta-analysis

2016 ◽  
Vol 31 (5) ◽  
pp. 660-671 ◽  
Author(s):  
Haiming Wang ◽  
Chi Zhang ◽  
Chengfei Gao ◽  
Siyi Zhu ◽  
Lijie Yang ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Meta Analysis ◽  
Strength Function ◽  
Knee Extensor ◽  
Short Wave ◽  
Pain Scale ◽  
Control Group ◽  
Continuous Variables ◽  
Significant Difference ◽  
Evidence Database

Objective: To evaluate the efficacy and safety of short-wave therapy with sham or no intervention for the management of patients with knee osteoarthritis. Methods: We searched the following databases from their inception up to 26 October 2016: MEDLINE, CENTRAL, EMBASE, Physiotherapy Evidence Database, CINAHL and OpenGrey. Studies included randomized controlled trials compared with a sham or no intervention in patients with knee osteoarthritis. The results were calculated via standardized mean difference (SMD) and risk ratio for continuous variables outcomes as well as dichotomous variables, respectively. Heterogeneity was explored by the I2 test and inverse-variance random effects analysis was applied to all studies. Results: Eight trials (542 patients) met the inclusion criteria. The effect of short-wave therapy on pain was found positive (SMD, −0.53; 95% CI, −0.84 to −0.21). The pain subgroup showed that patients received pulse modality achieved clinical improvement (SMD, –0.83; 95% CI, –1.14 to −0.52) and the pain scale in female patients decreased (SMD, −0.53; 95% CI, −0.98 to −0.08). In terms of extensor strength, short-wave therapy was superior to the control group ( p < 0.05, I2 = 0%). There was no significant difference in the physical function (SMD, −0.16; 95% CI, −0.36 to 0.05). For adverse effects, there was no significant difference between the treatment and control group. Conclusion: Short-wave therapy is beneficial for relieving pain caused by knee osteoarthritis (the pulse modality seems superior to the continuous modality), and knee extensor muscle combining with isokinetic strength. Function is not improved.

Static and dynamic biomechanics of foot orthoses in people with medial compartment knee osteoarthritis

2002 ◽  
Vol 17 (8) ◽  
pp. 603-610 ◽  
Author(s):  
Monica R Maly ◽  
Elsie G Culham ◽  
Patrick A Costigan
Keyword(s):  
Knee Osteoarthritis ◽  
Medial Compartment ◽  
Foot Orthoses

scholarly journals A Positive Association Between Foot Posture Index and Medial Compartment Knee Osteoarthritis in Moroccan People

2014 ◽  
Vol 8 (1) ◽  
pp. 96-99 ◽  
Author(s):  
Abourazzak F.E ◽  
Kadi N ◽  
Azzouzi H ◽  
Lazrak F ◽  
Najdi A ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Medial Compartment ◽  
Control Group ◽  
Flat Foot ◽  
Pes Cavus ◽  
Foot Posture Index ◽  
Posture Index ◽  
Knee Oa ◽  
Significant Difference ◽  
Foot Posture

Objectives : To compare foot posture in people with and without medial compartment knee osteoarthritis (OA), and to assess association between its abnormalities and medial compartment knee OA. Methods : We compared the foot posture of patients with clinically and radiographically-confirmed medial compartment knee OA and asymptomatic healthy controls using the foot posture index (FPI), navicular height, and the medial arch. Results : We included 100 patients and 80 asymptomatic controls. The mean age of patients was 59 ± 7 (44-76) years and 48 ± 9 (28-60) years in the control (p=0.06). Patients group have more pronated foot for FPI (1.50 ± 2.68 vs 0.72 ± 2.63; p=0.05), more flat foot (42% vs 22%; p=0.03), and less pes cavus than the control group (58% vs 77%; p=0.004). However, there was no significant difference between the groups in the navicular height (3.90 ± 0.85 cm vs 4.00 ± 0.76 cm; p=0.41). In multivariate statistical analysis, after adjusting for age and body mass index, pronated foot in FPI (OR=1.22, 95%IC= [1.06-1.40], p=0.005), and pes cavus (OR=0.32, 95%IC= [0.11-0.93], p=0.03) had a significant correlation with the knee osteoarthritis. Conclusion : Pronated foot posture and flat foot are significantly associated with medial compartment knee osteoarthritis.

An evaluation of an emotion regulation programme for people with an intellectual disability

2014 ◽  
Vol 35 (3) ◽  
pp. 105-118 ◽  
Author(s):  
Jenna McWilliams ◽  
Ian de Terte ◽  
Janet Leathem ◽  
Sandra Malcolm
Keyword(s):  
Emotion Regulation ◽  
Intellectual Disability ◽  
Control Group ◽  
Emotion Regulation Strategies ◽  
Content Type ◽  
Regulation Strategies ◽  
Continued Use ◽  
Treatment Gains ◽  
Larger Sample

