What is the evidence for orthotics in the treatment of osteoarthritis of the knee?
Summary
Patient Population:
≥70% study participants were female. Recruitment was limited primarily to older adults with knee OA. Most were overweight – reported BMI averages 29 kg/m2. Approximately ½ of participants were prescribed concomitant anti-inflammatory medication or pain relievers in addition to PT intervention.
Intervention:
Patellar strapping orthotics were assessed in the treatment of osteoarthritis of the knee.
Comparison:
7 studies (n=364) of the 212 studies identified in the meta-analysis looked at the use of orthotics vs. no orthotics in the treatment of OA of the knee.
Outcome:
Function: subtalar strapping orthotic vs. no orthotic – significant difference in favour of strapping (SMD=-0.27, 95% CI -0.53, -0.02).
Guideline Recommendations
Source | Recommendation |
---|---|
AAOS (2013) Lateral Wedge Insoles | Moderate evidence for use |
ACR (2019) Wedge Insoles | Conditionally Against |
Outcomes Assessed
- Benefit
- Harm
- Inconclusive
Subtalar Strapping
Fucntion