A treatment applying a biomechanical device to the feet of patients with knee osteoarthritis results in reduced pain and improved function: a prospective controlled study

BMC Musculoskelet Disord. 2010 Aug 10:11:179. doi: 10.1186/1471-2474-11-179.

Abstract

Background: This study examined the effect of treatment with a novel biomechanical device on the level of pain and function in patients with knee OA.

Methods: Patients with bilateral knee OA were enrolled to active and control groups. Patients were evaluated at baseline, at 4 weeks and at the 8-week endpoint. A novel biomechanical device was individually calibrated to patients from the active group. Patients from the control group received an identical foot-worn platform without the biomechanical elements. Primary outcomes were the WOMAC Index and ALF assessments.

Results: There were no baseline differences between the groups. At 8 weeks, the active group showed a mean improvement of 64.8% on the WOMAC pain scale, a mean improvement of 62.7% on the WOMAC function scale, and a mean improvement of 31.4% on the ALF scale. The control group demonstrated no improvement in the above parameters. Significant differences were found between the active and control groups in all the parameters of assessment.

Conclusions: The biomechanical device and treatment methodology is effective in significantly reducing pain and improving function in knee OA patients.The study is registered at clinicaltrials.gov, identifier NCT00457132, http://www.clinicaltrials.gov/ct/show/NCT00457132?order=1.

Publication types

  • Controlled Clinical Trial

MeSH terms

  • Activities of Daily Living
  • Aged
  • Arthralgia / physiopathology
  • Arthralgia / prevention & control
  • Arthralgia / therapy*
  • Biomechanical Phenomena / physiology
  • Female
  • Foot / anatomy & histology
  • Foot / physiology*
  • Gait / physiology
  • Humans
  • Knee Joint / pathology
  • Knee Joint / physiopathology
  • Male
  • Middle Aged
  • Mobility Limitation
  • Orthotic Devices / statistics & numerical data*
  • Orthotic Devices / trends
  • Osteoarthritis, Knee / physiopathology
  • Osteoarthritis, Knee / prevention & control
  • Osteoarthritis, Knee / therapy*
  • Pain Measurement / methods
  • Prospective Studies
  • Prosthesis Design / methods*
  • Range of Motion, Articular / physiology
  • Treatment Outcome
  • Walking / physiology
  • Weight-Bearing / physiology

Associated data

  • ClinicalTrials.gov/NCT00457132