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Trial registered on ANZCTR
Registration number
ACTRN12605000503628
Ethics application status
Approved
Date submitted
23/09/2005
Date registered
23/09/2005
Date last updated
11/11/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Effects of shoes insoles on symptoms and disease progression in knee osteoarthritis
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Scientific title
The effects of laterally wedged insoles on reducing knee pain and physical disability, and slowing disease progression in sufferers of knee osteoarthritis.
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Secondary ID [1]
287864
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Knee osteoarthritis
628
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Condition category
Condition code
Musculoskeletal
700
700
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0
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A Project Examiner will conduct preliminary screening over the phone. Participants will undergo examination by the Project Examiner and the Project Podiatrist to ensure they fulfil selection criteria. An x-ray will be performed to ensure varus knee joint malalignment. Baseline testing including assessment of knee pain and MRI measurements of knee cartilage volume will be performed on all subjects, following whoich the particpant will be randomised into one of two groups: (i) laterally wedged insoles or, (ii) control insoles. The intervention period will be 12 months after which participants will be reassessed.
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Intervention code [1]
670
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None
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Comparator / control treatment
Control insoles.
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Control group
Placebo
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Outcomes
Primary outcome [1]
852
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a) Knee pain via a visual analogue scale
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Assessment method [1]
852
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Timepoint [1]
852
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Measured at baseline and 12 months
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Primary outcome [2]
853
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b) Disease progression via MRI measurements of knee cartilage volume
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Assessment method [2]
853
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Timepoint [2]
853
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Measured at baseline and 12 months
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Secondary outcome [1]
1693
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Western Ontario and McMaster Universities (WOMAC) Oestoarthritis Index
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Assessment method [1]
1693
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Timepoint [1]
1693
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Measured at baseline and 12 months.
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Secondary outcome [2]
1694
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Patient perceived response to treatment
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Assessment method [2]
1694
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Timepoint [2]
1694
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Measured at baseline and 12 months.
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Secondary outcome [3]
1695
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Health-related quality-of-life (via SF-36, AQoL questionnaires).
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Assessment method [3]
1695
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Timepoint [3]
1695
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Measured at baseline and 12 months.
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Secondary outcome [4]
1696
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Recorded use of health care.
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Assessment method [4]
1696
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Timepoint [4]
1696
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Measured at baseline and 12 months.
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Eligibility
Key inclusion criteria
Eligibility will be confirmed by radiographic and clinical examination. People with medial tibiofemoral joint OA fulfilling American College of Rheumatology classification criteria and reporting average knee pain on walking >3 on an 11-point scale will be included. Other inclusion criteria will be: (i) varus knee malalignment on standing anteroposterior lower limb x-ray.
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Minimum age
Not stated
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
(i) advanced radiographic knee OA (Kellgren and Lawrence stage 4; (ii) knee surgery or intra-articular corticosteroid injection within 6 months; (iii) current or past (within 4 weeks) oral corticosteroid use; (iv) systemic arthritic conditions; (v) history of tibiofemoral/patellofemoral joint replacement or tibial osteotomy; (vi) any other muscular, joint or neurological condition affecting lower limb function; (vii) ankle/foot pathology or pain that precludes the use of insoles; (viii) use of foot orthotics within past 6 months and; (ix) use of footwear that does not accomodate an insole.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed opaque envelopes kept in central location and opened at time of treatment by central administrator
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Block randomisation, according to a computer-generated random number list. Variable block sizes will be used with blocks stratified according to gender and severity of knee OA
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/02/2005
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Actual
12/05/2006
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Date of last participant enrolment
Anticipated
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Actual
20/08/2008
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
200
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
775
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Government body
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Name [1]
775
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NHMRC project grant
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Address [1]
775
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NHMRC
Canberra, ACT
Australia
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Country [1]
775
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Australia
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Primary sponsor type
Individual
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Name
Prof Kim Bennell
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Address
Department of Physiotherapy
University of Melbourne
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Country
Australia
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Secondary sponsor category [1]
637
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Individual
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Name [1]
637
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Dr Rana Hinman
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Address [1]
637
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Department of Physiotherapy
University of Melbourne
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Country [1]
637
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Australia
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Secondary sponsor category [2]
638
