Biomechanical factors related to response to lateral wedge insoles

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Foot and ankle biomechanics play a role in biomechanical response to lateral wedge insoles

Background Lateral wedge insoles have consistently shown to reduce the external knee adduction moment (EKAM) in medial knee osteoarthritis (OA) patients; although there is evidence that certain patients have a paradoxical increase in EKAM. This may be a key factor in determining clinical response and thus identifying and understanding why these patients increase EKAM is critical for prescribing...

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Biomechanical effects of lateral and medial wedge insoles on unilateral weight bearing

[Purpose] Lateral wedge insoles reduce the peak external knee adduction moment and are advocated for patients with knee osteoarthritis. However, some patients demonstrate adverse biomechanical effects with treatment. In this study, we examined the immediate effects of lateral and medial wedge insoles under unilateral weight bearing. [Subjects and Methods] Thirty healthy young adults participate...

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Ankle motion influences the external knee adduction moment and may predict who will respond to lateral wedge insoles?: an ancillary analysis from the SILK trial

OBJECTIVE Lateral wedge insoles are a potential simple treatment for medial knee osteoarthritis (OA) patients by reducing the external knee adduction moment (EKAM). However in some patients, an increase in their EKAM is seen. Understanding the role of the ankle joint complex in the response to lateral wedge insoles is critical in understanding and potentially identifying why some patients respo...

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Lateral wedge insoles for medial knee osteoarthritis: 12 month randomised controlled trial

OBJECTIVE To assess the effect of lateral wedge insoles compared with flat control insoles on improving symptoms and slowing structural disease progression in medial knee osteoarthritis. DESIGN Randomised controlled trial. SETTING Community in Melbourne, Australia. PARTICIPANTS 200 people aged 50 or more with clinical and radiographic diagnosis of mild to moderately severe medial knee ost...

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ژورنال

عنوان ژورنال: Osteoarthritis and Cartilage

سال: 2013

ISSN: 1063-4584

DOI: 10.1016/j.joca.2013.02.204