Shoe Lifts for Leg Length Inequality in Adults With Knee or Hip Symptoms



Status:Completed
Conditions:Arthritis, Arthritis, Osteoarthritis (OA)
Therapuetic Areas:Rheumatology
Healthy:No
Age Range:55 - Any
Updated:5/5/2014
Start Date:July 2013
End Date:July 2015
Contact:Janice Woodard
Phone:1-877-471-6266

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Defining and Correcting Limb Length Inequality in Adults With Knee or Hip Symptoms

Limb length inequality is when a person has one leg that is longer than the other. This
research will look at correcting limb length inequality in adults with knee or hip symptoms.
This study will examine whether ways of measuring leg length inequality in the clinic are
valid and reliable, determine whether foot posture (flat foot, normal, and high arch) is
related to leg length inequality, and determine whether shoe lifts are a helpful treatment
for leg length inequality and knee/hip symptoms.

The purpose of this study is to examine the optimal clinical assessment method(s) for leg
length inequality (LLI), determine if there is an association between foot posture (flat
foot, normal, and high arch) and LLI, and gather preliminary data on lift therapy as a
treatment for LLI and knee/hip symptoms. The specific aims of the project are as follows:

Specific Aim 1: Determine the validity and reliability of 4 clinical methods for assessing
LLI.

Specific Aim 2: Determine differences in static and dynamic foot postures between longer and
shorter limbs.

Specific Aim 3: Assess the feasibility of conducting a specific lift therapy intervention
among individuals with a LLI and knee or hip pain, refining procedures as needed.

Public Health Impact: Results from the proposed research will be used to: 1) improve
diagnosis of LLI by providing evidence on the various assessment methods for the clinicians
who most frequently use clinical methods (i.e., physical therapists, chiropractors,
podiatrists, and primary care physicians), and 2) develop and test new
non-pharmacologic/non-invasive intervention strategies aimed at reducing pain and improving
function in individuals with osteoarthritis and LLI.

Inclusion Criteria:

- participants from the Johnston County Osteoarthritis Project who have been previously
identified to have a LLI and knee or hip symptoms

Exclusion Criteria:

- hospitalized for stroke, myocardial infarction, coronary artery revascularization, or
diagnosis of metastatic cancer in the past 3 months

- terminal illness

- rheumatoid arthritis, severe fibromyalgia, or other systemic rheumatic disease
We found this trial at
1
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Smithfield, North Carolina 27577
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Smithfield, NC
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