A unique foot-worn device for patients with degenerative meniscal tear

Avi Elbaz, Yiftah Beer, Ehud Rath, Guy Morag, Ganit Segal, Eytan M. Debbi, Daniel Wasser, Amit Mor, Ronen Debi
The purpose of the current study was to assess the effects of a new foot-worn device on the gait, physical function and pain in patients suffering from knee osteoar-thritis (OA) who had a low-impact injury to the medial meniscus causing a degenerative meniscal tear.
A retrospective analysis of 34 patients with knee OA and a degenerative medial meniscal tear was per-formed. Patients underwent a gait evaluation, using an electronic walkway mat, and completed the SF-36 health survey and the WOMAC questionnaire at baseline and after 3 and 12 months of therapy. AposTherapy is a func- tional, biomechanical, non-invasive rehabilitation therapy consisting of a foot-worn device that is individually cali- brated to each patient and is used during activities of daily living. Repeated-measures analyses were performed to compare gait parameters and self-evaluation questionnaires between baseline, and 3 and 12 months.
Significant improvements were found in gait velocity, step length and single-limb support of the involved knee following 12 weeks of therapy (all p \0.01), alongside an improvement in limb symmetry. These results were maintained at the 12-month follow-up examination. Signifi- cant improvements were also found in all three domains of the WOMAC index (pain, stiffness and physical function) and in the SF-36 Physical Health Scale and the SF-36 Mental Health Scale (all p \0.01).
Patients with knee OA and a degenerative medial meniscal tear using a biomechanical foot-worn device for a year showed improvement in gait, physical function and pain. Based on the findings of this study, it can be postulated that this biomechanical device might have a positive effect on this population.


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