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Letters |21 February 2017

Unloading Shoes for Self-management of Knee Osteoarthritis

Rana S. Hinman, BPhysio(Hons), PhD; Kade L. Paterson, BAppSci(Hons), BPod, PhD; Tim V. Wrigley, BSc(Hons), MSc; Kim L. Bennell, BAppSci(Physio), PhD

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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 may not be enough to significantly reduce OA symptoms, and placebo effects. Dr. Simon and Drs. Lewinson and Stefanyshyn pose other reasons that may also explain our findings.
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Hinman RS, Paterson KL, Wrigley TV, Bennell KL. Unloading Shoes for Self-management of Knee Osteoarthritis. Ann Intern Med. 2017;166:312. doi: 10.7326/L16-0630

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Published: Ann Intern Med. 2017;166(4):312.

DOI: 10.7326/L16-0630

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2017 American College of Physicians
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