Review Article
Year: 2021 | Month: April-June | Volume: 6 | Issue: 2 | Pages: 325-331
DOI: https://doi.org/10.52403/ijshr.20210458
Effect of Lateral Wedge Insole on Pain and Function in Medial Compartment Osteoarthritis Knee- An Evidence Based Study
Mausmee Hemantbhai Rajwadi1, Yagna Unmesh Shukla2
1M.P.T. (Orthopedics), 2M.P.T. (Musculoskeletal), Ph.D. Senior Lecturer,
Government Spine Institute and Government Physiotherapy College, Civil Hospital, Asarwa, Ahmedabad.
Corresponding Author: Mausmee Hemantbhai Rajwadi
ABSTRACT
Background: Osteoarthritis is the second most common rheumatologic problem & nearly 80% of population shows OA among the patient who claimed for knee pain and limitation in movement, out of which approximately 25% cannot perform their major daily activities of life.(WHO 2019)As per recent study, prevalence of knee OA in India is 28.7% with medial compartment more involved than lateral.
Purpose: To study the evidences regarding effect of lateral wedge insole patient with medial compartment osteoarthritis of knee on pain and function.
Methodology: The study was conducted according to Preferred Reporting Items for systematic reviews and meta-analysis guidelines. Evidences selected since year 2005-February 2019 from PubMed, Google Scholar, Physiotherapy Evidence Database(PEDro), ResearchGate, ScienceDirect, Wiley’s online library and The Cochrane library. Key words used were: Lateral wedge insole, knee osteoarthritis, Pain and Function.Analysis was done using 2 scales: PEDro scale and Centre for Evidence-Based Medicine Levels of Evidence Scale. Total 200 articles were found, out of which 23 articles were relevant and from those 16 articles were included in the study and other articles were excluded as per eligibility criteria.
Results: 13 studies were shown that lateral wedge insole is effective treatment for reducing pain and improving function.(Level of evidence-1a,1b,2b) 3 studies were showed that lateral wedge insole have none or same effect as other conservative treatment in knee osteoarthritis. (Level of evidence-1a,1b,2b).
Conclusion: Based on the evidences taken from search engines: PubMed, Google Scholar, Physiotherapy Evidence Database(PEDro), ResearchGate, ScienceDirect, Wiley’s online library and The Cochrane library of year 2005-2019 and analysis of all concluded that, full length wedge insole is found to be an effective conservative treatment for reducing pain and improving function in medial compartment knee osteoarthritis.
Keywords: Lateral wedge insole, knee osteoarthritis, pain and function.