Effects of orthopedic insoles on patients with knee osteoarthritis: A meta-analysis and systematic review
Objective: Recent clinical evidence supports that orthopaedic insoles, especially lateral-wedge insoles, can significantly benefit patients with knee osteoarthritis. The aim of this study is to explore the effects of orthopaedic insoles in patients with knee osteoarthritis. Methods: Randomized contr...
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doaj-11b18b32119e4376ad8546189eb138a52021-05-18T08:30:12ZengFoundation for Rehabilitation InformationJournal of Rehabilitation Medicine1650-19771651-20812021-05-01535jrm0019110.2340/16501977-28362793Effects of orthopedic insoles on patients with knee osteoarthritis: A meta-analysis and systematic reviewLong Yu0Yanmin WangJianzhong YangJie WangYing Zhang Department of Rehabilitation, Shanghai Xuhui Central Hospital, 200031 Shanghai, China. Objective: Recent clinical evidence supports that orthopaedic insoles, especially lateral-wedge insoles, can significantly benefit patients with knee osteoarthritis. The aim of this study is to explore the effects of orthopaedic insoles in patients with knee osteoarthritis. Methods: Randomized controlled trials evaluating the effects of orthopaedic insoles on patients with knee osteoarthritis, published up to 16 February 2021, were reviewed and outcomes quantitatively summarized. Results: A total of 15 studies from 13 randomized controlled trials that involved 1,086 participants were included in this study. All the included studies exhibited a moderate bias risk and were of acceptable quality. The pooled mean difference of pain determined by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was –1.21 (p < 0.001, 95% confidence interval (95% CI) –2.61–0.18) with a high heterogeneity (I2 = 75%). In the sensitivity analysis, the overall incidence was –0.20 (p= 0.62, 95% CI= –0.87–0.46) with an accepted heterogeneity (I2 = 0%). No difference was observed between the Asian and Caucasian groups (p= 0.28). No significant difference was found in the pain score, Lequesne index or functional improvements. Conclusion: Meta-analysis revealed that orthopaedic insoles do not provide relief of pain or improve functionality in patients with knee osteoarthritis https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2836 osteoarthritis knee knee joint systematic review meta-analysis. |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Long Yu Yanmin Wang Jianzhong Yang Jie Wang Ying Zhang |
spellingShingle |
Long Yu Yanmin Wang Jianzhong Yang Jie Wang Ying Zhang Effects of orthopedic insoles on patients with knee osteoarthritis: A meta-analysis and systematic review Journal of Rehabilitation Medicine osteoarthritis knee knee joint systematic review meta-analysis. |
author_facet |
Long Yu Yanmin Wang Jianzhong Yang Jie Wang Ying Zhang |
author_sort |
Long Yu |
title |
Effects of orthopedic insoles on patients with knee osteoarthritis: A meta-analysis and systematic review |
title_short |
Effects of orthopedic insoles on patients with knee osteoarthritis: A meta-analysis and systematic review |
title_full |
Effects of orthopedic insoles on patients with knee osteoarthritis: A meta-analysis and systematic review |
title_fullStr |
Effects of orthopedic insoles on patients with knee osteoarthritis: A meta-analysis and systematic review |
title_full_unstemmed |
Effects of orthopedic insoles on patients with knee osteoarthritis: A meta-analysis and systematic review |
title_sort |
effects of orthopedic insoles on patients with knee osteoarthritis: a meta-analysis and systematic review |
publisher |
Foundation for Rehabilitation Information |
series |
Journal of Rehabilitation Medicine |
issn |
1650-1977 1651-2081 |
publishDate |
2021-05-01 |
description |
Objective: Recent clinical evidence supports that orthopaedic insoles, especially lateral-wedge insoles, can significantly benefit patients with knee osteoarthritis. The aim of this study is to explore the effects of orthopaedic insoles in patients with knee osteoarthritis.
Methods: Randomized controlled trials evaluating the effects of orthopaedic insoles on patients with knee osteoarthritis, published up to 16 February 2021, were reviewed and outcomes quantitatively summarized.
Results: A total of 15 studies from 13 randomized controlled trials that involved 1,086 participants were included in this study. All the included studies exhibited a moderate bias risk and were of acceptable quality. The pooled mean difference of pain determined by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was –1.21 (p < 0.001, 95% confidence interval (95% CI) –2.61–0.18) with a high heterogeneity (I2 = 75%). In the sensitivity analysis, the overall incidence was –0.20 (p= 0.62, 95% CI= –0.87–0.46) with an accepted heterogeneity (I2 = 0%). No difference was observed between the Asian and Caucasian groups (p= 0.28). No significant difference was found in the pain score, Lequesne index or functional improvements.
Conclusion: Meta-analysis revealed that orthopaedic insoles do not provide relief of pain or improve functionality in patients with knee osteoarthritis |
topic |
osteoarthritis knee knee joint systematic review meta-analysis. |
url |
https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2836
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work_keys_str_mv |
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