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knee brace osteoarthritis

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https://www.readbyqxmd.com/read/30099859/decreased-pain-and-improved-dynamic-knee-instability-mediate-the-beneficial-effect-of-wearing-a-soft-knee-brace-on-activity-limitations-in-persons-with-knee-osteoarthritis
#1
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
https://www.readbyqxmd.com/read/30017510/acute-effects-of-different-orthotic-interventions-on-knee-loading-parameters-in-knee-osteoarthritis-patients-with-varus-malalignment
#2
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...
July 14, 2018: Knee
https://www.readbyqxmd.com/read/30002395/effect-of-unloading-brace-treatment-on-pain-and-function-in-patients-with-symptomatic-knee-osteoarthritis-the-rotor-randomized-clinical-trial
#3
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
https://www.readbyqxmd.com/read/29978048/an-update-on-unloading-knee-braces-in-the-treatment-of-unicompartmental-knee-osteoarthritis-from-the-last-10-years-a-literature-review
#4
REVIEW
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
https://www.readbyqxmd.com/read/29935735/validation-of-method-for-analysing-mechanics-of-unloader-brace-for-medial-knee-osteoarthritis
#5
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
https://www.readbyqxmd.com/read/29931372/the-immediate-effect-of-a-soft-knee-brace-on-dynamic-knee-instability-in-persons-with-knee-osteoarthritis
#6
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...
June 20, 2018: Rheumatology
https://www.readbyqxmd.com/read/29847145/operative-repair-of-medial-patellofemoral-ligament-injury-versus-knee-brace-in-children-with-an-acute-first-time-traumatic-patellar-dislocation-a-randomized-controlled-trial
#7
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
https://www.readbyqxmd.com/read/29791699/a-comparative-effectiveness-study-for-non-operative-treatment-methods-for-knee-osteoarthritis
#8
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
https://www.readbyqxmd.com/read/29543576/effectiveness-of-valgus-offloading-knee-braces-in-the-treatment-of-medial-compartment-knee-osteoarthritis-a-systematic-review
#9
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 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29494823/evaluation-of-factors-that-affect-hip-moment-impulse-during-gait-a-systematic-review
#10
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
https://www.readbyqxmd.com/read/29413792/combined-effects-of-knee-brace-laterally-wedged-insoles-and-toe-in-gait-on-knee-adduction-moment-and-balance-in-moderate-medial-knee-osteoarthritis-patients
#11
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
https://www.readbyqxmd.com/read/29406129/a-decision-making-tool-to-prescribe-knee-orthoses-in-daily-practice-for-patients-with-osteoarthritis
#12
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
https://www.readbyqxmd.com/read/29330103/osteoarthritis-year-in-review-2017-rehabilitation-and-outcomes
#13
REVIEW
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
https://www.readbyqxmd.com/read/29282267/stepped-care-approach-for-medial-tibiofemoral-osteoarthritis-streamline-protocol-for-a-randomised-controlled-trial
#14
Sarah Rubia Robbins, Luciano Ricardo S Melo, Hema Urban, Leticia A Deveza, Rebecca Asher, Victoria L Johnson, David J Hunter
INTRODUCTION: Current guidelines recommend tailored interventions to optimise knee osteoarthritis (OA) management. However, models of care still have a 'one size fits all' approach, which is suboptimal as it ignores patient heterogeneity. This study aims to compare a stepped care strategy with standard care for overweight and obese persons with medial tibiofemoral OA. METHODS AND ANALYSIS: Participants will be randomised into two groups (85 each). The intervention will receive a diet and exercise programme for 18 weeks in the first step of the study...
December 26, 2017: BMJ Open
https://www.readbyqxmd.com/read/29214918/effects-of-knee-orthosis-adjustment-on-biomechanical-performance-and-clinical-outcome-in-patients-with-medial-knee-osteoarthritis
#15
Andreas Brand, Isabella Klöpfer-Krämer, Mario Morgenstern, Inga Kröger, Björn Michel, Andreas Thannheimer, Janina Anna Müßig, Peter Augat
BACKGROUND: Valgus bracing in medial knee osteoarthritis aims to improve gait function by reducing the loading of the medial compartment. Orthosis composition and optimal adjustment is essential to achieve biomechanical and clinical effectiveness. OBJECTIVES: To investigate biomechanical functionality during gait, pain relief and compliance in patients with knee osteoarthritis using a lightweight adjustable knee unloader orthosis. STUDY DESIGN: Prospective observational clinical trial...
