Long term effectts of laterally wedged insoles on kknee frontal plane biomechanics in patients with medial knee ostearthritis

Abstract

Keywords

• -

Medial dizosteartritli hastalarda lateral kamalı tabanlığın dizin frontal düzlem biyomekniği üzerine uzun süreli etkisi

Öz

Amaç: Bu çalışmanın amacı diz osteoartrit tedavisinde lateral kama kullanılmasından yaklaşık bir yıl sonra yürüme sırasında frontal düzlemde mekanik diz varus moment üzerindeki etkisini incelemekti. Yöntem: Bu çalışma medial diz osteoatrit (OA) teşhisi konmuş 14 kişi ve 13 sağlıklı kişi içermekteydi. Hastalar tabanlıkları bilateral kullandıkları ayakkabı içerisine giydiler. Yüksek yoğunluklu etil vinil asetattan yapılan tabanlık boyunca uzanan 5° tilt açılı lateral kama ile medial longitudinal ark takviyeli tabanlığı düzenli olarak en az bir yıl kullandılar. Yaklaşık bir yıl sonra medial diz osteoartritli hastalar laboratuvarda tabanlıkla ve çıplak ayak yürütülerek yapılan üç boyutlu kinetik ve kinematik analiz kaydedildi. Sonuçlar: Frontal plan diz açıları ve hareket açıklığı her iki yürüme değerleri arasında ve kontrol grubu değerleri ile karşılaştırıldığında farklılık bulunmadı (p>0.05). Hastaların çıplak ayak ve lateral kamalı tabanlık ile yürümelerinde yürüme hızı ve adım genişliği arasında fark saptanmadı (p>0.05). Ayakkabısız oldukça yüksek olan diz varus moment değeri lateral kama ile yürüme sırasında azaldı (p

Anahtar Kelimeler

• Diz eklemi, Osteoartrit, diz, Yürüme, Tabanlık, lateral kamalı

References

1. Ahlback S. Osteoarthritis of the knee: a radiographic investigation. Acta Radiol. 1968;277(Suppl.):70-72.
2. Duncan RC, Hay EM, Saklatvala J, et al. Prevalence of radiografic osteoarthritis: it all depends on your point of view. Rheumatology (Oxford). 2006;45:757- 760.
3. Schipplein OD, Andriacchi TP. Interaction between active and passive knee stabilizers during level walking. J Orthop Res. 1991;9:113-119.
4. Andriacchi TP, Mundermann A. The role of ambulatory mechanics in the initiation and progression of knee osteoarthritis. Curr Opin Rheumatol. 2006;18:514-518.
5. Jordan KM, Arden NK, Doherty M, et al, and the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). EULAR recommendations 2003: an evidence based approach to the management of knee osteoarthritis: report of task force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Ann Rheum Dis. 2003;62:1145- 1155.
6. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. Arthritis Rheum. 2000;43:1905-1915.
7. Sharma L, Song J, Felson DT, et al. The role of knee alignment in disease progression and functional decline in knee osteoarthritis. JAMA. 2001;286:188- 195.
8. Yasuda K, Sasaki T. The mechanics of treatment of the osteoarthritic knee with wedged insole. Clin Orthop Relat Res. 1987;215:162-172.

