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knee brace osteoarthritis

Tariq A Kwaees, Jim Richards, Gill Rawlinson, Charalambos Panayiotou Charalambous, Ambreen Chohan
BACKGROUND: Use of proprioceptive knee braces to control symptomology by altering neuromuscular control mechanisms has been shown in patellofemoral pain. Although their potential in patients with knee osteoarthritis is vast, little research has examined their efficacy. OBJECTIVES: This study examines the effect of a proprioceptive knee brace on lower limb kinematics and kinetics in healthy participants and in participants with OA. METHODS: Thirteen healthy participants were asked to perform a 10-cm step-down task with and without a proprioceptive brace...
October 4, 2018: Prosthetics and Orthotics International
M Lehnertová, L Siudová, M Janura, Z Svoboda, J Gallo, P Kamínek
PURPOSE OF THE STUDY Knee joint is the most common place where osteoarthritis may occur. A specific therapy is indicated to patients depending on the degree of disability and other signs. The available methods and their clinical value are regularly assessed in systematic reviews and meta-analysis of clinical studies. The evidence of working mechanism of the specific therapeutic intervention is another important part of evaluating its therapy effect. One of the possibilities of knee osteoarthritis conservative treatment is a functional prophylactic knee brace...
2018: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Wolf Petersen, Andree Ellermann, Jörg Henning, Stefan Nehrer, Ingo Volker Rembitzki, Jürgen Fritz, Christoph Becher, Alfio Albasini, Wolfgang Zinser, Volker Laute, Klaus Ruhnau, Hartmut Stinus, Christian Liebau
BACKGROUND: The use of an unloader brace is a non-surgical treatment option for patients with medial osteoarthritis (OA). However, many patients do not adhere to brace treatment, because of skin irritation due to the pads at the level of the joint space and bad fit. A new concept to unload the medial compartment of the knee is a foot ankle brace with a lever arm pressing the thigh in valgus. The aim of this prospective randomized trial was to examine the outcomes of patients with medial OA after treatment with a conventional knee unloader brace (Unloader One® ) and the new foot ankle orthosis (Agilium FreeStep® )...
September 25, 2018: Archives of Orthopaedic and Trauma Surgery
E Carlos Rodriguez-Merchan, Hortensia De La Corte-Rodriguez
OBJECTIVES: Taking into account that the role of orthoses in patients with knee osteoarthritis (OA) is unclear and controversial, the purpose of this article is to review recent literature with the aim of answering the following question: What is the current role of orthoses in the treatment of knee OA? METHODS: A Cochrane Library and PubMed (MEDLINE) search related to the role of orthoses in knee OA was performed. RESULTS: Unloader braces decrease the adduction moment of the knee...
September 23, 2018: Hospital Practice (Minneapolis)
Hjörtur F Hjartarson, Sören Toksvig-Larsen
BACKGROUND: Treatment of patients with knee osteoarthritis is challenging. Unloader braces have been developed with various success. Unloader One® Knee Brace is light, easily-fitted and shown to be effective by the unloading of the affected compartment. The aim of the study was to assess the clinical outcome of the brace vs. a placebo on patients with knee osteoarthritis. METHODS: Initially 150 patients were randomized to receive either the Unloader brace or a control placebo group look-alike brace where the active strips had been removed...
September 22, 2018: BMC Musculoskeletal Disorders
Saad Jawaid Khan, Soobia Saad Khan, Juliana Usman, Abdul Halim Mokhtar, Noor Azuan Abu Osman
BACKGROUND: Knee osteoarthritis is a major contributor to the global burden of disease. There is a need of reducing knee joint load and to improve balance and physical function among knee osteoarthritis patients. OBJECTIVES: To test the hypothesis that toe-out gait will reduce second peak knee adduction moment further and increase fall risk when combined with knee brace and laterally wedged insole in knee osteoarthritis patients. STUDY DESIGN: Single visit study with repeated measures...
September 7, 2018: Prosthetics and Orthotics International
Dietmar Dammerer, Florian Fischer, Raul Mayr, Johannes Giesinger, Rene El Attal, Michael C Liebensteiner
PURPOSE: To investigate whether temporary postoperative compartment-unloading therapy after arthroscopic partial meniscectomy (APM)-with either knee braces or wedge insoles-leads to superior clinical outcome as compared to controls. This difference in clinical outcome was tested in the form of two knee scores, physical activity and general health outcome over the first postoperative year. METHODS: Sixty-three patients who underwent arthroscopic partial meniscectomy (APM) were randomized to one of the following three groups: 12 weeks postoperative knee compartment-unloading therapy with either a knee brace (brace group) or wedge insoles (insole group) or no specific postoperative therapy (control group)...