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Individual
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Name [2]
638
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Mr Tim Wrigley
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Address [2]
638
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Department of Physiotherapy
University of Melbourne
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Country [2]
638
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Australia
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Secondary sponsor category [3]
639
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Individual
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Name [3]
639
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A/Prof Flavia Cicuttini
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Address [3]
639
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Monash University
Melbourne
Victoria
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Country [3]
639
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Australia
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Secondary sponsor category [4]
640
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Individual
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Name [4]
640
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Dr Craig Payne
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Address [4]
640
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La Trobe University
Bundoora
Victoria
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Country [4]
640
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Australia
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Secondary sponsor category [5]
641
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Individual
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Name [5]
641
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Mr Anthony Harris
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Address [5]
641
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Monash University
Melbourne
Victoria
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Country [5]
641
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
293840
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University of Melbourne Human Research Ethics Committee
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Ethics committee address [1]
293840
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University of Melbourne Victoria
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Ethics committee country [1]
293840
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Australia
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Date submitted for ethics approval [1]
293840
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01/12/2004
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Approval date [1]
293840
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01/12/2004
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Ethics approval number [1]
293840
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050031
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Summary
Brief summary
Knee osteoarthritis (OA) is a painful and costly condition. Wedged shoe insoles are a simple intervention that may reduce pain and slow disease progression in people with knee OA and bow legs. They are thought to work by changing the alignment of the knee, altering muscle activity and ultimately reducing load across the knee joint. This project will compare the effect of a lateral wedged insole and a flat insole to see whether the lateral wedges are a useful treatment for people with knee OA. Participants will be screened over the phone first then will attend the Centre for Health, Exercise and Sports Medicine for further screening to assess their suitability. If they pass the screening, they will undergo baseline testing at the Centre which will take around 2 hours. They will complete questionnaires about their knee pain and function, quality of life, expectation of treatment benefit, physical activity levels and self motivation. Measurements will also be taken of walking, muscle strength, and foot type. Participants will attend the Epworth Hospital for a magnetic resonance imaging scan of the knee which will take about 1 hour. Participants will be randomly allocated into one of two groups (i) wedged shoe insoles (ii) control shoe insoles (with no wedging). Participants will wear the insoles in both shoes full time for 12 months. They will be provided with several pairs for replacement and for different shoes. Participants will be asked to complete a log-book during this time to record their insole wear compliance, any negative effects of the insoles, medication use, visits to health professionals and any additional home support. Some of the questionnaires will be completed at home after wearing the insoles for 6 months. At 12 months, participants will return to the Centre for repeat testing and to the Epworth for another knee scan.
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Trial website
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Trial related presentations / publications
BMJ. 2011; 342: d2912. Published online 2011 May 18. doi: 10.1136/bmj.d2912 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, and Rana S Hinman,
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Public notes
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Contacts
Principal investigator
Name
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Prof Kim Bennell
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Address
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University of Melbourne
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Country
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Australia
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Phone
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+61 3 83444135
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Fax
35182
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Email
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[email protected]
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Contact person for public queries
Name
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Mrs Kelly-Ann Bowles
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Address
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School of Physiotherapy
University of Melbourne
Parkville VIC 3010
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Country
9859
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Australia
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Phone
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+61 3 83020019
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Fax
9859
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+61 3 83443771
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Email
9859
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[email protected]
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Contact person for scientific queries
Name
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Professor Kim Bennell
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Address
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School of Physiotherapy
University of Melbourne
Parkville VIC 3010
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Country
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Australia
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Phone
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+61 3 83444135
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Fax
787
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+61 3 83443771
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Email
787
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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