Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 11 , Pages 1436-1441 , November 2006

Effects of Disease Severity on Response to Lateral Wedged Shoe Insole for Medial Compartment Knee Osteoarthritis

  • Seiichiro Shimada, RPT

      Affiliations

    • Gait Analysis Laboratory, Division of Physical Therapy and Rehabilitation, Fukui University Hospital, Fukui, Japan
    • Corresponding Author InformationReprint requests to Seiichiro Shimada, RPT, Gait Analysis Laboratory, Div of Physical Therapy and Rehabilitation, Fukui University Hospital, Shimoaizuki 23, Eiheiji, Fukui 910-1193, Japan.
  • ,
  • Shigeru Kobayashi, MD, PhD

      Affiliations

    • Gait Analysis Laboratory, Division of Physical Therapy and Rehabilitation, Fukui University Hospital, Fukui, Japan
    • Department of Orthopaedics and Rehabilitation Medicine, Fukui University School of Medicine, Fukui, Japan.
  • ,
  • Makoto Wada, MD, PhD

      Affiliations

    • Department of Orthopaedics and Rehabilitation Medicine, Fukui University School of Medicine, Fukui, Japan.
  • ,
  • Kenzo Uchida, MD, PhD

      Affiliations

    • Department of Orthopaedics and Rehabilitation Medicine, Fukui University School of Medicine, Fukui, Japan.
  • ,
  • Shinichi Sasaki, RPT

      Affiliations

    • Gait Analysis Laboratory, Division of Physical Therapy and Rehabilitation, Fukui University Hospital, Fukui, Japan
  • ,
  • Hideo Kawahara, MD

      Affiliations

    • Gait Analysis Laboratory, Division of Physical Therapy and Rehabilitation, Fukui University Hospital, Fukui, Japan
  • ,
  • Takafumi Yayama, MD, PhD

      Affiliations

    • Department of Orthopaedics and Rehabilitation Medicine, Fukui University School of Medicine, Fukui, Japan.
  • ,
  • Ippei Kitade, RPT

      Affiliations

    • Gait Analysis Laboratory, Division of Physical Therapy and Rehabilitation, Fukui University Hospital, Fukui, Japan
  • ,
  • Kenta Kamei, BSc, RPT

      Affiliations

    • Gait Analysis Laboratory, Division of Physical Therapy and Rehabilitation, Fukui University Hospital, Fukui, Japan
  • ,
  • Masafumi Kubota, BSc, RPT

      Affiliations

    • Gait Analysis Laboratory, Division of Physical Therapy and Rehabilitation, Fukui University Hospital, Fukui, Japan
  • ,
  • Hisatoshi Baba, MD, PhD

      Affiliations

    • Gait Analysis Laboratory, Division of Physical Therapy and Rehabilitation, Fukui University Hospital, Fukui, Japan
    • Department of Orthopaedics and Rehabilitation Medicine, Fukui University School of Medicine, Fukui, Japan.

