{"id":36,"date":"2023-02-22T14:22:55","date_gmt":"2023-02-22T14:22:55","guid":{"rendered":"https:\/\/hub.salford.ac.uk\/human-movement-and-rehabilitation\/?page_id=36"},"modified":"2024-07-31T13:30:44","modified_gmt":"2024-07-31T13:30:44","slug":"non-surgical-management","status":"publish","type":"page","link":"https:\/\/hub.salford.ac.uk\/human-movement-and-rehabilitation\/knee-biomechanics-injury\/non-surgical-management\/","title":{"rendered":"Role of Non-Surgical Management in Knee Osteoarthritis"},"content":{"rendered":"\n<p>Individuals with knee osteoarthritis are in considerable pain and progression of the disease is driven by mechanical loading. Physio-therapeutic treatments offer symptomatic relief but unfortunately compliance and adherence to these treatments can be troublesome and they do not appear to alter the damaging mechanical loads. Current postgraduate research assesses the role of exercise in the treatment and how this can alter long-term functional status. Additionally, current National Institutes of Clinical Excellence (NICE) guidelines recommend the use of footwear and orthoses as an adjunct to current treatments and these are currently being investigated.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"300\" height=\"300\" src=\"http:\/\/hub.salford.ac.uk\/human-movement-and-rehabilitation\/wp-content\/uploads\/sites\/229\/2023\/03\/KneeOsteoFT-150x150-1.png\" alt=\"knee osteoarthritis scan\" class=\"wp-image-496\" srcset=\"https:\/\/hub.salford.ac.uk\/human-movement-and-rehabilitation\/wp-content\/uploads\/sites\/229\/2023\/03\/KneeOsteoFT-150x150-1.png 300w, https:\/\/hub.salford.ac.uk\/human-movement-and-rehabilitation\/wp-content\/uploads\/sites\/229\/2023\/03\/KneeOsteoFT-150x150-1-150x150.png 150w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"301\" height=\"300\" src=\"https:\/\/hub.salford.ac.uk\/human-movement-and-rehabilitation\/wp-content\/uploads\/sites\/229\/2023\/03\/image-4-e1605550241450.png\" alt=\"\" class=\"wp-image-519\" srcset=\"https:\/\/hub.salford.ac.uk\/human-movement-and-rehabilitation\/wp-content\/uploads\/sites\/229\/2023\/03\/image-4-e1605550241450.png 301w, https:\/\/hub.salford.ac.uk\/human-movement-and-rehabilitation\/wp-content\/uploads\/sites\/229\/2023\/03\/image-4-e1605550241450-150x150.png 150w\" sizes=\"(max-width: 301px) 100vw, 301px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p>The focus of the research projects are to investigate the role of current footwear and insoles in the management of medial knee osteoarthritis. The aim of the devices is to reduce the biomechanical loading at the knee joint with the aim to reduce pain and increase function. A variety of treatments are available such as lateral wedge insoles, valgus knee braces and biomechanical footwear.Recent randomised clinical trials have shown that these treatments can reduce&nbsp;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25991385\/\">biomechanical loading<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30615299\/\">pain<\/a>&nbsp;in individuals with medial knee osteoarthritis and are some of the largest studies in the scientific literature. The first randomised clinical trial on a biomechanical footwear treatment (<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/article-abstract\/2765729\">AposTherapy<\/a>) was recently published in the prestigious Journal of the American Medical Association (JAMA) The research focus is now to further develop orthotic maangement alongside standard treatment for idnividuals with medial knee osteoarthritis and understand whether this can delay progression of the disease.&nbsp; This work forms part of a larger research team from the Research In Osteoarthritis in Manchester (ROAM).<\/p>\n\n\n\n<p><strong>Team:\u00a0<\/strong><\/p>\n\n\n\n<p><a href=\"https:\/\/salford-repository.worktribe.com\/person\/1156298\/richard-jones\">Professor Richard Jones<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/salford-repository.worktribe.com\/person\/1159030\/anmin-liu\">Dr Anmin Liu<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Individuals with knee osteoarthritis are in considerable pain and progression of the disease is driven by mechanical loading. Physio-therapeutic treatments offer symptomatic relief but unfortunately compliance and adherence to these treatments can be troublesome and they do not appear to alter the damaging mechanical loads. Current postgraduate research assesses the role of exercise in the [&hellip;]<\/p>\n","protected":false},"author":190,"featured_media":0,"parent":34,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-36","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Role of Non-Surgical Management in Knee Osteoarthritis - Centre for Human Movement and Rehabilitation<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hub.salford.ac.uk\/human-movement-and-rehabilitation\/knee-biomechanics-injury\/non-surgical-management\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Role of Non-Surgical Management in Knee Osteoarthritis - Centre for Human Movement and Rehabilitation\" \/>\n<meta property=\"og:description\" content=\"Individuals with knee osteoarthritis are in considerable pain and progression of the disease is driven by mechanical loading. 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