Functions and Effectiveness of Unloader, Patellofemoral, and Knee Sleeve Orthoses: A Review

Dzidotor, Godwin K.; Moorhead, Jeffrey B.; Ude, Chinedu C.; Ogueri, Kenneth S.; Ghosh, Debolina; Laurencin, Cato T.

doi:10.1007/s40883-023-00313-1

Cited by 4 publications

(10 citation statements)

References 105 publications

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“…Different types of knee orthoses (ranging from rigid braces to soft sleeves) exist [ 14 ]. Rigid braces, such as an unloader or a valgus brace, are designed as rigid shells with a hinge joint and straps to correct the lower limb force lines of the varus leg alignment to biomechanically unload the knee joint during motion [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…The biomechanical results are encouraging, and meta-analyses on valgus bracing suggest improvements in pain [ 16 , 17 ], but current evidence is limited [ 1 , 15 ], and a lack of comfort can lead to a limited compliance [ 17 ]. Knee sleeves are a different orthotic design for the nonsurgical management of KOA, and they are typically made from elastic materials [ 14 ]. This type of orthoses does not intend to impact skeletal alignment but rather to provide joint support, mainly attributed to an improvement in proprioception by the simulation of the cutaneous mechanoreceptors [ 14 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

“…Knee sleeves are a different orthotic design for the nonsurgical management of KOA, and they are typically made from elastic materials [ 14 ]. This type of orthoses does not intend to impact skeletal alignment but rather to provide joint support, mainly attributed to an improvement in proprioception by the simulation of the cutaneous mechanoreceptors [ 14 , 18 ]. Beneficial effects on gait and balance [ 19 , 20 ], pain [ 18 , 21 ], and functional capacity [ 21 , 22 ] after the use of sleeves for KOA have been reported.…”

Section: Introductionmentioning

confidence: 99%

“…Another type of knee orthosis designed to strike a balance between support and flexibility is the semi-rigid knee orthosis. This orthosis combines the benefits of knee sleeves with technological advancements, such as laterally placed thin metal bars or patellar stabilization, potentially leading to increased efficacy and compliance [ 14 ]. Studies on treating ankle sprains with functional treatment have shown that the use of a semi-rigid orthosis is associated with a high level of wearing comfort and patient satisfaction [ 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

“…Dries et al [ 26 ] concluded, based on their study on patient-reported mobility and pain, that a semi-rigid knee orthosis appears to provide suitable joint support, offering pain relief and freedom of movement. However, it is important to note that the majority of previous studies have focused on either rigid braces or soft sleeves which have been in development for a longer period [ 14 ]. Consequently, there exists a gap in the literature concerning the effectiveness of semi-rigid knee orthoses in addressing mKOA [ 14 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

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Impact of a Semi-Rigid Knee Orthotic Intervention on Pain, Physical Activity, and Functional Capacity in Patients with Medial Knee Osteoarthritis

Stetter,

Fiedler,

Arndt

et al. 2024

JCM

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Background: The effectiveness of knee orthoses as part of conservative treatment for patients with medial knee osteoarthritis has not been fully explored. The purpose of this study was to evaluate the effects of a novel semi-rigid knee orthosis on pain, physical activity, and functional capacity. Methods: Pain levels, physical activity, and functional capacity were assessed in 24 participants experiencing symptomatic medial knee osteoarthritis one week before (i.e., pretest) initiating a six-week orthosis intervention and again during the final week of the intervention (i.e., post-test). Results: Night pain, pain during walking, pain during stair climbing, and pain during sitting consistently decreased by 41% to 48% while wearing the knee orthosis. Device-based measured physical activity showed a 20.2-min increase in vigorous physical activity during the post-test, while light and moderate physical activity did not show significant changes. After six weeks of orthosis application, there was a 5% increased distance for the six-minute walk test, and participants reported fewer limitations both in everyday and athletic activities, as well as an enhanced quality of life. Conclusions: These findings highlight the potential effectiveness of a semi-rigid knee orthosis to enhancing functional capacity and quality of life. More extensive and longer clinical trials are needed to improve confidence in these findings and understand their impact on disease progression.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Impact of a Semi-Rigid Knee Orthotic Intervention on Pain, Physical Activity, and Functional Capacity in Patients with Medial Knee Osteoarthritis

Stetter,

Fiedler,

Arndt

et al. 2024

JCM

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An interaction model for predicting brace migration and validation through walking experiment

Yan,

Cao,

Han

et al. 2024

Computer Methods in Biomechanics and Biomedical Engineering

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The immediate sensorimotor effects of forearm clasping orthosis with a textured pad in people with lateral elbow tendinopathy: a crossover clinical trial

BaBaee,

Zarezadeh,

Sadeghi-Demneh

2024

Preprint

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Background: Forearm orthoses are used to manage lateral elbow tendinopathy. Although their use has been shown to improvemotor performance, little is known about how they affect sensory function. The objective of this study was to investigate the efficacy of forearm clasping orthoses with a sensory-enhanced textured pad on the sensorimotor function of the affected arm in people with lateral elbow tendinopathy. Methods: In this randomized controlled trial, 56 people with lateral elbow tendinopathy were evaluated for elbow proprioception, pain severity, pain-free grip, and hand function. The study outcomes were measured across four randomized conditions: no orthosis, placebo, forearm strap, and forearm clasping orthosis with a textured pad. The data were analyzed using one-way repeated measures analysis of variance for each outcome measure. Results: Compared with no orthosis, the use of a forearm strap (p = 0.01) or a forearm clasping orthosis (p = 0.02) significantly improved pein-free grip. Additionally, both forearm orthoses significantly improved elbow proprioception (p < 0.001) compared to no orthosis. Compared with no orthosis, the forearm strap improved pain intensity (p = 0.002) and hand function (p = 0.001), while the forearm clasping orthosis did not (p > 0.05). Neither the forearm strap nor forearm clasping orthoses were significantly different across all the study outcomes, nor was the comparison of no orthosis with the placebo significant (p > 0.05). Conclusion: People with lateral elbow tendinopathy could immediately benefit from improved elbow joint proprioception and pain-free grip strength due to the use of a forearm strap and forearm clasping orthosis with a textured pad in this study. Clinical Trial Registration: IRCT20220203053925N1; Registration Date:14.03.2022; Available at: https://irct.behdasht.gov.ir/trial/61955

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Functions and Effectiveness of Unloader, Patellofemoral, and Knee Sleeve Orthoses: A Review

Cited by 4 publications

References 105 publications

Impact of a Semi-Rigid Knee Orthotic Intervention on Pain, Physical Activity, and Functional Capacity in Patients with Medial Knee Osteoarthritis

Impact of a Semi-Rigid Knee Orthotic Intervention on Pain, Physical Activity, and Functional Capacity in Patients with Medial Knee Osteoarthritis

An interaction model for predicting brace migration and validation through walking experiment

The immediate sensorimotor effects of forearm clasping orthosis with a textured pad in people with lateral elbow tendinopathy: a crossover clinical trial

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