August 22, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Tomasz Cudejko, Martin van der Esch, Josien C van den Noort, Judith J M Rijnhart, Marike van der Leeden, Leo D Roorda, Willem Lems, Gordon Waddington, Jaap Harlaar, Joost Dekker
OBJECTIVE: To evaluate whether improvement of proprioception, pain or dynamic knee instability mediate the effect of wearing a soft knee brace on activity limitations in persons with knee osteoarthritis (OA). METHODS: Exploratory analysis from 44 participants with knee OA and self-reported knee instability in a laboratory trial evaluating the effect of wearing a commercially available soft knee brace. Activity limitations were assessed with the 10-meter walk test and the Get up and Go test...
August 12, 2018: Arthritis Care & Research
Elsa Mauricio, Maik Sliepen, Dieter Rosenbaum
BACKGROUND: Knee osteoarthritis (KOA) is the most common form of arthritis with an estimated lifetime prevalence of 45%. The use of orthotic devices is a generally accepted conservative therapy in KOA. A new conservative treatment is an ankle-foot orthosis (AFO); however, studies on the biomechanical effects are limited. The aim of this study was to examine the acute effects of different orthotic devices (AFO, knee brace and wedged shoes) on (un)loading parameters in subjects with KOA...
October 2018: Knee
Philippe Thoumie, Marc Marty, Bernard Avouac, Adeline Pallez, Arnaud Vaumousse, Linh Pham Thi Pipet, André Monroche, Nicolas Graveleau, Armand Bonnin, Cyrine Ben Amor, Emmanuel Coudeyre
Evidence is still inconclusive for the benefits of bracing in patients with knee osteoarthritis. To assess the effect of REBEL RELIEVER unloading knee brace in conservative treatment of knee osteoarthritis, a randomized controlled trial was conducted in 67 patients with symptomatic medial knee osteoarthritis, who randomly received 6-week treatment with either REBEL RELIVER unloading knee brace + usual care (Brace group, N = 32) or usual care alone (Control group, N = 35). Primary outcome was the global last 24h-pain relief (100-mm visual analogic scale [VAS]) at 6 weeks...
July 12, 2018: Scientific Reports
Dylan A Mistry, Amit Chandratreya, Paul Y F Lee
Background  The incidence of osteoarthritis is increasing and it is one of the most common causes of chronic conditions. Total knee replacement is the mainstay of treatment for end-stage knee osteoarthritis; however, with long waiting lists and high levels of dissatisfaction, a treatment like knee braces could potentially delay surgery. Unicompartmental knee osteoarthritis is associated with misalignment of the knee, and unloader bracing has been recommended by various guidelines to correct this misalignment...
July 2018: Surgery Journal
Shannon R Neville, Scott C E Brandon, Marcus J Brown, Kevin J Deluzio
Unloader braces are one non-invasive treatment of knee osteoarthritis, which primarily function by applying an external abduction moment to the joint to reduce loads in the medial compartment of the knee. We developed a novel method using brace deflection to estimate the mechanical effect of valgus braces and validated this model using strain gauge instrumentation. Three subjects performed static and walking trials, in which the moment applied by an instrumented brace was calculated using the deflection and strain methods...
June 12, 2018: Journal of Biomechanics
Tomasz Cudejko, Martin van der Esch, Jim Schrijvers, Rosie Richards, Josien C van den Noort, Tim Wrigley, Marike van der Leeden, Leo D Roorda, Willem Lems, Jaap Harlaar, Joost Dekker
Objectives: Wearing a soft knee brace has been shown to reduce self-reported knee instability in persons with knee OA. There is a need to assess whether a soft knee brace has a beneficial effect on objectively assessed dynamic knee instability as well. The aims of the study were to evaluate the effect of a soft knee brace on objectively assessed dynamic knee instability and to assess the difference in effect between a non-tight and a tight soft knee brace in persons with knee OA. Methods: Thirty-eight persons with knee OA and self-reported knee instability participated in a laboratory study...
October 1, 2018: Rheumatology
Marie Askenberger, Eva Bengtsson Moström, Wilhelmina Ekström, Elizabeth A Arendt, Anna Hellsten, Christina Mikkelsen, Per-Mats Janarv
BACKGROUND: A lateral patellar dislocation (LPD) is the most common traumatic knee injury with hemarthrosis in children. The redislocation rate is high. Varying operative and nonoperative treatments have been advocated with no consensus on the best treatment. PURPOSE: (1) To evaluate if arthroscopic-assisted repair of the medial patellofemoral ligament (MPFL) in patients with an acute first-time traumatic LPD would reduce the recurrence rate and offer better objective/subjective knee function compared with a knee brace without repair...
