ARTICLE –
abstractComparison
of the effects of laterally wedged insole with subtalar strapping and
in-shoe lateral wedged insoles in women with knee osteoarthritis Senem Güner1, Nesrin
Yağci2, Uğur Cavlak2,
Levent Özçakar3 1Ankara
University School of Health Care Professions Department of Prosthetics
and Orthotics, Turkey 2 Pamukkale
University, School of Physical Therapy and Rehabilitation, Turkey 3
Hacettepe University Medical School Department of Physical Medicine and
Rehabilitation, Turkey
Abstract
Aim
and scope. The aim of this study was to identify the effects
of laterally wedged insole and laterally wedged subtalar strapping
application on muscle strength, functional state; and to compare their
effects in women with knee osteoarthritis (OA). Materials
and Methods. Sixty women (aged between 45-65 years) with OA
were enrolled in this study. Lateral wedged insole was used in 20 women
(Group 1), laterally wedged subtalar strapping in 20 women (Group 2)
and women in Group 3 only received physical therapy program. Isokinetic
testing for knee and ankle muscles, 50-foot walking test, 5-time
repeated sit to stand test, WOMAC were performed prior to treatment and
8 weeks after treatment. Results.
Knee and ankle muscle strength, functional test results and WOMAC
scores improved in Groups I and II (pre- vs. post-treatment)
(p<0.05). In Group III, despite the improvement in all the other
test results, muscle strength was found not to have increased
(p>0.05). The most significant improvement between the 3 groups
is shown in group I. Conclusion. Our
results show that application of laterally wedged insole and laterally
wedged subtalar strapping leads to increasing knee and ankle muscle
strength in addition to their positive effects on pain intensity,
physical function.
Key
words:knee
osteoarthritis, subtalar strapping, laterally wedged insole, isokinetic
strength
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