title: Lateral wedge insole for knee osteoarthritis: randomized clinical trial.
abstract: OBJECTIVE
  Optimal management of knee osteoarthritis requires a combination of pharmacological and non-pharmacological methods. The use of lateral wedge insoles to treat medial knee osteoarthritis is recommended, but there is still controversy about its efficacy. The purpose of this study was to ascertain whether the use of lateral wedge insoles can diminish pain and improve function in patients with medial knee osteoarthritis.
  
  
  METHODS
  Prospective randomized trial conducted in a tertiary-level hospital.
  
  
  METHODS
  We prospectively enrolled 58 patients with medial knee osteoarthritis and randomized them to use either a lateral wedge insole with subtalar strapping (Group W), or a neutral insole with subtalar strapping (Group N - control). All the patients were instructed to use the insole for five to ten hours per day. A visual analogue pain scale, the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and the Lequesne questionnaire were applied at baseline and at weeks 2, 8 and 24.
  
  
  RESULTS
  At weeks 8 and 24, both groups showed lower scores for WOMAC (P = 0,023 and P = 0,012 respectively). There were no statistically significant differences between the groups regarding the visual analogue pain scale, WOMAC or Lequesne results at any time evaluated.
  
  
  CONCLUSIONS
  The use of a lateral wedge insole with subtalar strapping improved the patients' symptoms and function but was not superior to placebo insoles.
authors: Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
authors: Gustavo Constantino de
authors: GC
authors: Campos
authors: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
authors: Marcia Uchôa
authors: MU
authors: Rezende
authors: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
authors: Thiago
authors: T
authors: Pasqualin
authors: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
authors: Renato
authors: R
authors: Frucchi
authors: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
authors: Raul
authors: R
authors: Bolliger Neto
mesh_terms: D000368:Aged; D001458:Bandages; D005260:Female; D005500:Follow-Up Studies; D061826:Foot Orthoses; D006801:Humans; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000628:therapy*; D010147:Pain Measurement / Q000379:methods*; D011446:Prospective Studies; D012720:Severity of Illness Index; D016037:Single-Blind Method; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
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