Review Article
Year: 2020 | Month: September | Volume: 10 | Issue: 9 | Pages: 205-211
Efficacy of Orthotic Treatment in Knee Osteoarthritis: A Review from 2000 To 2020
Surbhi Nandal1, Yashika Kumar2
1Student, Master of Prosthetics and Orthotics, ISIC - Institute of Rehabilitation Sciences, Vasant Kunj,
New Delhi 110070
2Assistant Professor (P&O), Master of Prosthetics and Orthotics, ISIC - Institute of Rehabilitation Sciences, Vasant Kunj, New Delhi 110070
Corresponding Author: Surbhi Nandal
ABSTRACT
Background: The knee is the most frequently impacted weight- bearing joint by osteoarthritis. There are various operative and non- operative treatment options available for knee osteoarthritis out of which direct and indirect management by the orthosis is most commonly used for the person having osteoarthritis on the either side of the tibiofemoral compartment (medial or lateral). The aim of direct and indirect management is to minimize the articular contact stress in the most involved tibiofemoral compartment.
Objective: This literature review aims to review the efficacy of orthotic treatment in knee Osteoarthritis.
Study Design: Literature Review
Significance: This review was done to investigate the use and efficacy of orthotic management in Arthritic knee patients as wedged insoles and realigning knee braces is to reduce articular contact stress in the more involved tibiofemoral compartment.
Method: An electronic database search was conducted using Google scholar, Science direct, Pub Med, Cochrane Library and reference lists from all retrieved articles.
Result & Discussion: Bracing at the knee and foot is a reasonable option for patients who can tolerate wearing the device and who aim to reduce pain and swelling or to delay knee surgery. The use of lateral wedge insoles of between 5° and 15° inclination reduced peak knee adduction moments by between 4% and 14% during walking compared with the corresponding values either without insoles or wearing even thickness control insoles.
Conclusion: This review summarizes the present state of understanding the extent to which direct and indirect orthotic management can improve malalignment, knee joint pain and physical function in knee osteoarthritis, and also offers clinical suggestions for prescribing orthosis in order to optimize efficacy.
Key words: Osteoarthritis, Orthotic management, Foot insoles, Sole wedges, Knee brace, Efficacy