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"Conservative pain management for knee osteoarthritis using footwear"

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Journal name: World Journal of Pharmaceutical Research
Original article title: Conservative management for pain and stability in medial osteoarthritis knee using lateral raise footwear- a comparative study
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Original source:

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Author:

Manish Bhawatkar and Amitabh Dwivedi


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Conservative management for pain and stability in medial osteoarthritis knee using lateral raise footwear- a comparative study

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr201818-13641

Copyright (license): WJPR: All rights reserved


Download the PDF file of the original publication


Summary of article contents:

Introduction

This study investigates the effectiveness of laterally raised footwear in alleviating pain and improving stability in patients suffering from medial osteoarthritis (OA) of the knee. A total of 30 subjects, aged 50-70 years, were divided into two groups for a comparative analysis: the control group received only an exercise strengthening program, while the experimental group received both the exercise program and the lateral raise footwear. The evaluation included metrics such as the Lysholm Knee Scoring Scale, pain levels, weight bearing on the affected extremity, and muscle strength, taken at various follow-up intervals.

Pain Relief Through Lateral Raise Footwear

The primary focus of this study is the role of lateral raise footwear in providing pain relief in patients with medial OA knee. The footwear is designed to alter the angle of the calcaneus into a valgus position, effectively shifting the center of pressure and the line of ground reaction force laterally. This mechanism reduces the load on the medial aspect of the knee joint, providing a noticeable decrease in pain for individuals utilizing the footwear in combination with appropriate exercises. The study underscores the importance of integrating this conservative management approach to improve the functional outcomes for OA patients.

Effects on Muscle Strength and Functional Stability

Another significant aspect of the research is the impact of the combined treatment on muscle strength and functional stability. Through a rigorously designed exercise program focusing on strength and stability, both groups showed improvements; however, the experimental group demonstrated superior outcomes. The strength of the surrounding musculature is crucial for supporting the joint and managing weight-bearing forces, thereby enhancing functional stability. This finding highlights the effectiveness of integrating lateral raise footwear with strengthening exercises to achieve better results for patients dealing with OA.

Biomechanical Insights

The study also reveals important biomechanical insights into how laterally raised footwear influences knee mechanics. As the footwear shifts the center of pressure, it helps correct deformities such as genu varum, which exacerbates pain and instability in OA patients. The alteration in the ground reaction force line not only relieves pressure from the affected joint but also contributes to improved joint health over time. Understanding these biomechanical changes is crucial for developing effective conservative treatment modalities.

Conclusion

In conclusion, the research reinforces the efficacy of combining lateral raise footwear with an exercise strengthening program for patients with early-stage medial knee osteoarthritis. The findings indicate that while both treatment modalities provide benefits, their combination yields superior results in pain relief and functional stability. Future studies are encouraged to explore the long-term benefits and potential limitations of this innovative approach, especially within diverse populations, to further optimize conservative management strategies for knee osteoarthritis.

FAQ section (important questions/answers):

What was the main objective of the study on medial osteoarthritis knee?

The study aimed to compare the effectiveness of lateral raise footwear combined with exercise strengthening in relieving pain and improving stability in patients with medial osteoarthritis of the knee.

How were participants divided in the study on knee osteoarthritis?

The participants, 30 subjects aged 50-70 with bilateral OA knee pain, were divided into two equal groups: the experimental group, which received lateral raise footwear and exercise, and the control group, which received only exercise.

What evaluation metrics were used to assess effectiveness in the study?

The study utilized the Lysholms Knee Scoring Scale, weight bearing on the affected extremity, and muscle strength to evaluate the effectiveness of the treatments at various follow-up intervals.

What were the findings from the experimental group using lateral raise footwear?

The study revealed that the combination of lateral raise footwear and exercise significantly improved pain relief and functional stability in subjects with mild to moderate medial osteoarthritis compared to the control group.

What role does the quadriceps play in knee osteoarthritis management?

Strengthening the quadriceps is crucial for knee stability and function, as it helps in tolerating weight-bearing forces better, thereby alleviating pain and supporting joint integrity in osteoarthritis patients.

What future research is suggested based on the study's outcomes?

