Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effect of Knee Support Brace and Lateral Wedge in Sole on Isokinetic Peak Torque in Osteoarthritis of the Knee-a Randomized Clinical Trial


Affiliations
1 Department of Physiotherapy, 4Department of Orthopedics, 1-4Kasturba Medical College, Mangalore, Manipal University, India
     

   Subscribe/Renew Journal


Purpose of the study To investigate and to compare the effect of knee support brace and lateral wedge insole on isokinetic concentric peak torque of quadriceps and hamstrings muscle, pain and functional status in osteoarthritis (OA) of knee. Methods and measures 28 subjects with unilateral or bilateral medial compartment osteoarthritis of the knee were randomly allocated into two groups, knee support brace group and lateral wedge insole group. The patients wore their respective orthosis 8 hours per day for 4 weeks. The outcomes were isokinetic concentric peak torque of quadriceps and hamstrings, pain and functional status (WOMAC), pre and post intervention. Results Both the knee support brace and lateral wedge insole improved the isokinetic concentric peak torque of both quadriceps, hamstrings muscles, functional status and reduced pain. Conclusion Both the orthosis were found to be equally effective in improving the isokinetic concentric peak torque of quadriceps and hamstrings, reducing pain and functional status.

Keywords

Medial Compartment Osteoarthritis, Isokinetic Peak Torque, Knee Brace, Lateral Wedge Insole
Subscription Login to verify subscription
User
Notifications
Font Size


  • Bennell K, Bowles KA, Payne C, Cicuttini F, Osborne R, Harris A, Hinman R. Effects of laterally wedged insoles on symptoms and disease progression in medial knee osteoarthritis: a protocol for a randomized, double blinded, placebo controlled trial. BMC Musculoskelet Disord 2007;8:96.

  • Brouwer RW, Jakma TSC, Verhagen AP, Verhaar JAN, Bierma-Zeinstra SMA. Braces and orthosis for treatment for osteoarthritis of the knee (Review). Cochrane Database of Systemic Reviews 2005;1:1-14

  • Giir H, Cakin N. Muscle Mass, Isokinetic Torque, and Functional Capacity in Women with Osteoarthritis of the Knee. Arch Phys Med Rehabil 2003;84:1534-41.

  • Kirkley. A, Webster-Bogaert. S, Litchfield R, Amendola A, Macdonald S, Mccalden R, Fowler P. The effect of bracing on varus gonarthrosis. J Bone Joint surg 1999;81-A(4):539-47.

  • Emrani A , Bagheri H, Hadian MR, Ameli MJ, ROlyaei G, Talebian S. Isokinetic Strength and Functional Status in Knee Osteoarthritis. J Phys Ther Sci 2006;83:107-14.

  • Sole G, Hamren J, Milosavljevic S, Nicholson H, Sullivan J. Test-Retest Reliability of Isokinetic Knee Extension and Flexion. Arch Phys Med Rehabil 2007 May;88:626-30.

  • Neder JA, Nery LE, Shinzato GT, Andrade MS, Peres C, Silva AC. Reference Values for Concentric Knee Isokinetic Strength and Power in Nonathletic Men and Women from 20 to 80 Years Old. J Orthop Sports Phys Ther 1999;29(2):116-26.

  • Milne A.D, Evans N.A, Stanish W.D. Nonoperative Management of Knee Osteoarthritis Diagnosis, behavior modification, and pharmacologic options. WOMEN’S HEALTH in primary care 2003;3(12):841-46.

  • Toda Y, Tsukimura N, Kato A. The Effects of Different Elevations of Laterally Wedge Insoles with Subtalar Strapping on Medial Compartment Osteoarthritis of the Knee. Arch Phys Med Rehabil 2003;85:673-77.

  • Maillefert JF, Hurdy C, Baron G, Kieffert P, Bourgeois P, Lechevalier D, Coutaux A, Dougados M. Laterally elevated wedged insoles in the treatment of medial knee osteoarthritis: a prospective randomized controlled study. Osteoarthritis and Cartilage 2001;9:738-45.

  • Kelly K. Footwear alterations and bracing as treatments for knee osteoarthritis. Curr Opin Rheumatol 2005;17:653-56.

  • Richards JD, Sanchez BJ, Jones RK, Darke N, Livingstone BN. A comparison of knee braces during walking for the treatment of osteoarthritis of the medial compartment of the knee. J Bone Joint surg (Br) 2005;87(7):937-39.

