Some experts recommend flat, flexible shoes for people with knee osteoarthritis, while others say that shoes with stable support are better. Randomized trials now show that the latter (hard and stable shoes with good cushioning) is superior to supple and flexible shoes.
Osteoarthritis is the most common joint disorder in the United States. According to one recent estimate, 14 million Americans suffer from knee arthritis pain and stiffness.
Australian researchers randomly assigned 164 men and women with an average age of 65 years to wear soft or hard shoes 6 hours a day for 6 months. Footwear in the flats category included Merrell Bare Access, Vivobarefoot Primus Lite, Vivobarefoot Mata Canvas, Lacoste Marice and Converse Dainty Low. In a stable support group, the shoes included ASICS Kayano, Merrell Jungle Moc, Rockport Edge Hill, Nike Air Max 90 Ultra and New Balance 624.
Before and after the study, researchers managed questionnaires and scales to measure pain, function, and comfort. The report can be found in the Annals of Internal Medicine.
Researchers found that 58% of people in stable shoes achieved clinically significant pain relief compared to 40% in flexible shoes. In a functional assessment, 11% stable shoe wearers reported improvement. People wearing stable shoes are less likely to report other problems. Fifteen percent of people wearing stable shoes reported problems such as swelling of the knees, pain in the ankles and feet, or pain in other parts of the body caused by the shoes. For those who wear flexible shoes.
Senior author Rana S. Hinman, a professor of physiotherapy at the University of Melbourne, said supporting shoes are useful, but they do not replace other effective strategies such as weight management and exercise.
Still, she said, “Based on our clinical trials, people with knee osteoarthritis have stable soles with thicker cushions rather than flat shoes with thin, flexible soles without cushions. You should choose to wear supportive shoes. “
The best shoes for knee arthritis
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