Effect of Biomechanical Footwear on Knee Pain in People With Knee Osteoarthritis

Reichenbach, Stephan; Felson, David T.; Hincapié, Cesar A.; Heldner, Sarah; Bütikofer, Lukas; Lenz, Armando; Costa, Bruno R. da; Bonél, Harald; Jones, Richard; Hawker, Gillian; Jüni, Peter

doi:10.1001/jama.2020.3565

Cited by 38 publications

(21 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…All patients were treated with a non-invasive biomechanical foot-worn device that aims to treat patients with MSK conditions by center of pressure manipulation and perturbation training to challenge and train neuromuscular control (17).…”

Section: Methodsmentioning

confidence: 99%

Using gold standard patient-reported outcome measures in clinical practice -- a new approach to facilitate their use

Madan

Elbaz²,

Mor³

et al. 2020

Preprint

View full text Add to dashboard Cite

Purpose: To analyze two gold-standard patient-reported outcome measures (PROMs) in knee OA and determine which questions are the most reflective of the overall score. Methods: This was a retrospective study on 4,983 patients with primary knee pain. Patients had WOMAC and SF-36 at two-time points, pre-treatment and after three months of treatment. A decision tree classifier supported with a linear mix model regression was applied to determine, identify, and categorize the most influential questions that determine the overall score in each of the questionnaires. Results: For SF-36, the most influential items were Q22 (39%), Q32 (24%), Q11 (19%), Q25 (19%). For WOMAC, the most influential predictors were Q14 (39%), Q10 (24%) and Q15 (21%). A significant improvement in WOMAC and SF-36 was seen after three months of treatment (P<0.01). For SF-36, the main predictor items were Q11, Q22 and Q32, Regression model R2 = 0.841, p<0.01, t[55.62]=0.001, Beta for Q22=0.409, Q32=0.352, Q11=0.278. For WOMAC, the main predictor items were Q10 and Q15, Regression model R2 = 0.930, p<0.01, t[35.4]=0.001, Beta for Q15=0.548, Q10=0.4639. Conclusion: Two questions from the WOMAC questionnaire predicts 93% of the overall score and four questions form the SF-36 predict 84%. The creation of a clinically meaningful assessment tool based on larger scientifically validated PROMs will help to facilitate its use by clinicians and acceptance by patients in clinical practice.

show abstract

Section: Methodsmentioning

confidence: 99%

Using gold standard patient-reported outcome measures in clinical practice -- a new approach to facilitate their use

Madan

Elbaz²,

Mor³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…One crossover RCT (n ¼ 24) of three types of knee braces worn for 3 months each found an unloader brace with both valgus and external rotation functions to be more comfortable and to decrease KAM both at baseline and after treatment (with brace donned), however interpretation of the results are limited by a carryover effect 86 . An RCT investigating footwear with individually adjustable external convex pods attached to the outsole (compared to control shoes) showed reduced pain in the treatment group of limited clinical relevance and mildly increased velocity and step length compared to controls 87 . An RCT of minimalist footwear in women with knee OA that had previously shown reduced KAM and KAM impulse after 6 months 88 conducted secondary analyses to explain the mechanism of reduction of KAM 89 .…”

Section: Biomechanics In Oa Treatmentmentioning

confidence: 99%

Osteoarthritis year in review 2021: mechanics

Harlaar

Macri

Wesseling

2022

Osteoarthritis and Cartilage

View full text Add to dashboard Cite

“…Furthermore, there are many different types of physical therapies that are recommended for OA. Recently, a randomized clinical trial from Stephan et al (Reichenbach et al, 2020) compared the effects of biomechanical footwear and control footwear on relieving OA pain. Their results showed that biomechanical footwear resulted in an improvement in pain at 24 weeks of follow-up that was statistically significant but of uncertain clinical importance.…”

Section: Clinical Studiesmentioning

confidence: 99%

Physical therapy as a promising treatment for osteoarthritis: A narrative review

2022

View full text Add to dashboard Cite

Osteoarthritis (OA) is the most prevalent joint disease and a leading cause of disability in older adults. With an increasing population ageing and obesity, OA is becoming even more prevalent than it was in previous decades. Evidence indicates that OA is caused by the breakdown of joint tissues from mechanical loading and inflammation, but the deeper underlying mechanism of OA pathogenesis remains unclear, hindering efforts to prevent and treat this disease. Pharmacological treatments are mostly related to relieving symptoms, and there is no drug for radical cure. However, compelling evidence suggests that regular practice of resistance exercise may prevent and control the development of several musculoskeletal chronic diseases including OA, which may result in improved quality of life of the patients. In this review, we introduced the current understanding of the mechanism and clinical treatments of OA pathogenesis. We also reviewed the recent study of physical therapy in the treatment of skeletal system disorders, especially in OA. Finally, we discuss the present challenges and promising advantages of physical therapy in OA treatment.

show abstract

Effect of Biomechanical Footwear on Knee Pain in People With Knee Osteoarthritis

Cited by 38 publications

References 38 publications

Using gold standard patient-reported outcome measures in clinical practice -- a new approach to facilitate their use

Using gold standard patient-reported outcome measures in clinical practice -- a new approach to facilitate their use

Osteoarthritis year in review 2021: mechanics

Physical therapy as a promising treatment for osteoarthritis: A narrative review

Contact Info

Product

Resources

About