Purpose – The purpose of this paper is to examine the effectiveness of the Transformers programme on individual's use of appropriate emotion regulation strategies. Design/methodology/approach – Five people with an intellectual disability participated in the Transformers programme and took part in the current study. The intervention was evaluated using the Profile of Anger Coping Skills (PACS) and incident reports. The PACS was completed by participants and their caregivers. Findings – The majority of participants demonstrated increases in self- and caregiver-reported use of appropriate emotion regulation strategies following their involvement in the Transformers programme. However, treatment gains were not always maintained at follow-up. Three of the participants also exhibited fewer incidents of challenging behaviour after taking part in the programme. Originality/value – Overall, the results provide preliminary support for the continued use of the Transformers programme with people with an intellectual disability who have emotion regulation difficulties. It is recommended that further research be carried out with a larger sample size, a control group, and a longer follow-up period.

scholarly journals Evaluating Meridian-Sinew Release Therapy for the Treatment of Knee Osteoarthritis

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Song Wei ◽  
Zhi-Huang Chen ◽  
Wei-Feng Sun ◽  
Geng-Peng Zhang ◽  
Xiao-Hao Li ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Symptom Score ◽  
Joint Stiffness ◽  
The Elderly ◽  
Outcome Evaluation ◽  
Total Symptom Score ◽  
Control Group ◽  
Osteoarthritis Of The Knee ◽  
Functional Movement ◽  
The Impact

Objective. In recent years, public health experts have concluded that the impact of osteoarthritis is equal in magnitude to that of cardiovascular disease. Osteoarthritis of the knee is prevalent in the elderly population; however, there are currently no effective treatments for this condition. In this study, we investigated the efficacy of “meridian-sinew release,” a newly developed technique which entails using a meridian-sinew scope and a meridian-sinew knife to treat osteoarthritis of the knee.Methods. Patients (N=90) with knee osteoarthritis were prospectively randomized to meridian-sinew release therapy, acupuncture therapy, or drug therapy groups, respectively. Outcome evaluation included pain, stiffness, physiological function, total symptom score, and overall changes in the condition.Results. After 12 weeks, patients' general assessment (GA) and doctors' general assessment (GA) of the condition were not significantly different among the three groups. However, significant differences in primary endpoint pain, joint stiffness, and total symptom score were found between the meridian-sinew group and the acupuncture group and between the meridian-sinew group and the control group (P<0.05). No adverse events occurred during the trial.Conclusion. Our study suggests that meridian-sinew release therapy can improve knee osteoarthritis, alleviate joint pain, and improve functional movement disorder. It is a safe and effective treatment for knee osteoarthritis.

Prevention of Depressive Symptoms in Schoolchildren: Two-Year Follow-Up

1995 ◽  
Vol 6 (6) ◽  
pp. 343-351 ◽  
Author(s):  
Jane E. Gillham ◽  
Karen J. Reivich ◽  
Lisa H. Jaycox ◽  
Martin E.P. Seligman
Keyword(s):  
Depressive Symptoms ◽  
Problem Solving ◽  
Social Problem ◽  
Sixth Grade ◽  
Social Problem Solving ◽  
Control Group ◽  
Children At Risk ◽  
Treatment Control ◽  
Treatment Control Group

After teaching cognitive and social-problem-solving techniques designed to prevent depressive symptoms, we followed 69 fifth- and sixth-grade children at risk for depression for 2 years We compared these children with 49 children in a matched no-treatment control group The prevention group reported fewer depressive symptoms through the 2-year followup, and moderate to severe symptoms were reduced by half Surprisingly, the effects of the prevention program grew larger after the program was over We suggest that psychological immunization against depression can occur by teaching cognitive and social skills to children as they enter puberty

scholarly journals The treatment of coccydynia in adolescents

2020 ◽  
Vol 1 (5) ◽  
pp. 115-120
Author(s):  
Ante Matti Kalstad ◽  
Rainer Günter Knobloch ◽  
Vilhjalmur Finsen
Keyword(s):  
Pain Scale ◽  
Adult Patients ◽  
Injection Therapy ◽  
Control Group ◽  
Treatment Results ◽  
Results Of Treatment ◽  
Adolescent Patients ◽  
Numeric Pain Scale ◽  
One Year

Aims To determine if the results of treatment of adolescents with coccydynia are similar to those found in adults. Adult patients with coccydynia may benefit from injection therapy or operative treatment. There is little data evaluating treatment results in adolescents. We have treated adolescent patients similarly to adults and compared the outcomes. Methods Overall, 32 adolescents with coccydynia were treated at our institution during a seven-year period; 28 responded to final follow-up questionnaires after a minimum of one year, 14 had been treated with only injection therapy, and 14 had been operated with coccygectomy. We collected data with regards to pain while sitting, leaning forward, rising from a sitting position, during defecation, while walking or jogging, and while travelling in trains, planes, or automobiles. Pain at follow-up was registered on a numeric pain scale. Each adolescent was then matched to adult patients, and results compared in a case control fashion. The treatment was considered successful if respondents were either completely well or much better at final follow-up after one to seven years. Results Out of the 28 treated adolescents, 14 were regarded as successfully treated. Seven were somewhat better, and the remaining seven were unchanged. In the adult control group the corresponding number was 15 successfully treated, eight patients were somewhat better, and five were unchanged. Six of the 14 successfully treated adolescents had been operated. There were no significant differences between the groups in the various registered domains, or on numeric pain scale. Conclusion Treatment results in adolescent patients seem similar to those in adults. The long-term success rate of injection therapy is low. In case of injection treatment failure, operation may be considered, also in adolescents.

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