Journal of Paramedical Sciences & Rehabilitation

Journal of Paramedical Sciences & Rehabilitation

The Effect of a Medical Insole with Arch Support and Lateral Wedge on the Adductor Moment of the Knee Joint in Patients with Medial Knee Osteoarthritis

Document Type : Original Article

Authors
M kamali 1
K Sharifmoradi 2
M.T Karimi 3
A Tahmasebi 4
1 Department of Orthotics and Prosthetics, Rehabilitation Faculty, Musculoskeletal Research Centre, Isfahan University of Medical Sciences, P.O.B. 81745-164, Isfahan
2 Assistant Professor, Department of physical education and sport science, human science faculty, university of kashan
3 Associate Professor, Department of Orthotics and Prosthetics, Rehabilitation Faculty, Musculoskeletal Research Centre, Isfahan University of Medical Sciences, Isfahan
4 M.Sc, Candidate of OT, School of Rehabilitation Sciences, Tehran University of Medical Sciences, Tehran, Iran
10.22038/jpsr.2016.7828
Abstract
Purpose:
Osteoarthritis frequently affects the knee joint and many people are dealing with its consequences every year. Treatment of the osteoarthritis includes conservative and non-conservative methods. Using orthotics such as insoles and knee braces are one of the non-conservative methods of treatment in osteoarthritis. The aim of this research was to evaluate the effect of a medical insole with arch support and lateral wedge on kinetics and kinematics variables of the knee joint during gait in patients with medial compartment knee osteoarthritis.
Methods:
Ten patients with medial compartment knee osteoarthritis with age range of 30 to 60 years and height of 176.10±14.20 cm and weight of 75.5±6.3 kg participated in this study. A medical insole with arch support and lateral wedge was used. A Kistler force platform and seven cameras were utilized to analyze the kinetics and kinematics variables of the knee joint during gait in each of the following conditions: (a) wearing the medical insole with arch support and lateral wedge (b) barefoot.
Results:
There was no significant difference regarding mean velocity of gait with or without wearing the medical insole (P=0.42). The first peak of the applied ground reaction force on the knee joint was significantly increased while wearing the medical insole (P=.031). The applied adductor moment on the knee joint during gait while wearing the medical insole was 0.45±.05 N/m which was significantly lower than that of the bare foot condition (P<0.01).
Conclusion:
The medical insole with arch support and lateral wedge reduces the applied adductor moment on the knee joint during gait which results in gait facilitation and reducing the applied forces on medial compartment of the knee joint. The medical insole improves the alignment of the femur.
Keywords
kinetics
Kinematics
Medical insole
Lateral wedge
Osteoarthritis
Subjects
  1. Yanbaeva DG, Dentener MA, Creutzberg EC, Wesseling G, Wouters EF. Systemic Effects of Smoking. Official publication of the American College of Chest Physicians. Chest 2007; 131 (5):1557-1566.
  2. Espinosa J, Bravo P, Baron MG. Influence of tobacco on laryngeal carcinoma in Spain. Neoplasma, 1992; 39 (5): 319-22.
  3. Marcotullio D, Magliulo G, Pezone T. Reinke’s edema and risk factors: clinical and histopathologic aspects. Am J Otolaryngol 2002; 23 (2): 81-84.
  4. Garnett JD. Tobacco and laryngeal pathology. W V Med J 2001; 97 (1): 13-16.
  5. Hashibe M, Bofetta P, Zaridze D, Shangina O, Szeszenia-DabrowskaN, Mates D. Contribution of tobacco and alcohol to the high rates of squamous cell carcinoma of the supraglottis and glottis in central Europe. Am J Epidemiol 2007; 165 (7):814-20.
  6. Sataloff RT. Professional VOICE, The science and art of clinical care. Third edition, Vol I. Singular publishing group; 2005: 9-12.
  7. Lee L, Stemple JC, Geiger D, Goldwasser R. Effects of environmental tobacco smoke on objective measures of voice production. The Laryngoscope 1999; 109(9):1531-4.
  8. Damborenea Tajada J, Fernández Liesa R, Llorente Arenas E, Naya Gálvez MJ, Marín Garrido C, Rueda Gormedino P, Ortiz García A. [The effect of tobacco consumption on acoustic voice analysis]. Acta Otorrinolaringol Esp 1999; 50(6): 448-52.
  9. Lin CC, Wang KL, Lien HC, Liang MT, Yen TT, Wang JP, Liu SA, Wang CC. Association of heartburn and laryngopharyngeal symptoms with endoscopic reflux esophagiti, smoking, and drinking. Otolaryngology—head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck surgery 2009; 141 (2): 264-71.
  10. Nwaorgu OG, Onakoya PA, Ibekwe TS, Bakari A. Hoarseness in adult Nigerians: a University College Hospital Ibadan experience. Nigerian journal of medicine: journal of the National Association of Resident Doctors of Nigeria 2004;13(2):152-5.
  11. Wan P, Huang Z. The effect of smoke and alcohol abuse to voice. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2008;22(15):686-7.
  12. Vincent l, Gilbert HR. The effects of cigarette smoking on the female voice. Logoped Phoniatr Vocol 2012; 37 (1): 22–32.
  13. Dirk L, Braun A, Voice parameter changes in smokers during abstinence from cigarette smoking. Proc. of International Congress of Phonetic Sciences (ICPhS XVII), HongKong, China,Hong Kong 17-21 Aug 2011. 588-590. www. Internationalphoneticassociation.org
  14. Mohamadi O, Sadolahi A, Ghorbani R. Effects of smoking cigarette on some acoustic voiceparameters and elements of speech pattern of male subjects, Koomesh Spring 2011; 12(3): 253-258.
  15. Saki N, Saki Gh, Maasoomi SA, Rahim F, Mostofi NE, Nikakhlagh S. Effect of smoking Tobacco in the etiology of cancer of larynx in Khuzestan. Jentashapir 2012; 2(3): 99-103.
  16. Hamdan AL, Sibai A, Oubari D, Ashkar J, Fuleihan N. Laryngeal findings and acoustic changes in hubble-bubble smokers. Eur Arch Otorhinolaryngol. 2010; 267(10): 1587-1592.
  17. Sakae FA, Imamura R, Sennes LU, Mauad T, Saldiva PH, Tsuji DH. Disarrangement of collagen fibers in Reinke’s edema. The Laryngoscope 2008; 118(8): 1500-3.
  18. Wiskirska-Woznica B, Obrebowski A, Swidzinski, Wojnowski W, Wojciechowska A, Przeglad Lekarski. Effect of smoking on phonation 2004; 61(10): 1068-70.
  19. Gonzalez J, Carpi A. Early effects of smoking on the voice: a multidimensional study. Med Sci Monit 2004; 10(12): CR649-56.
  20. Murphy CH, Doyle PC: The effects of cigarette smoking on voice-fundamental frequency. Otolaryngol Head Neck Surg 1987; 97(4): 376-80.

 

 

 

 

Journal of Paramedical Sciences & Rehabilitation
Volume 5, Issue 4
Winter 2017
Pages 7-15