Clinical practice guidelines for rest orthosis, knee sleeves, and unloading knee braces in knee osteoarthritis

Beaudreuil, J.; Bendaya, S.; Faucher, Marc; Coudeyre, Emmanuel; Ribinik, P.; Revel, Michel; Rannou, François

doi:10.1016/j.jbspin.2009.02.002

Cited by 83 publications

(64 citation statements)

References 27 publications

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“…Despite previous reviews that are generally supportive of valgus bracing and highlight their relatively low cost and associated risks (11,(52)(53)(54), the rates of valgus brace prescription are very low (23)(24)(25). The personal costs, complications, and poor long-term compliance associated with valgus bracing are previously noted concerns that may influence patient decisions and clinical practices (11,23,55,56). The present meta-analysis suggests that minor complications, such as constraining fit, slipping, swelling, blisters, and skin irritation are indeed relatively common (Figure 3).…”

Section: Discussionmentioning

confidence: 92%

“…Moreover, despite reviewing the same literature, some guidelines support the use of valgus bracing as an appropriate treatment for patients with medial knee osteoarthritis (18 -20), while others suggest that the supporting evidence is inconclusive (21,22). The potential benefits of this relatively low-cost intervention are also often weighed against proposed complications and poor compliance (11,12,23). Perhaps due to this uncertainty, reported rates of valgus brace use are surprisingly low given the high prevalence and burden of medial knee osteoarthritis (23)(24)(25)(26).…”

Section: Introductionmentioning

confidence: 99%

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Valgus Bracing for Knee Osteoarthritis: A Meta‐Analysis of Randomized Trials

Moyer

Birmingham

Bryant

et al. 2015

Arthritis Care & Research

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Objective. To evaluate the effects of valgus knee bracing on pain and function, and compliance and complications, in patients with medial knee osteoarthritis (OA). Methods. A meta-analysis of randomized controlled trials that compared changes in patient-reported pain and/or function in patients with medial knee OA was performed. Seven databases were searched from their inception to January 2014. Two reviewers independently determined study eligibility, rated risk of bias, and extracted data. Pooled estimates and 95% confidence intervals (95% CIs) for standardized mean differences (SMDs) for the improvement in pain (and function) were calculated. Event rates (proportions) were calculated for studies that reported complications.

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Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Valgus Bracing for Knee Osteoarthritis: A Meta‐Analysis of Randomized Trials

Moyer

Birmingham

Bryant

et al. 2015

Arthritis Care & Research

View full text Add to dashboard Cite

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“…[2] In an SR which was published after this report, non-randomized trials were also analyzed. [28] It was concluded that compressive loading over the medial tibial compartment might be decreased, proprioception might be improved, and the isokinetic power of the quadriceps muscle might be increased by using a valgus brace (LOE III). A shortto-medium period of using the valgus brace might provide pain relief and improve quality of life, but the effect range of this device is variable, and it is difficult and uncomfortable to use.…”

mentioning

confidence: 99%

Evidence-Based Recommendations for the Management of Knee Osteoarthritis: A Consensus Report of the Turkish League Against Rheumatism

et al. 2012

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Amaç: Diz osteoartriti (OA) sık görülen ve neden olduğu ağrı ve sakatlık sonucunda sosyoekonomik yük bindiren bir hastalıktır. Türkiye Romatizma Araştırma ve Savaş Derneği (TRASD) OA tedavisi ile uğraşan hekimlere günlük klinik uygulamalarında yardımcı olmak amacıyla, uzman görüşleri ile desteklenmiş, ulusal "diz osteoartrit tedavisinde kanıta dayalı önerileri" hazırlamak için bir proje başlatmıştır. Objectives: Knee osteoarthritis (OA) is a common disease which causes pain, disability and great socioeconomic burden as a result. Turkish League Against Rheumatism (TLAR) initiated a project to prepare national, "evidence-based recommendations for the management of knee osteoarthritis" supported by expertopinion in order to assist the physicians who are interested in knee OA in their daily clinical practice. Gereç ve yöntemler: Materials and methods:The expert committee was composed of 25 academicians, 23 of whom were physical medicine and rehabilitation (PM&R) specialists (three also had rheumatology subspeciality) and two were orthopedic surgeons. At the first meeting, the previous guidelines were discussed, and 2008 Osteoarthritis Research Society International (OARSI) recommendations were decided to be taken as the fundamental template for national recommendations. Databases of the Pubmed, Embase, Cochrane, and Turkish Medical Index were used to search the literature, and this was carried out for the period between 2009-2010 for international publications since studies up to 2009 were present in the 2010 OARSI update. No limit was applied for searching of national publications. The selected relevant publications were graded according to evidence level and quality, and were sent to the members who were then asked to suggest propositions according to their experiences, knowledge, and review of the literature. After amalgamation and editing of new proposals, Delphi rounds were started. After five Delphi rounds, the propositions on which the members were in consensus, were discussed with regard to evidence and the "strength of recommendation" was determined by measuring on visual analog scale (VAS) for each proposal at the final meeting.Results: Nineteen propositions (one for general principles, nine for nonpharmacologic treatments, seven for pharmacologic treatments, and two for surgical treatments) were accepted as the "TLAR Evidence-Based Recommendations for the Management of Knee OA" in consensus as a result of Delphi rounds. Conclusion:Evidence-based recommendations for the management of knee OA were developed by TLAR for the first time in our country. The recommendations should be updated regularly according to new evidence and insights. It is expected that physicians who are interested in knee OA will benefit greatly from this report in their daily clinical practice.

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“…quadriceps strength and gait symmetry (11) and while they significantly improve joint proprioception, this does not appear to improve postural control (6). The main drawbacks with unloading braces are a variable response rate (39 to 93% of patients notice improvement) (11), and discomfort due to heaviness, heat and mobility of the device.…”

mentioning

confidence: 99%

“…The main drawbacks with unloading braces are a variable response rate (39 to 93% of patients notice improvement) (11), and discomfort due to heaviness, heat and mobility of the device. The latter can also lead to persistent joint instability.…”

mentioning

confidence: 99%