Article

OBJECTIVE: To investigate the immediate and medium-term effects of custom-moulded
insoles on patients with knee osteoarthritis.
DESIGN: Before-after trial,
followed up for 6 months. SUBJECTS: Forty participants, mean age 61 years, who
fulfilled the combined radiographic and clinical criteria for knee
osteoarthritis, as defined by the American College of Rheumatology. METHODS:
Custom-moulded insoles with a 5 masculine lateral wedge and arch support were
prescribed. Immediate assessment was performed with and without the
custom-moulded insoles, and follow-up assessments on pain, balance control,
physical function, and physical activity were performed at 1, 3, and 6 months.
RESULTS: Significant medium-term effects were represented by reductions in pain
(p = 0.003), improved physical functioning (p = 0.006), and decreased
chair-rising time (p = 0.016) over the duration of the 6-month follow-up period.
Significant immediate increases in physical activity scores for the 10-m
normal-speed walking test (p = 0.007), stair-climbing test (p = 0.040), and
chair-rising test (p = 0.030) were also observed in patients wearing the
custom-moulded insoles, compared with tests performed without the insoles.
CONCLUSION: Using custom-moulded insoles provides medium-term pain reduction and
improved physical functioning and physical activity, as well as immediate
beneficial effects regarding physical activity.

Langue : ANGLAIS