9. Kerrigan DC, Lelas JL, Goggins J, et al. Effectiveness of a lateral-wedged insole on knee varus torque in patients with knee osteoarthritis. Arch Phys Med Rehabil. 2002;83:889-893.
10. Keating EM, Faris PM, Ritter MA, et al. Use of lateral heel and sole wedges in the treatment of medial osteoarthritis of the knee. Orthop Rev. 1993;22:921-926.
11. Van Raaij TM, Reijman M, Bierma-Zeinstra SM, et al. Medial knee osteoarthritis treated by insoles or braces. Clin Orthop Relat Res. 2010;468:1926-1932.
12. Baker K, Goggins J, Xie H, et al. A randomized crossover trial of a wedged insole for treatment of knee osteoarthritis. Arthritis Rheum. 2007;56:1198- 1203.
13. Butler RJ, Marchesi S, Royer T, et al. The effect of a subject-specific amount of lateral wedge on knee mechanics in patients with medial knee osteoarthritis. J Orthop Res. 2007;25:1121-1127.
14. Hinman RS, Bowles K, Payne C, et al. Effect of length on laterally wedged insoles in knee osteoarthritis. Arthritis Rheum. 2008;59:144-147.
15. Kakihana W, Akai M, Nakazawa K, et al. Effects of laterally wedged insoles on knee and subtalar joint moments. Arch Phys Med Rehabil. 2005;86:s1465- 1471.
16. Kuroyanagi Y, Nagura T, Matsumoto H, et al. The lateral wedged insole with subtalar strapping significantly reduces dynamic knee load in the medial compartment-gait-analysis on patients with medial knee osteoarthritis. Osteoarthritis Cartilage. 2007;15:932-936.
17. Shimada S, Kobayashi S, Wada M, et al. Effects of disease severity on response to lateral wedged shoe insole for medial compartment knee osteoarthritis. Arch Phys Med Rehabil. 2006;87:1436-1441.
18. Hinman RS, Payne C, Metcalf BR, et al. Lateral wedges in knee osteoarthritis: what are their immediate clinical and biomechanical effects and can these predict a three-month clinical outcome? Arthritis Care Res. 2008;59:408-415.
19. Crenshaw SJ, Pollo FE, Calton EF. Effects on lateral wedged insole on kinetics at the knee. Clin Orthop Relat Res. 2000;375:185-192.
20. Barrio JA, Crenshaw JR, Royer TD, et al. Walking shoes and laterally wedged orthosis in the clinical management of medial tibiofemoral osteoarthritis: a one-year prospective controlled trial. Knee. 2009; 16:136-142.
21. Bennell KL, Bowles K, Payne C, et al. Lateral wedge insoles for medial knee osteoarthritis: 12 month randomized controlled trial. BMJ. 2011;342:d2912. Doi:10.1136/bmj.d2912.
22. Maillefert JF, Hudry C, Baron G, et al. Laterally elevated wedged insoles in the treatment of medial knee osteoarthritis: a prospective randomized controlled study. Osteoarthritis Cartilage. 2001;9:738-745.
23. Pham T, Maillefert JF, Hundry C, et al. Laterally elevated wedged insoles in the treatment of medial knee osteoarthritis. A two year prospective randomized controlled study. Osteoarthritis Cartilage. 2003;12:46-55.
24. Hinman RS, Bowles K, Metcalf BB, et al. Lateral wedge insoles for medial knee osteoarthritis: effects on lower limb frontal plane biomechanics. Clin Biomech (Bristol Avon). 2011;27:27-33.
25. Kakihana W, Akai M, Nakazawa K, et al. Inconsistent knee varus moment reduction caused by lateral wedge in knee osteoarthritis. Am J Phys Med Rehabil. 2007;86:446-454.
26. Maly MR, Culham EG, Costigan PA. Static and dynamic biomechanics of foot orthoses in people with medial compartment knee osteoarthritis. Clin Biomech (Bristol Avon). 2002;17:603-610.
27. Bolognese JA, Stat M, Schnitner TJ, et al. Response relationship of VAS and Likert scales in osteoarthritis. Osteoarthritis Cartilage. 2003;11:499- 507.
28. Kellgren JH, Lawrence JS. Radiological assessment of osteoarthritis. Ann Rheum Dis. 1957;16:494-501.
29. Erhart JC, Mündermann L, Elspas B, et al. Changes in knee adduction moment, pain and functionality with a variable-stiffness walking shoe after 6 months. J Orthop Res. 2010;28:873-879.
30. Shelburne KB, Torry MR, Steadman JR, et al. Effects of foot orthoses and valgus bracing on the knee adduction moment and medial joint load during gait. Clin Biomech (Bristol Avon). 2008;23:814- 821.
31. Nakajima K, Kakihana W, Nakagawa T, et al. Addition of an arch support improves the biomechanical effect of a laterally wedged insole. Gait Posture. 2009;29:208-213.
32. Marks R, Penton L. Are foot orthotics efficacious for treating painful medial compartment knee osteoarthritis? A review of the literature. Int J Clin Pract. 2004;58:49-57.