Is there an evidence-based efficacy for the use of foot orthotics in knee and hip osteoarthritis? Elaboration of French clinical practice guidelines

Joint, Bone, Spine : Revue Du Rhumatisme
Anthony GélisFrancois Rannou

Abstract

To develop clinical practice guidelines for the use of foot orthotics (FO) in the treatment of knee and hip osteoarthritis. The SOFMER (French Physical Medicine and Rehabilitation Society) methodology, associating a systematic review of the literature, input from every day clinical practice and external review by a multidisciplinary expert committee, was used. The selected analysis criteria were pain, disability, medications used and X-ray evolution of osteoarthritis. The recommendations are classified according to the level of proof in Grade A, B or C according to the French National Agency for Health Accreditation and Evaluation (NAHAE). In medial knee osteoarthritis, foot pronation orthotics--when there are no contraindications--can be proposed for their symptomatic impact, especially in the decrease of NSAIDs consumption (Grade B). To this day, there is no evidence of a structural or functional impact on osteoarthritis (Grade B). Outside of this specific clinical framework, there is no validated indication for prescribing foot orthotics in the treatment of knee or hip OA (Grade C). It is necessary to have further randomized controlled trials to better define the indication of Foot orthotics (severity of knee OA, genu varum)...Continue Reading

References

Jan 1, 1991·International Orthopaedics·H TohyamaK Kaneda
May 19, 2006·Annals of the Rheumatic Diseases·W ZhangUNKNOWN EULAR Standing Committee for International Clinical Studies Including Therapeutics

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Citations

Dec 15, 2010·Current Opinion in Rheumatology·Jody RiskowskiMarian T Hannan
Feb 5, 2010·Best Practice & Research. Clinical Rheumatology·François Rannou, Serge Poiraudeau
Apr 21, 2016·Osteoarthritis and Cartilage·S R F MenesesD J Hunter
May 26, 2015·Annals of Physical and Rehabilitation Medicine·P OrnettiD Laroche
Sep 19, 2017·Expert Review of Clinical Pharmacology·Miguel Angel Ruiz IbanMauro Marcelo Lizárraga Ferrand
Apr 2, 2021·Journal of Foot and Ankle Research·Kevin DeschampsAntoine Brabants

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