Unloading Shoes for Self-management of Knee Osteoarthritis
Authors: Rana S. Hinman, Kade L. Paterson, Tim V. Wrigley, Kim L. Bennell
Journal: Annals of Internal Medicine (2017)

Letters21 February 2017Unloading Shoes for Self-management of Knee OsteoarthritisRana S. Hinman, BPhysio(Hons), PhD, Kade L. Paterson, BAppSci(Hons), BPod, PhD, Tim V. Wrigley, BSc(Hons), MSc, and Kim L. Bennell, BAppSci(Physio), PhDRana S. Hinman, BPhysio(Hons), PhDFrom University of Melbourne, Melbourne, Victoria, Australia.Search for more papers by this author, Kade L. Paterson, BAppSci(Hons), BPod, PhDFrom University of Melbourne, Melbourne, Victoria, Australia.Search for more papers by this author, Tim V. Wrigley, BSc(Hons), MScFrom University of Melbourne, Melbourne, Victoria, Australia.Search for more papers by this author, and Kim L. Bennell, BAppSci(Physio), PhDFrom University of Melbourne, Melbourne, Victoria, Australia.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L16-0630 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Our study, which compared the efficacy of unloading shoes with that of conventional walking shoes, found that both types of shoes reduced knee pain and improved physical function in persons with symptomatic knee OA. No superiority of unloading shoes over conventional shoes was noted. We speculated why there was no significant difference in clinical outcomes between the footwear interventions, including that abnormal biomechanics may not influence symptoms of knee OA as strongly as previously thought, certain patient subgroups may be more responsive to unloading shoes than our heterogeneous sample, modest reductions in medial knee load with unloading shoes ...References1. Menz HB, Auhl M, Ristevski S, Frescos N, Munteanu SE. Effectiveness of off-the-shelf, extra-depth footwear in reducing foot pain in older people: a randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2015;70:511-7. [PMID: 25205761] doi:10.1093/gerona/glu169 CrossrefMedlineGoogle Scholar2. Paterson KL, Wrigley TV, Bennell KL, Hinman RS. A survey of footwear advice, beliefs and wear habits in people with knee osteoarthritis. J Foot Ankle Res. 2014;7:43. [PMID: 25352917] doi:10.1186/s13047-014-0043-8 CrossrefMedlineGoogle Scholar3. Paterson KL, Bennell KL, Wrigley TV, Metcalf BR, Kasza J, Hinman RS. Effects of footwear on the knee adduction moment in medial knee osteoarthritis: classification criteria for flat flexible vs stable supportive shoes. Osteoarthritis Cartilage. 2016. [Epub ahead of print]. doi:10.1016/j.joca.2016.10.001 CrossrefGoogle Scholar4. Wood L, Egger M, Gluud LL, Schulz KF, Jüni P, Altman DG, et al. Empirical evidence of bias in treatment effect estimates in controlled trials with different interventions and outcomes: meta-epidemiological study. BMJ. 2008;336:601-5. [PMID: 18316340] doi:10.1136/bmj.39465.451748.AD CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Melbourne, Melbourne, Victoria, Australia.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-0453. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoUnloading Shoes for Self-management of Knee Osteoarthritis Rana S. Hinman , Tim V. Wrigley , Ben R. Metcalf , Penny K. Campbell , Kade L. Paterson , David J. Hunter , Jessica Kasza , Andrew Forbes , and Kim L. Bennell Unloading Shoes for Self-management of Knee Osteoarthritis Howard Simon Unloading Shoes for Self-management of Knee Osteoarthritis Ryan T. Lewinson and Darren J. Stefanyshyn Metrics Cited byRetrospective Analysis and Countermeasures of Clinical Epidemiology in Patients with Knee Arthroplasty 21 February 2017Volume 166, Issue 4Page: 312KeywordsAnklesDisclosureKneesOsteoarthritisPhysical functioningWalking ePublished: 21 February 2017 Issue Published: 21 February 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...