Knee osteoarthritis
Conditions
Interventions
Experimental group:Orthopedic insole+Gait training
Control group:Ordinary insole +Daily gait
Sponsors
People's Hospital of Peking University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients with NRs >= 4 in the past month; 2. Patients with unilateral Kellgren & Lawrence score >= 2; 3. The patients with medial compartment osteoarthritis showed by X-ray film at the loading position of knee joint, that is, according to the OARSI score standard, the osteophyte of medial compartment was >= 1 point, and the joint space of medial compartment was greater than or equal to 1 point and larger than that of lateral compartment; 4. Patients with varus or neutral position less than 0 degree were measured on the full length film of both lower limbs.
Exclusion criteria
Exclusion criteria: 1. The score of osteophyte or joint space in lateral compartment was higher than that in medial compartment; 2. The patients who have received hormone injection therapy through knee joint cavity in recent one month; 3. Patients with other types of arthritis (such as rheumatoid arthritis, crystalline arthritis, etc.); 4. Patients with osteoarthritis of both knees; 5. Patients who have undergone high tibial or fibular osteotomy, unicompartment or total knee arthroplasty; 6. Patients with scoliosis or pelvic tilt; 7. Patients with other complications that seriously affect physical function, such as cerebral infarction, lumbar lesions with surgical indications, lower extremity vascular diseases, etc; 8. Patients who have used wedge-shaped or other customized insoles, knee or ankle braces now or in the past 6 months; 9. Patients who need to use assistive tools when walking; 10. Obese patients (BMI >= 36 kg / m2); 11. Subjects with ankle OA; 12. Subjects with hip OA; 13. Subjects who refused to participate in the study after training in insole wearing and gait training.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Numeric Rating Scale; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intermittent and Constant Osteoarthritis Pain;Changes of knee joint pain in 400m walking test;Knee Adduction Moment;Knee MOAKS score;Mechanical axis force line of knee jiont;Physical activity; | — |
Countries
China
Contacts
Public ContactJianhao Lin
People's Hospital of Peking University
Outcome results
None listed