Effect of Lateral Heel and Sole Wedges in Patients with Osteoarthritis of Knees. |
Kim, Sang Beom , Yoon, Kisung , Lee, Kyeong Woo , Kwak, Hyun , Park, Kyung A |
Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Korea. fidellux@orgio.net |
퇴행성 슬관절염 환자에서 외측 쐐기의 효과 |
김상범, 윤기성, 이경우, 곽현, 박경아 |
동아대학교 의과대학 재활의학교실 |
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Abstract |
Objective The purpose of this study was to evaluate the effect of lateral heel and sole wedges on osteoarthritis of knees. Method Sixty patients with knee osteoarthritis were enrolled and divided into the control (n=30) and wedge (n=30) groups. The control group received only conventional therapy for 5 weeks, while the wedge group took lateral wedges with 4 mm height in additional to the same conventional therapy. Intensity of pain and funtional activity were assessed by Western Ontario and Mac-Master Universities Osteoarthritis index (WOMAC index) and Lequesne´s index. Scanogram was measured to assess femorotibial angle change. WOMAC index, Lequesne's index and scanogram were measured before and 6 months after the therapy.
Results : For the wedge group, WOMAC index and Lequesne's index were significantly lower at the six month follow up compared to the initial indices (p<0.05). The femorotibial angle showed no significant change in both groups.
Conclusion Lateral heel and sole wedges can be used as an effective therapeutic modality for long term management of knee osteoarthritis in combination with conventional therapy. (J Korean Acad Rehab Med 2003; 27: 946-951)
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Key Words:
Latreal heel and sole wedges, Western Ontario and Mac-Master universities |
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