The study suggests further research to analyze the long-term efficacy and potential limitations of using laterally raised footwear for managing medial osteoarthritis in the Indian population.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for �"Conservative pain management for knee osteoarthritis using footwear"�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Pain:
Pain is a significant symptom experienced by patients with osteoarthritis (OA), particularly in the knee. It results from the degradation of cartilage and increased pressure on joint surfaces, leading to discomfort that may worsen with activity and improve with rest. Understanding pain is essential for developing effective management strategies.

2) Study (Studying):
The study investigates the efficacy of laterally raised footwear combined with exercise on pain relief and stability in patients with medial osteoarthritis of the knee. It employs a comparative approach, evaluating outcomes in a control group versus an experimental group, highlighting the importance of research in clinical practice.

3) Genu:
Genu refers to the knee and is often used in medical terminology to describe knee deformities such as genu varum (bow-leggedness) or genu valgum (knock-knees). These conditions can affect weight distribution and contribute to osteoarthritis progression, making understanding knee alignment crucial for treatment planning.

4) Line:
The line refers to the theoretical line of ground reaction force (GRF) vital in biomechanics. Analyzing how lateral raise footwear affects this line helps understand how changes in foot position can redistribute forces acting on the knee joint, thereby influencing pain and stability in osteoarthritis patients.

5) Nagapura (Naga-pura):
Nagpur is a city in India where the research study took place. It serves as the location for patient recruitment and evaluations, representing the regional population affected by knee osteoarthritis. The results can provide insights into the specific healthcare needs and concerns of residents in this area.

6) India:
India represents the geographical and cultural context of the study, influencing treatment modalities and patient responses. The prevalence of knee osteoarthritis in the Indian population may differ due to lifestyle, socioeconomic factors, and healthcare access, which is essential for interpreting the research findings effectively.

7) Drug:
Drugs, particularly non-steroidal anti-inflammatory drugs (NSAIDs), are commonly used to manage osteoarthritis symptoms. However, their long-term efficacy can be limited. This context underscores the significance of exploring alternative, conservative treatments such as exercises and lateral raised footwear for patients seeking pain relief without reliance on medication.

8) Pharmacology:
Pharmacology studies how drugs interact with biological systems, crucial in understanding their effects on osteoarthritis management. In this research, pharmacological treatments are considered alongside conservative approaches, emphasizing the importance of balancing therapy options for optimal patient outcomes and minimizing side effects associated with long-term drug use.

9) Surrounding:
Surrounding musculature refers to muscles around the knee, particularly the quadriceps and hamstrings. Strengthening these muscles is vital in the management of knee osteoarthritis, as they support joint stability and help alleviate pain, demonstrating the need for targeted exercise interventions in conservative treatment plans.

10) Education:
Education is a key component of the management strategy for osteoarthritis patients, encompassing information on condition management and self-care techniques. Empowering patients with knowledge enhances their understanding of exercise benefits, pain management strategies, and lifestyle changes needed for improving overall health and function.

11) Stiffness:
Stiffness is commonly associated with osteoarthritis, resulting from joint inflammation and cartilage degeneration. Patients may experience reduced range of motion, especially after periods of inactivity. Addressing stiffness through exercises and mobility interventions is vital for improving joint function and enhancing patients' quality of life.

12) Disease:
The term disease refers to osteoarthritis as a degenerative joint condition affecting millions worldwide. Understanding its pathology, symptoms, and progression is crucial for healthcare providers to develop effective management strategies and interventions aimed at alleviating pain and restoring function in affected individuals.

13) Science (Scientific):
Science underpins the research methodology and findings of the study. By applying scientific principles to investigate the impact of lateral raise footwear on knee osteoarthritis, researchers aim to produce evidence-based insights that can enhance patient care and lead to improved outcomes in clinical practice.

14) Surface:
The surface refers to the articular surfaces of the joint that experience wear and tear in osteoarthritis, leading to pain and impaired function. Recognizing the importance of maintaining joint surface integrity via conservative treatments informs strategies to alleviate symptoms and improve quality of life for patients.

15) Jaipur:
Jaipur is the location of the Jaipur Occupational Therapy College, representing an educational and research hub in India. Its connection to the study emphasizes collaboration between institutions and healthcare services in addressing osteoarthritis management, highlighting regional efforts to enhance patient care through research and practice.