  • Hsieh CJ, Kuo FL, Yang SW, Hsieh LF. Effect of Functional Knee Brace and Lateral Wedge Insole in Management of Patients with Osteoarthritic Knee. Journal of Biomechanics 2007;40, suppl 449 14. Matsuno H, Kadowaki KM, Tsuji H. Generation ?? Knee Bracing for Severe Medial Compartment Osteoarthritis of the Knee. Arch Phys Med Rehabil 1997;78:745-49.

  • Toda Y, Tsukimura N, Segal N. An optimal duration of daily wear for an insole with subtalar strapping in patients with varus deformity osteoarthritis of the knee. Osteoarthritis and cartilage 2005;13:353-60

  • Mehta J, Mulgaonkar KP. Effect of laterally raised footwear on bilateral medial compartment knee osteoarthritis and its biomechanical analysis –A comparative study. IJOT December 2004 –March 2005; XXXVI (3):51-5

  • Kaihana W, Akai M, Yamasaki N, Tamasaki T, Nakazawa K. Changes of joint moments in the gait of normal subjects wearing a lateral wedge insoles. Arch Phys Med Rehabil 2004;83:273-78.

  • Shimada S, Kobayashi S, Wada M, Uchida K, Sasaki S, Kawahara H et al. Effects of Disease Severity on Response to Lateral Wedge Insole for Medial Compartment Knee Osteoarthritis. Arch Phys Med Rehabil 2006;87:1436-41.

  • Fang MA, Taylor CE, Nouvong A, Masih S, Kao KC, Perell KL. Effects of footwear on Medial compartment knee osteoarthritis. JRRD 2006;43:427- 34

  • Kakihana W, Akai M, Nakazawa K, Naito K, Torii S. Inconsistent knee varus moment reduction caused by a lateral wedge insole in knee osteoarthritis. Am J Phys Med Rehabil 2007;86:446 – 54.

  • Toda Y, Segal N, Kato A, Yamamoto S, Irie M. Effects of a Novel Insole on the Subtalar Joint of Patients with Medial Compartment Osteoarth

  • ritis of the Knee. J Rheumatol 2001;28:2705-10. 22.

  • Ramsey DK, Briem K, Axe MJ, Mackler LS. A.Mechanical Theory for the Effectiveness of Bracing for Medial Compartment Osteoarthritis of the Knee. J Bone Joint Surg Am 2007;89:2398-407.

  • Hassan BS, Doherty SA, Mockett S and Doherty M. Effect of pain reduction on postural sway, proprioception, and quadriceps strength in subjects with knee osteoarthritis. Ann Rheum Dis 2002;61:422-28.


Abstract Views: 364

PDF Views: 0




  • Effect of Knee Support Brace and Lateral Wedge in Sole on Isokinetic Peak Torque in Osteoarthritis of the Knee-a Randomized Clinical Trial

Abstract Views: 364  |  PDF Views: 0

Authors

P. Girija
Department of Physiotherapy, 4Department of Orthopedics, 1-4Kasturba Medical College, Mangalore, Manipal University, India
C. Eapen
Department of Physiotherapy, 4Department of Orthopedics, 1-4Kasturba Medical College, Mangalore, Manipal University, India
S. Kamath
Department of Physiotherapy, 4Department of Orthopedics, 1-4Kasturba Medical College, Mangalore, Manipal University, India

Abstract


Purpose of the study To investigate and to compare the effect of knee support brace and lateral wedge insole on isokinetic concentric peak torque of quadriceps and hamstrings muscle, pain and functional status in osteoarthritis (OA) of knee. Methods and measures 28 subjects with unilateral or bilateral medial compartment osteoarthritis of the knee were randomly allocated into two groups, knee support brace group and lateral wedge insole group. The patients wore their respective orthosis 8 hours per day for 4 weeks. The outcomes were isokinetic concentric peak torque of quadriceps and hamstrings, pain and functional status (WOMAC), pre and post intervention. Results Both the knee support brace and lateral wedge insole improved the isokinetic concentric peak torque of both quadriceps, hamstrings muscles, functional status and reduced pain. Conclusion Both the orthosis were found to be equally effective in improving the isokinetic concentric peak torque of quadriceps and hamstrings, reducing pain and functional status.

Keywords


Medial Compartment Osteoarthritis, Isokinetic Peak Torque, Knee Brace, Lateral Wedge Insole

References