December 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29191237/the-immediate-effect-of-a-soft-knee-brace-on-pain-activity-limitations-self-reported-knee-instability-and-self-reported-knee-confidence-in-patients-with-knee-osteoarthritis
#16
Tomasz Cudejko, Martin van der Esch, Marike van der Leeden, Josien C van den Noort, Leo D Roorda, Willem Lems, Jos Twisk, Martijn Steultjens, James Woodburn, Jaap Harlaar, Joost Dekker
BACKGROUND: We aimed to (i) evaluate the immediate effect of a soft knee brace on pain, activity limitations, self-reported knee instability, and self-reported knee confidence, and (ii) to assess the difference in effect between a non-tight and a tight soft brace in patients with knee osteoarthritis (OA). METHODS: Forty-four patients with knee OA and self-reported knee instability participated in the single-session, laboratory, experimental study. A within-subject design was used, comparing a soft brace with no brace, and comparing a non-tight with a tight soft brace...
December 1, 2017: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/29060194/effects-of-counteracting-external-valgus-moment-on-lateral-tibial-cartilage-contact-conditions-and-tibial-rotation
#17
Duraisamy Shriram, Rizuwana Parween, Yee Han Dave Lee, Karupppasamy Subburaj
Knee osteoarthritis that prevalently occurs at the medial compartment is a progressive chronic disorder affecting the articular cartilage of the knee joint, and lead to loss of joint functionality. Valgus braces have been used as a treatment procedure to unload the medial compartment for patients with medial osteoarthritis. Valgus braces through the application of counteracting external valgus moment shift the load from medial compartment towards the lateral compartment. Previous biomechanical studies focused only on the changes in varus moments before and after wearing the brace...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29028621/combining-valgus-knee-brace-and-lateral-foot-wedges-reduces-external-forces-and-moments-in-osteoarthritis-patients
#18
Amir Ali Jafarnezhadgero, Anderson S Oliveira, Seyed Hamed Mousavi, Morteza Madadi-Shad
Osteoarthritis progression can be related to the external knee adduction and flexion moments during walking. Lateral foot wedges and knee braces have been used as treatment for osteoarthritis, but little is known about their influence on knee joint moments generated in the sagittal and frontal planes. Therefore, the aim of the present study was determine the effects of the isolated and combined use of valgus knee brace and lateral wedge foot orthotic on peak forces and moments during gait in knee osteoarthritis patients...
January 2018: Gait & Posture
https://www.readbyqxmd.com/read/28913649/improvement-in-diagnostic-and-therapeutic-arthrocentesis-via-constant-compression
#19
Tej B Bhavsar, Wilmer L Sibbitt, Philip A Band, Romy J Cabacungan, Timothy S Moore, Luis C Salayandia, Roderick A Fields, Scarlett K Kettwich, Luis P Roldan, N Suzanne Emil, Monthida Fangtham, Arthur D Bankhurst
We hypothesized that constant compression of the knee would mobilize residual synovial fluid and promote successful arthrocentesis. Two hundred and ten knees with grade II-III osteoarthritis were included in this paired design study: (1) conventional arthrocentesis was performed with manual compression and success and volume (milliliters) determined; and (2) the intra-articular needle was left in place, and a circumferential elastomeric brace was tightened on the knee to provide constant compression. Arthrocentesis was attempted again and additional fluid volume was determined...
August 2018: Clinical Rheumatology
https://www.readbyqxmd.com/read/28903017/is-a-high-tibial-osteotomy-hto-superior-to-non-surgical-treatment-in-patients-with-varus-malaligned-medial-knee-osteoarthritis-oa-a-propensity-matched-study-using-2-randomized-controlled-trial-rct-datasets
#20
COMPARATIVE STUDY
M V van Outeren, J H Waarsing, R W Brouwer, J A N Verhaar, M Reijman, S M A Bierma-Zeinstra
OBJECTIVE: No randomized controlled trial (RCT) has compared the high tibial osteotomy (HTO) with non-surgical treatment in patients with medial knee osteoarthritis (OA) and varus malalignment. The aim was to compare the effectiveness of an unloader brace treatment or a usual care program to the HTO regarding pain severity and knee function. DESIGN: Surgical treatment (HTO) to two non-surgical options was compared by combining the data of two RCTs. One RCT (n = 117) compared an unloader brace to usual care treatment; the other RCT (n = 92) compared closing to opening wedge HTO...
December 2017: Osteoarthritis and Cartilage
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