Evidence map›Paper›PMID 26230399›Full record

Trial reportPloS one2015

Altering Knee Abduction Angular Impulse Using Wedged Insoles for Treatment of Patellofemoral Pain in Runners: A Six-Week Randomized Controlled Trial.

Ryan T Lewinson, J Preston Wiley, R Neil Humble, Jay T Worobets, Darren J Stefanyshyn

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01332110 (Treatment for Patellofemoral Pain Syndrome Using Knee Abduction Moment-Reducing Footwear), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 29% of its field
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.

NCT01332110 phase1 / phase2completednot on this map

Treatment for Patellofemoral Pain Syndrome Using Knee Abduction Moment-Reducing Footwear

TypeinterventionalSponsorUniversity of CalgaryRan2011 to 2012Enrolled36ConditionsPatellofemoral Pain SyndromeArmsKnee abduction moment-reducing footwear
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. CURRENT CONCEPTS IN BIOMECHANICAL INTERVENTIONS FOR PATELLOFEMORAL PAIN.International journal of sports physical therapy · 2016
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Ryan T LewinsonHuman Performance Laboratory, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada; Biomedical Engineering Program, Schulich School of Engineering, University of Calgary, Calgary, Alberta, Canada; Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
J Preston WileyHuman Performance Laboratory, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada; Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada; Sport Medicine Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.
R Neil HumbleCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Jay T WorobetsHuman Performance Laboratory, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.
Darren J StefanyshynHuman Performance Laboratory, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada; Biomedical Engineering Program, Schulich School of Engineering, University of Calgary, Calgary, Alberta, Canada.
University of Calgary · CA

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

objectiveDetermine if a change in internal knee abduction angular impulse (KAAI) is related to pain reduction for runners with patellofemoral pain (PFP) by comparing lateral and medial wedge insole interventions, and increased KAAI and decreased KAAI groups.

designRandomized controlled clinical trial (ClinicalTrials.gov ID# NCT01332110).

settingBiomechanics laboratory and community. PATIENTS: Thirty-six runners with physician-diagnosed PFP enrolled in the trial, and 27 were analyzed.

interventionsRunners with PFP were randomly assigned to either an experimental 3 mm lateral wedge or control 6 mm medial wedge group. Participants completed a biomechanical gait analysis to quantify KAAIs with their assigned insole, and then used their assigned insole for six-weeks during their regular runs. Usual pain during running was measured at baseline and at six-week follow-up using a visual analog scale. Statistical tests were performed to identify differences between wedge types, differences between biomechanical response types (i.e. increase or decrease KAAI), as well as predictors of pain reduction.

main outcome measuresPercent change in KAAI relative to neutral, and % change in pain over six weeks.

resultsClinically meaningful reductions in pain (>33%) were measured for both footwear groups; however, no significant differences between footwear groups were found (p = 0.697). When participants were regrouped based on KAAI change (i.e., increase or decrease), again, no significant differences in pain reduction were noted (p = 0.146). Interestingly, when evaluating absolute change in KAAI, a significant relationship between absolute % change in KAAI and % pain reduction was observed (R2 = 0.21; p = 0.030), after adjusting for baseline pain levels.

conclusionThe greater the absolute % change in KAAI during running, the greater the % reduction in pain over six weeks, regardless of wedge type, and whether KAAIs increased or decreased. Lateral and medial wedge insoles were similar in effectiveness for treatment of PFP. CLINICAL RELEVANCE: Altering KAAI should be a focus of future PFP research. Lateral wedges should be studied further as an alternative therapy to medial wedges for management of PFP.

trial registrationClinicalTrials.gov NCT01332110.

Indexed as

RunningShoesAdultBiomechanical PhenomenaFemaleHumansKnee JointMaleMiddle AgedPain ManagementYoung Adult

Identifiers

PMID26230399
PMCPMC4521888
OpenAlexW1915565569

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.