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Author (up) Ashraf, A.; Zarei, F.; Hadianfard, M. J.; Kazemi, B.; Mohammadi, S.; Naseri, M.; Nasseri, A.; Khodadadi, M.; Sayadi, M. url  doi
  Title Comparison the effect of lateral wedge insole and acupuncture in medial compartment knee osteoarthritis: A randomized controlled trial Type of Study RCT
  Year 2013 Publication The Knee Abbreviated Journal Knee  
  Volume 21 Issue Pages 439-444  
  Keywords AcuTrials; Arthritis; Osteoarthritis, Knee; Pain; RCT; Acupuncture Versus Usual Care; Acupuncture; TCM Acupuncture Style; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture Only; Usual Care Control, Physical  
  Abstract BACKGROUND: There is lack of well-designed trials evaluating structural benefits of non-pharmacologic therapies in knee osteoarthritis (OA). In this parallel-group randomized controlled trial, we aim to compare the possible advantages of lateral wedge insole and acupuncture in patients with medial knee OA. METHOD: Patients with grade two or three of medial knee OA were randomly allocated to group one who received an in shoe lateral wedge and group two who underwent acupuncture. We assessed patients' pain, function and knee joint cartilage thickness before and after intervention. Paired t-test and independent samples t-test were used for in group and between group analyses. (Level of evidence: 2.) RESULTS: Twenty patients in each group were recruited in the study. Pain significantly decreased after therapy in both groups one and two (paired t test, P<0.001, 95% CI: 1.62-3.25 and 1.58-3.20 respectively). Function improved in each group (paired t test, P=0.001, 95% CI of 0.94-2.38 in group one and 0.97-2.43 in group two). A non-clinically statistically significant difference regarding the femoral and tibial cartilage thickness was obtained in both groups one (P=0.005, CI: -0.43-0.82 and P=0.037, CI: -0.44-0.80 respectively) and two (P=0.025, CI: -0.45-0.79 and P=0.035, CI: -0.29-0.96 respectively). Between groups analysis showed no significant difference regarding abovementioned measures. CONCLUSION: Both lateral wedge insole and acupuncture can be effective in the treatment of medial knee osteoarthritis without any superiority of one over the other.  
  Address Department of Physical Medicine and Rehabilitation, Shiraz University of Medical Sciences, Shiraz, Iran; Burn Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.; Department of Radiology, Shiraz University of Medical Sciences, Shira  
  Language Number of Treatments 10  
  Treatment Follow-up N/A Frequency >1/WK Number of Participants 40  
  Time in Treatment 3 Weeks Condition Osteoarthritis, Knee
  Disease Category Arthritis OCSI Score  
  Notes Approved no  
  Call Number Serial 41  
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