EFFECT OF LATERAL WEDGED INSOLES WITH SUBTALAR STRAPPING ON GENU VARUM WITH MEDIAL COMPARTMENT KNEE PAIN

Document Type : Original Article

Authors

1 Physiotherapist at Department of Orthopedic and Trauma Surgeries, Assiut University Hospitals, Egypt.

2 Professor of Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University; Egypt

3 Assistant Professor of Physical Therapy, Basic Science Department, Cairo university. Egypt

4 Professor of orthopedic surgery, Department of orthopedic surgery, Faculty of medicine, Assiut university, Egypt

10.21608/iptccu.2025.440771

Abstract

         Genu varum is known as one of the most common lower limb abnormalities, Lateral wedge insoles (LWIs) with subtalar strapping can shift the correction forces which are lost at the subtalar joint into the knee and may decrease the pain intensity in people with genu varum and medial compartment knee pain. Objective: The aim of this study was to investigate the effect of LWIs with subtalar strapping on genu varum with medial compartment knee pain. Patients and Methods: The study was conducted at the department of orthopedic and trauma surgeries, Assiut University Hospitals, and included 60 patients (aged 20 to 60 years) diagnosed with genu varum and medial knee pain. Participants were randomly assigned into two groups. Group I: Received corrective exercises which included (strengthening exercises for their hip extensors, knee extensors, hip abductors and hip external rotators) in addition to LWIs with subtalar strapping. Group II: Received the corrective exercise protocol only for 12 weeks. Pain measured by visual analogue scale and space between knees measured by vernier calipers were assessed before and after treatment. The data collected was analyzed and compared at the base line and the end of intervention. Results: There was no statistically significant difference between both groups post study in the mean values of pain and space between knees (P = 0.175 and 0.786) respectively.
Conclusion: There was no effect from adding lateral wedged insoles with subtalar strapping to corrective exercises on pain level and space between knees in genu varum with medial compartment knee pain.

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