16) Pharmacological:
Pharmacological treatments involve using medications to manage osteoarthritis symptoms. While effective in pain relief, they can have side effects, making it essential to explore non-pharmacological alternatives, such as exercise and orthotic interventions, to provide comprehensive care and needed long-term solutions for patients.

17) Performance:
Performance relates to functional capabilities affected by knee osteoarthritis, including daily activities. The study assesses how interventions like strengthening exercises and lateral raise footwear can enhance patients' performance levels, illustrating the importance of optimizing function in managing osteoarthritis effectively.

18) Alleviation:
Alleviation refers to the reduction or relief of symptoms associated with osteoarthritis, particularly pain. This study aims to determine the effectiveness of lateral raise footwear combined with exercise in achieving symptom alleviation, emphasizing the pursuit of strategies that enhance quality of life for affected patients.

19) Discussion:
The discussion section interprets the study's findings, providing insight into the implications for clinical practice. It contextualizes results within existing literature, explores limitations, and proposes future research directions, highlighting the importance of discourse in advancing understanding and improving management strategies for knee osteoarthritis.

20) Rajasthan:
Rajasthan is a state in India, providing geographical context for the study. Patients from this region may exhibit distinct healthcare needs influenced by local lifestyle factors and prevalence of osteoarthritis, underscoring the importance of targeted interventions informed by regional characteristics in healthcare delivery.

21) Affection:
Affection refers to the impact osteoarthritis has on individuals, encompassing both physical and emotional aspects. The study examines how effective interventions can address the affection caused by joint degeneration, promoting better coping strategies and improved emotional well-being in patients navigating chronic pain.

22) Activity:
Activity relates to physical engagement and functional capabilities that are often impeded in osteoarthritis patients. The study aims to improve the capacity for activity through effective management strategies, reinforcing the importance of preserving mobility and daily living activities for enhancing overall quality of life.

23) Relative:
Relative comparison between the experimental and control groups is pivotal in determining the effectiveness of lateral raise footwear within the study. Understanding the relative outcomes seen in pain relief and functional improvement informs healthcare providers on the best approaches for managing knee osteoarthritis.

24) Raising:
Raising refers to the action of elevating the lateral aspect of the footwear. This modification is central to the study, as it aims to redistribute pressure on the knee joint, suggesting that such tactical changes can yield significant benefits for patients with medial compartment osteoarthritis.

25) Indian:
Indian denotes the cultural and contextual framework of the study, highlighting the specific challenges and differences in osteoarthritis management within the Indian population. Understanding these factors is essential for tailoring effective interventions that resonate with the needs of patients in this demographic.

26) Post:
Post pertains to the timing of evaluations after interventions. The study conducts assessments post-treatment at designated intervals to gauge the effectiveness of lateral raise footwear and exercise, emphasizing the importance of continuous monitoring and adjustment in managing osteoarthritis to achieve optimal outcomes.

27) Wolf:
Wolf refers to a researcher whose studies evaluate the effects of lateral raise footwear on pain and function. Citing prior research contributes to the study's credibility and offers supporting evidence for findings related to the positive impact of biomechanical modifications on knee osteoarthritis management.

28) Inci (Imci):
Inch highlights the measurement unit used to indicate the lateral raise in footwear. Precise specifications, such as a ¼-inch elevation, are critical for understanding biomechanical adjustments and assessing their effectiveness in altering load distribution and alleviating osteoarthritis symptoms in patients.

29) Life:
Life represents the overall well-being and functioning of individuals affected by osteoarthritis. The study's aim is to improve the quality of life for patients through effective interventions, emphasizing the integral connection between successful pain management and the ability to engage in meaningful daily activities.

Other Science Concepts:

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Discover the significance of concepts within the article: �"Conservative pain management for knee osteoarthritis using footwear"�. Further sources in the context of Science might help you critically compare this page with similair documents:

Comparative study, Control group, Experimental group, Pain assessment, Patient education, Conservative management, Muscle weakness, Joint space narrowing, Osteophytes Presence, Cartilage Degeneration, Total knee replacement, Quadriceps Strengthening, Genu Varum.

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