August 2018: American Journal of Sports Medicine
Frank R Kolisek, Charles Jaggard, Anton Khlopas, Assem A Sultan, Nipun Sodhi, Michael A Mont
A number of non-operative treatment options are commonly prescribed for patients presenting with degenerative osteoarthritis of the knee, where surgery is not yet recommended. However, there is a paucity of studies evaluating the comparative effectiveness of these treatment options to best inform both patients and providers. This study examined the comparative effectiveness of a home exercise program versus bracing or a combination of the two (brace-only, exercise-only, and brace and exercise cohorts) on the following: 1) objective functional measures (quadriceps muscle strength, Self-Paced Walk Test [SPWT], and Timed "Up & Go" [TUG] Test); 2) subjective functional measures (Lower Extremity Function Scale [LEFS] and Health Survey [VR-12] outcomes); 3) pain using Visual Analog Scale [VAS-10]; 4) patient metrics (patient treatment preference, perceptions, and compliance); and 5) progression to total knee arthroplasty (TKA) over a 12-week period...
June 1, 2018: Surgical Technology International
Chetan Gohal, Ajaykumar Shanmugaraj, Patrick Tate, Nolan S Horner, Asheesh Bedi, Anthony Adili, Moin Khan
CONTEXT: Knee osteoarthritis affects 9.3 million adults over age 45 years in the United States. There is significant disability associated with this condition. Given the potential complications and the significant cost to the health care system with the dramatic increase in total knee arthroplasties performed for this condition, assessment of the efficacy of nonoperative modalities, such as offloading knee braces, is essential as part of optimizing nonoperative treatment for this condition...
March 15, 2018: Sports Health
Takuma Inai, Tomoya Takabayashi, Mutsuaki Edama, Masayoshi Kubo
BACKGROUND: Decreasing the daily cumulative hip moments in the frontal and sagittal planes may lower the risk of hip osteoarthritis. Therefore, it may be important to evaluate factors that affect hip moment impulse during gait. RESEARCH QUESTION: It is unclear what factors affect hip moment impulse during gait. This systematic review aimed to evaluate different factors that affect hip moment impulse during gait in healthy adults and patients with hip osteoarthritis...
March 2018: Gait & Posture
Saad Jawaid Khan, Soobia Saad Khan, Juliana Usman, Abdul Halim Mokhtar, Noor Azuan Abu Osman
OBJECTIVE: To test the hypothesis that toe-in gait (TI) will further reduce first peak (Knee Adduction Moment) KAM and decrease balance when combined with a knee brace (KB) and laterally wedged insoles (LWI) in medial knee osteoarthritis (kOA) patients. PARTICIPANTS: Twenty patients with bilateral symptomatic medial kOA. INTERVENTIONS: 4-point leverage-based KB, full-length LWI with 5° inclination and toe-in gait (TI). MAIN OUTCOME MEASURES: First and second peak knee adduction moment (fKAM and sKAM respectively), balance and pain...
March 2018: Gait & Posture
Emmanuel Coudeyre, Christelle Nguyen, Aurore Chabaud, Bruno Pereira, Johann Beaudreuil, Jean-Marie Coudreuse, Philippe Deat, Frédéric Sailhan, Alain Lorenzo, François Rannou
OBJECTIVE: To develop a decision-making tool (DMT) to facilitate the prescription of knee orthoses for patients with osteoarthritis (OA) in daily practice. METHODS: A steering committee gathered a multidisciplinary task force experienced in OA management/clinical research. Two members performed a literature review with qualitative analysis of the highest-quality randomized controlled trials and practice guidelines to confirm evidence concerning knee orthosis for OA...
March 2018: Annals of Physical and Rehabilitation Medicine
D Schiphof, J J van den Driest, J Runhaar
OBJECTIVE: The purpose of this systematic review was to describe studies examining rehabilitation for people with osteoarthritis (OA) and to summarize findings from selected key systematic reviews (SRs) and randomized controlled trials (RCTs). DESIGN: A systematic search was performed using Pubmed, Embase and Cochrane databases from April 1st 2016 to May 15th 2017 using the terms 'osteoarthritis', 'randomized controlled trial', and 'systematic review'. Inclusion criteria were: clinically or radiologically diagnosed patients with OA, rehabilitation treatment, RCT or SRs...
March 2018: Osteoarthritis and Cartilage
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