References 

  1. Yasuda K, Sasaki T. The mechanics of treatment of the osteoarthritic knee with a wedged insole. Clin Orthop Relat Res. 1987;(215):162–172Feb
  2. Sasaki T, Yasuda K. Clinical evaluation of the treatment of osteoarthritic knees using a newly designed wedged insole. Clin Orthop Relat Res. 1987;(221):181–187Aug
  3. Tohyama H, Yasuda K, Kaneda K. Treatment of osteoarthritis of the knee with heel wedges. Int Orthop. 1991;15:31–33
  4. Wolfe SA, Brueckmann FR. Conservative treatment of genu valgus and varum with medial/lateral heel wedges. Indiana Med. 1992;84:614–615
  5. Keating EM, Faris PM, Ritter MA, Kane J. Use of lateral heel and sole wedges in the treatment of medial osteoarthritis of the knee. Orthop Rev. 1993;8:921–924
  6. Toda Y, Segal N, Kato A, Yamamoto S, Irie M. Effect of a novel insole on subtalar joint of patients with medial compartment osteoarthritis of the knee. J Rheumatol. 2001;28:2705–2710
  7. Toda Y, Tsukimura N. A six-month follow-up of a randomized trial comparing the efficacy of a lateral-wedge insole with subtalar strapping and an in-shoe lateral-wedge insole in patients with varus deformity osteoarthritis of the knee. Arthritis Rheum. 2004;50:3129–3136
  8. Rubin R, Menz HB. Use of laterally wedged custom foot orthoses to reduce pain associated with medial knee osteoarthritis: a preliminary investigation. J Am Podiatr Med Assoc. 2005;95:347–352
  9. Crenshaw SJ, Pollo FE, Calton EF. Effects of lateral-wedged insoles on kinetics at the knee. Clin Orthop Relat Res. 2000;(375):185–192Jun
  10. Kerrigan DC, Lelas JL, Goggins J, Merriman GJ, Kaplan RJ, Felson DT. Effectiveness of a lateral-wedge insole on knee varus torque in patients with knee osteoarthritis. Arch Phys Med Rehabil. 2002;83:889–893
  11. Kakihana W, Akai M, Yamasaki N, Takashima T, Nakazawa K. Changes of joint moments in the gait of normal subjects wearing laterally wedged insoles. Am J Phys Med Rehabil. 2004;83:273–278
  12. Kakihana W, Akai M, Nakazawa K, Takashima T, Naito K, Torii S. Effects of laterally wedged insoles on knee and subtalar joint moments. Arch Phys Med Rehabil. 2005;86:1465–1471
  13. 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
  14. Ogata K, Yasunaga M, Nomiyama H. The effect of wedged insoles on the thrust of osteoarthritic knees. Int Orthop. 1997;21:308–312
  15. 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
  16. Chang A, Hayes K, Dunlop D, et al. Thrust during ambulation and the progression of knee osteoarthritis. Arthritis Rheum. 2004;50:3897–3903
  17. Kellgren JH, Lawrence JS. Radiological assessment of osteoarthritis. Ann Rheum Dis. 1957;16:494–501
  18. Maezawa Y, Uchida K, Baba H. Gait analysis of spastic walking in patients with cervical myelopathy. J Orthop Sci. 2001;6:378–384
  19. Shimada S, Kobayashi S, Wada M, et al. Effect of compensation procedures for velocity on repeatability and variability of gait parameters in normal subjects. Clin Rehabil. 2006;20:239–245
  20. Wada M, Imura S, Nagatani K, Baba H, Shimada S, Sasaki S. Relationship between gait and clinical results after high tibial osteotomy. Clin Orthop Relat Res. 1998;(354):180–188Sep
  21. Miyazaki T, Wada M, Kawahara H, Sato M, Baba H, Shimada S. Dynamic load at baseline can predict radiographic disease progression in medial compartment knee osteoarthritis. Ann Rheum Dis. 2002;61:617–622
  22. Bresler B, Frankel JP. The forces and moments in the leg during level walking. Trans Am Soc Mech Eng. 1950;72:27–36
  23. Winter DA. Kinematic and kinetic patterns in human gait: variability and compensating effects. Hum Mov Sci. 1984;3:51–76
  24. Schipplein OD, Andriacchi TP. Interaction between active and passive knee stabilizers during level walking. J Orthop Res. 1991;9:113–119
  25. Prodromos C, Andriacchi TP, Galanten JO. A relationship between gait and clinical changes following high tibial osteotomy. J Bone Joint Surg Am. 1985;67:1188–1194
  26. Wang J, Kuo KN, Andriacchi TP, Galante JO. The influence of walking mechanics and time on the results of proximal tibial osteotomy. J Bone Joint Surg Am. 1990;72:905–909
  27. Andriacchi TP. Dynamics of knee malalignment. Orthop Clin North Am. 1994;25:395–405
  28. Sharma L, Hurwitz DE, Thonar EJ, et al. Knee adduction moment, serum hyaluronan level, and disease severity in medial tibiofemoral osteoarthritis. Arthritis Rheum. 1998;41:1233–1240
  29. Weidenhielm L, Svensson OK, Brostrom LA, Mattsson E. Adduction moment of the knee compared to radiological and clinical parameters in moderate medical osteoarthrosis of the knee. Ann Chir Gynaecol. 1994;83:236–242
  30. Wada M, Maezawa Y, Baba H, Shimada S, Sasaki S, Nose Y. Relationships among bone mineral densities, static alignment and dynamic load in patients with medial compartment knee osteoarthritis. Rheumatology. 2001;40:499–505
  31. Hurwitz DE, Ryals AB, Case JP, Block JA, Andriacchi TP. The knee adduction moment during gait in subjects with knee osteoarthritis is more closely correlated with static alignment than radiographic disease severity, toe out angle and pain. J Orthop Res. 2002;20:101–107
  32. Mundermann A, Dyrby CO, Hurwitz DE, Sharma L, Andriacchi TP. Potential strategies to reduce medial compartment loading in patients with knee osteoarthritis of varying severity: reduced walking speed. Arthritis Rheum. 2004;50:1172–1178

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(06)00973-7

doi: 10.1016/j.apmr.2006.08.018

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 11 , Pages 1436-1441 , November 2006