gms | German Medical Science

54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

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The use of proprioceptive insoles reduce pain in patients affected by gonarthrosis

Meeting Abstract

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  • corresponding author C. Pernarella - Sana Klinik Sendling München, Physiotherapie, München
  • E. Adriani - Roma
  • H. Röttinger - München

Norddeutsche Orthopädenvereinigung. 54. Jahrestagung der Norddeutschen Orthopädenvereinigung e.V.. Hamburg, 16.-18.06.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05novEP81

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/nov2005/05nov154.shtml

Published: June 13, 2005

© 2005 Pernarella et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

Introduction

Guidelines recommend sticks and othopedical insoles in the treatment of gonarthrosis. We analyzed the influence of proprioceptive insoles according to RJ Bourdiol.

Materials and methods

We evaluated pain level, knee stiffness and the physical function in 12 patients (71± 6 yrs, 3 males) affected by gonarthrosis (10 varus, 2 valgus). After compilation of a self-administrated WOMAC questionnaire the patients were randomly allocated either in group A (proprioceptive insoles with specific thickness <3 mm ) or in group B (placebo insoles), and reconsidered after 4 weeks. Results were compared with Student T- test and the minimal clinically important difference (MCID) was calculated.

Results

Pain score increased in group A from 5,25 to 2,25 (p= 0.001) and in group B from 3,41 to 3,58 (p= ns). Knee stiffness modified in group A from 5,75 to 3,12 (p= 0.03) and in group B from 5 to 6,37 (p= 0.02). Physical function in group A decreased from 5,36 to 2,81 (p= 0.007) but increased non significantly in group B from 3,55 to 3,92. The global index was reduced from 5,38 to 2,72 (p= 0.004) in group A and changed in group B from 3,64 to 4,06 (p= ns). Group A at difference with group B show a significant MCID. Effect size > 0.8 demonstrate a strong therapeutic effect.

Conclusions

We show for the first time that the use of proprioceptive insoles in gonarthrosis significantly reduce pain, ameliorates knee stiffness and physical function.