Is the Wedged Insole an Effective Treatment Option When Compared with a Flat (Placebo) Insole: A Systematic Review and Meta-Analysis
Joint Authors
Long, Liang
Zhu, Liguo
Zhang, Bingbing
Yu, Xing
Dong, Xiaopeng
Xiong, Yang
Pan, Quan
Sun, Yongsheng
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-12-04
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Background.
Using the lateral wedge insole is a conservative management strategy for knee osteoarthritis.
The theoretical basis for this intervention is to correct femorotibial angle, thereby reducing pain and optimising function.
Objective.
This systematic review evaluates the evidence on the effectiveness of wedge insole compared with flat insole for the treatment of knee osteoarthritis.
Methods.
A systematic review was performed, searching published (MEDLINE, EMBASE, CNKI, Cochrane Library, and Web of Science) and unpublished literature from their inception to April 2018.
Randomized controlled trials (RCTs) that compared the use of wedge insole with a flat insole were included.
Risk of bias and clinical relevance were assessed, and outcomes were analysed through meta-analysis.
Result.
From a total of 413 citations, 8 studies adhered to the a priori eligibility criteria.
The WOMAC pain was shown to be statistically nonsignificant change with the use of wedge insole (SMD=0.07), and low heterogeneity (I2=22%) and a 95% CI that crossed zero (95% CI: −0.09 to 0.24).
The 5 independent trials were not significant in improving pain score (SMD = −0.02, 95% CI: −0.19 to 0.16).
This review also revealed no significance in improving Lequesne index (SMD = −0.27, 95% CI: −0.72 to 0.19).
The meta-analysis from the 2 independent trials was significant in improving femorotibial angle (SMD = −0.41, 95% CI: −0.73 to -0.09).
In conclusion, this meta-analysis suggested that lateral wedge insoles can improve femorotibial angle but are of no benefit with pain and functions in knee osteoarthritis.
American Psychological Association (APA)
Zhang, Bingbing& Yu, Xing& Long, Liang& Zhu, Liguo& Dong, Xiaopeng& Xiong, Yang…[et al.]. 2018. Is the Wedged Insole an Effective Treatment Option When Compared with a Flat (Placebo) Insole: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine،Vol. 2018, no. 2018, pp.1-13.
https://search.emarefa.net/detail/BIM-1156692
Modern Language Association (MLA)
Zhang, Bingbing…[et al.]. Is the Wedged Insole an Effective Treatment Option When Compared with a Flat (Placebo) Insole: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine No. 2018 (2018), pp.1-13.
https://search.emarefa.net/detail/BIM-1156692
American Medical Association (AMA)
Zhang, Bingbing& Yu, Xing& Long, Liang& Zhu, Liguo& Dong, Xiaopeng& Xiong, Yang…[et al.]. Is the Wedged Insole an Effective Treatment Option When Compared with a Flat (Placebo) Insole: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine. 2018. Vol. 2018, no. 2018, pp.1-13.
https://search.emarefa.net/detail/BIM-1156692
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156692