Effects of Physical Therapy Treatment With and Without Wedge Insole in Patients with Knee Osteoarthritis; A Randomized Controlled Trial

Effects of Physical Therapy & Wedge Insole in Knee Osteoarthritis


  • Muhammad Qasim Idrees Central Park Medical College, Lahore, Pakistan
  • Adeena Nisar Riphah International University, Lahore, Pakistan
  • Asma Batool Johar Pain Relief Center, Lahore, Pakistan
  • Muhammad Abubaker Muhammad Din Physiotherapy and Health Clinic, Zafarwal, Pakistan
  • Kinza Amin University Institute of Physical Therapy, The University of Lahore, Lahore, Pakistan
  • Aafrin Ataullah Central Medical College, Lahore, Pakistan




foot orthosis, knee osteoarthritis, visual analog scale, WOMAC scale


Background: Osteoarthritis has been known as the most incapacitating disease. All the structures present in a joint have equal chances of developing this disease. It has been recognized as the most common chronic health disorder in the Western world. Objective: The purpose of this study was to see the effect of physical therapy treatment in knee osteoarthritis with and without wedge support. Methods: This randomized controlled trial was conducted at the OPD physiotherapy department, Mayo Hospital, Lahore and Mid-City Hospital, Lahore. Patients aged 45-65 years of both genders who have osteoarthritic changes were included in the study. Patients who were contraindicated for physiotherapy like patients suffering from various knee joint pathologies like tumors, fractures, and inflammatory pathologies. Patients having other major musculoskeletal problems and having red flag signs e.g. rheumatoid arthritis, osteoporosis and Paget’s disease are excluded. In this study, 80 patients were randomly selected in two groups. Group 1 patients were treated with conventional physiotherapy treatment. While group 2 patients were treated with conventional physiotherapy and wedge insole. Performa was filled and Informed consent was taken from each patient. Patients were followed for 3 weeks. The pre-tested questionnaire is used as a data collection tool. The questionnaires used for data collection were WOMAC and Visual Analogue Scale. Baseline characteristics including mean and standard deviations were described. Results: Patients in Group 2 showed marked improvement as compared to group 1. The p-value (0.000) less than 0.05 is considered significant. The mean age of patients for groups 1 and 2 was 45 ±1.2 and 65±1.5 respectively. Conclusion: It was concluded from the study that the use of wedge insole by conventional physiotherapy is a significant treatment outcome on WOMAC and Visual Analogue Scale. When treated with conventional physiotherapy and wedge insole, the patients with knee osteoarthritis showed a significant treatment outcome when analyzed on the WOMAC and Visual Analogue Scale. When both groups were compared, it was seen that group 2 showed more significant results on the WOMAC and pain scale.


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How to Cite

Idrees, M. Q., Nisar, A., Batool, A. ., Abubaker, M., Amin, K. ., & Ataullah, A. (2024). Effects of Physical Therapy Treatment With and Without Wedge Insole in Patients with Knee Osteoarthritis; A Randomized Controlled Trial: Effects of Physical Therapy & Wedge Insole in Knee Osteoarthritis. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 4(1), 884–891. https://doi.org/10.55735/hjprs.v4i1.230