IJCRR - 6(11), June, 2014
TO STUDY THE EFFECTIVENESS OF THERAPEUTIC INSOLES IN PATIENTS WITH OSTEOARTHRITIS
Author: Rhucha Jadhav, James Ghagare, Rachana Dabadghav, Savita Rairikar, Ashok Shyam, Parag Sancheti
Objective: To find out if there are any significant pain relief, change in stiffness and change with respect to difficulty in performing activities of daily living. Methods: Thirty patients suffering from osteoarthritis were taken and they were evaluated on the basis of Western Ontario and McMaster Universities Arthritis Index (WOMAC) scale. The patients who had a verbal analog scale (VAS) more than 15 were put in an experimental group and the remaining 15 were put in the control group. A removable therapeutic insole was given to the experimental group for a period of 3 weeks. They were then reevaluated based on the WOMC scale. Results: Therapeutic insoles show to have no significant effect on the pain, stiffness or on the activities of daily living p?0.05. Conclusion: There was no significant difference seen in components of pain, stiffness, difficulty in Activities of daily living (ADLs) in patients of controlled and experimental group which derives that the conventional therapy for osteoarthritis is beneficial alone and the conventional therapy used along with modification of insole makes no significant changes in pain component of the patient.
Keywords: Osteoarthritis, WOMAC, physiotherapy, insole.
Rhucha Jadhav, James Ghagare, Rachana Dabadghav, Savita Rairikar, Ashok Shyam, Parag Sancheti. TO STUDY THE EFFECTIVENESS OF THERAPEUTIC INSOLES IN PATIENTS WITH OSTEOARTHRITIS International Journal of Current Research and Review. 6(11), June, 43-46
1. Altman R, Alarcón G, Appelrouth D, Bloch D, Borenstein D, Brandt K, Brown C, Cooke TD, Daniel W, Gray R et al. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hand. Arthritis Rheumatology.1990;33 (11): 1601–10.
2. Van Manen MD, Nace J, Mont MA.Management of primary knee osteoarthritis and indications for total knee arthroplasty for general practitioners.Journal of American Osteopathy Association. 2012;112 (11): 709–15
3. De Silva V, El-Metwally A, Ernst E, Lewith G, Macfarlane GJ. Evidence for the efficacy of complementary and alternative medicines in the management of osteoarthritis: a systematic review. Rheumatology. 2011; 50 (4): 1-10.
4. Brandt KD, Dieppe P, Radin E. Etiopathogenesis of osteoarthritis. Rheumatic Diseases Clinics of North America.2008;34(3):531-59
5. Baliunas AJ, Hurwitz DE, Ryals AB, Karrar A, Case JP, BlockJA, Andriacchi TP. Increased knee joint loads during walkingare present in subjects with knee osteoarthritis. OsteoarthritisCartilage. 2002;10(7):573–79.
6. Sharma L, Cahue S, Song J, Hayes K, Pai YC, Dunlop DD.Physical functioning over three years in knee osteoarthritis:Role of psychosocial, local mechanical, and neuromuscular factors. Arthritis Rheumatology journal. 2003;48(12):3359–70.
7. Hurwitz DE, Ryals AR, Block JA, Sharma L, Schnitzer TJ, AndriacchiTP. Knee pain and joint loading in subjects with osteoarthritis of the knee. Journal of Orthopaedic Research. 2000; 18 (4): 572-9.
8. Hunter D, Gross KD, McCree P,Li L, Hirko K, Harvey WF. Realignment treatment for medial tibiofemoralOsteoarthriits: Randomised trial. Annals of Rheumatic Diseases.2012;71:1658-1665
9. Cerejo R, Dunlop DD, Cahue S, Channin D, Song J,Sharma L. The influence of alignment on risk of kneeosteoarthritis progression according to baseline stage ofdisease.Arthritisand Rheumatism. 2002; 46(10):2632-6.
10. Col Jain S K.Foot and foot orthosis:,chapter 3(2.3 ,2.4) chapter 6(orthotic management) page 76,77,78
11. McKee P and Leanne M. Orthotics in Rehabilitation: Splinting the Hand and Body: F A Davis Company: 1998
12. Prosthetics & orthotics:Dr K Janardhanam , chapter 18 and 19, page 93,94