Place des orthèses plantaires dans le traitement non pharmacologique de la gonarthrose

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Résumé

Objectif

Déterminer le niveau de preuve d’efficacité clinique des orthèses plantaires (OP) dans la gonarthrose.

Matériel et méthode

Revue systématique de la littérature à partir des bases de données Medline et Embase en utilisant les mots clés insole, knee osteoarthritis.

Résultats

Le niveau de preuve de l’efficacité clinique des OP est faible. La tolérance rapportée est bonne.

Discussion

Le niveau de preuve actuel des OP n’est pas un obstacle à leur utilisation en pratique courante lorsqu’on le compare au niveau de preuve d’autres thérapeutiques non pharmacologiques utilisées dans la gonarthrose.

Conclusion

Les OP font partie du traitement non pharmacologique de la gonarthrose.

Mots clés

Orthèses plantaires Gonarthrose Traitement non pharmacologique 

Foot orthosis for non pharmacological treatment for knee osteoarthritis

Abstract

Objective

To determine the clinical effectiveness of foot insoles in patients with knee osteoarthritis.

Materials and methods

A systematic review of the literature (Medline and Embase) using the MeSH words knee osteoarthritis, and insole and plantar orthosis was performed.

Results

There is a lack of evidence because of methodological weakness and the small number of clinical trials, but side effects are limited.

Discussion Foot insoles could be recommended in clinical practice despite the lack of evidence regarding their effectiveness as compared to other therapeutics in knee osteoarthritis

Conclusion

Use of foot insoles is a non-pharmacologic treatment for osteoarthritis of the knee’s medial or lateral compartment.

Keywords

Orthosis Foot insole Knee osteoarthritis Non-pharmacologic treatment 
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Copyright information

© Springer-Verlag France 2010

Authors and Affiliations

  1. 1.Service de médecine physique et de réadaptation, CHU de Clermont-Ferrandhôpital NordCébazatFrance
  2. 2.Clermont universitéuniversité d’AuvergneClermont-FerrandFrance
  3. 3.Service de médecine physique et de réadaptationCHU Clermont-FerrandClermont-FerrandFrance

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