Evidence map›Paper›PMID 21593096›Full record

Trial reportBMJ (Clinical research ed.)2011

Lateral wedge insoles for medial knee osteoarthritis: 12 month randomised controlled trial.

Kim L Bennell, Kelly-Ann Bowles, Craig Payne, Flavia Cicuttini, Elizabeth Williamson, Andrew Forbes, Fahad Hanna, Miranda Davies-Tuck, Anthony Harris, Rana S Hinman

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ (Clinical research ed.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00415259 (Effects of Shoes Insoles on Symptoms and Disease Progression in Knee Osteoarthritis), which is not on this map. Cited by 66 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00415259 nacompletednot on this map

Effects of Shoes Insoles on Symptoms and Disease Progression in Knee Osteoarthritis

TypeinterventionalSponsorUniversity of MelbourneRan2005 to 2008Enrolled200ConditionsOsteoarthritisArmsLaterally wedged shoe insoles, Control insole group
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  5. Braces and orthoses for treating osteoarthritis of the knee.The Cochrane database of systematic reviews · 2015
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  19. Lateral wedge insole for knee osteoarthritis: randomized clinical trial.Sao Paulo medical journal = Revista paulista de medicina · 2015
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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Kim L BennellCentre for Health, Exercise and Sports Medicine, Department of Physiotherapy, University of Melbourne, Parkville, 3010 VIC, Australia. k.bennell@unimelb.edu.au
Kelly-Ann Bowles
Craig Payne
Flavia Cicuttini
Elizabeth Williamson
Andrew Forbes
Fahad Hanna
Miranda Davies-Tuck
Anthony Harris
Rana S Hinman

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effect of lateral wedge insoles compared with flat control insoles on improving symptoms and slowing structural disease progression in medial knee osteoarthritis.

designRandomised controlled trial.

settingCommunity in Melbourne, Australia.

participants200 people aged 50 or more with clinical and radiographic diagnosis of mild to moderately severe medial knee osteoarthritis.

interventionsFull length 5 degree lateral wedged insoles or flat control insoles worn inside the shoes daily for 12 months.

main outcome measuresPrimary symptomatic outcome was change in overall knee pain (past week) measured on an 11 point numerical rating scale. Primary structural outcome was change in volume of medial tibial cartilage from magnetic resonance imaging scans. Secondary clinical outcomes included changes in measures of pain, function, stiffness, and health related quality of life. Secondary structural outcomes included progression of medial cartilage defects and bone marrow lesions.

resultsBetween group differences did not differ significantly for the primary outcomes of change in overall pain (-0.3 points, 95% confidence intervals -1.0 to 0.3) and change in medial tibial cartilage volume (-0.4 mm(3), 95% confidence interval -15.4 to 14.6), and confidence intervals did not include minimal clinically important differences. None of the changes in secondary outcomes showed differences between groups.

conclusionLateral wedge insoles worn for 12 months provided no symptomatic or structural benefits compared with flat control insoles. Trial registration Australian New Zealand Clinical Trials Registry ACTR12605000503628 and ClinicalTrials.gov NCT00415259.

Indexed as

Orthotic DevicesShoesAgedArthralgiaDouble-Blind MethodFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedOsteoarthritis, KneePatient CompliancePatient SatisfactionTreatment Outcome

Identifiers

PMID21593096
PMCPMC3100910

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.