Braces and orthoses for treating osteoarthritis of the knee.
@article{Duivenvoorden2015BracesAO, title={Braces and orthoses for treating osteoarthritis of the knee.}, author={Tijs Duivenvoorden and Reinoud W. Brouwer and Tom van Raaij and Arianne P. Verhagen and Jan A. N. Verhaar and Sita M. A. Bierma-Zeinstra}, journal={The Cochrane database of systematic reviews}, year={2015}, volume={3}, pages={ CD004020 } }
BACKGROUND
Individuals with osteoarthritis (OA) of the knee can be treated with a knee brace or a foot/ankle orthosis. The main purpose of these aids is to reduce pain, improve physical function and, possibly, slow disease progression. This is the second update of the original review published in Issue 1, 2005, and first updated in 2007.
OBJECTIVES
To assess the benefits and harms of braces and foot/ankle orthoses in the treatment of patients with OA of the knee.
SEARCH METHODS
We searched…
101 Citations
The effectiveness of foot orthoses in the treatment of medial knee osteoarthritis: A systematic review.
- MedicineGait & posture
- 2019
Osteotomy for treating knee osteoarthritis.
- MedicineThe Cochrane database of systematic reviews
- 2014
The quality of evidence for most outcomes comparing different osteotomy techniques was downgraded to low because of the number of available studies, the numbers of participants and limitations in design, and the risk of bias.
Valgus knee bracing may have no long-term effect on pain improvement and functional activity in patients with knee osteoarthritis: a meta-analysis of randomized trials
- MedicineJournal of Orthopaedic Surgery and Research
- 2020
The current evidence suggests that valgus knee bracing may not improve pain release and function activates in KOA patients in the long-term period, but only being beneficial to the short-term rehabilitation.
Orthoses for osteoarthritis: A narrative review.
- MedicineAnnals of physical and rehabilitation medicine
- 2017
Effect of Soft Braces on Pain and Physical Function in Patients With Knee Osteoarthritis: Systematic Review With Meta-Analyses.
- MedicineArchives of physical medicine and rehabilitation
- 2018
Treatment modalities for patients with varus medial knee osteoarthritis
- Medicine
- 2015
It is concluded that a valgus knee brace and a laterally wedged insole both have small beneficial effects in terms of improvement of pain, symptoms and functional outcome in patients with varus medial knee OA.
Hyaluronic acid and other conservative treatment options for osteoarthritis of the ankle.
- MedicineThe Cochrane database of systematic reviews
- 2015
The Ankle Osteoarthritis Scale (AOS) total score was reduced by 12% and the results for pain on a Visual Analogue Scale (VAS) at 12 months are inconclusive; this evidence was graded as low quality, due to limitations in study design and imprecision of results.
A systematic review investigating the efficacy of laterally wedged insoles for medial knee osteoarthritis
- MedicineRheumatology International
- 2013
There is limited evidence to support the prescription of LWI to people with medial compartment osteoarthritis to reduce pain and increase function, and there remains a paucity of evidence to determine whether LWI outcomes differ in subgroups of the patients, such as severe compared to mild osteOarthritis, obese patients, or whether the angle of L WI is of clinical importance.
The role of orthoses in knee osteoarthritis
- MedicineHospital practice
- 2019
The ideal option for an orthosis in patients with knee OA keeps on indeterminate, and long-run inferences are lacking.
Clinical effectiveness and safety of a distraction-rotation knee brace for medial knee osteoarthritis.
- MedicineAnnals of physical and rehabilitation medicine
- 2015
References
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The quality of evidence for most outcomes comparing different osteotomy techniques was downgraded to low because of the number of available studies, the numbers of participants and limitations in design, and the risk of bias.
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The pooled analyses of the effects of viscosupplementation against 'placebo' controls generally supported the efficacy of this class of intervention and readers should be cautious, therefore, in drawing conclusions regarding the relative value of different products.
A randomized crossover trial of a wedged insole for treatment of knee osteoarthritis.
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The effect of treatment with a lateral-wedge insole for knee OA was neither statistically significant nor clinically important.
Medial Knee Osteoarthritis Treated by Insoles or Braces: A Randomized Trial
- Medicine, PsychologyClinical orthopaedics and related research
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The data suggest a laterally wedged insole may be an alternative to valgus bracing for noninvasively treating symptoms of medial knee OA.
Lateral wedge insoles as a conservative treatment for pain in patients with medial knee osteoarthritis: a meta-analysis.
- Medicine, PsychologyJAMA
- 2013
IMPORTANCE
There is no consensus regarding the efficacy of lateral wedge insoles as a treatment for pain in medial knee osteoarthritis.
OBJECTIVE
To evaluate whether lateral wedge insoles reduce…
Realignment treatment for medial tibiofemoral osteoarthritis: randomised trial
- MedicineAnnals of the rheumatic diseases
- 2012
Multi-modal realignment treatment decreases pain in persons with medial tibiofemoral OA, as assessed by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).
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- Medicine, PsychologyThe Cochrane database of systematic reviews
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Opioids were more beneficial in pain reduction than control interventions and improvement of function was larger in opioid-treated participants compared with control groups, and risk ratios for safety outcomes were larger.
Does knee malalignment increase the risk of development and progression of knee osteoarthritis? A systematic review.
- MedicineArthritis and rheumatism
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Given the paucity of investigation into the relationship between knee malalignment and risk of incident OA, further high-quality cohort studies are needed, and these may have important implications for the prevention of knee OA.