EFFECTS OF A SEMI-RIGID KNEE BRACE ON MOBILITY AND PAIN IN PEOPLE WITH KNEE OSTEOARTHRITIS.

Tim Dries, Jan Willem VAN DER Windt, Wouter Akkerman, Mari Kluijtmans, Rob P A Janssen
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引用次数: 1

Abstract

Objective: Osteoarthritis is one of the most common chronic conditions leading to disability among older people (age 60+ years). Knee osteoarthritis has a significant impact on daily functioning. Pain, stiffness, reduced strength, changes in posture, and reduced knee stability may result in reduced mobility. The aim of this study is to evaluate the short- and long-term effects of conservative therapeutic use of a semi-rigid knee brace for management of patients with knee osteoarthritis, using patient-reported outcomes.

Design: Patients with osteoarthritis using a semi-rigid knee brace were asked to complete a questionnaire about the effectiveness of the brace after wearing it for 3 weeks. The primary outcome measure was mobility, assessed using an ordinal scale with and without use of the knee brace. Secondary outcome measures were pain symptoms and overall daily functioning.

Results: A total of 381 patients completed the questionnaire. The results show considerably improved mobility while using a knee brace in different mobility groups. In the group of respondents who were limited to their home environment mobility decreased by 74% while using a knee brace. In the group of respondents who were able to walk to a nearby shop mobility increased by 50%, and the group experiencing no mobility restrictions increased from 3% without using a knee brace to 13% while using a knee brace. In addition, 54% of respondents reported a reduction in pain symptoms and 62% of respondents reported an improvement in overall daily functioning while using a knee brace.

Conclusion: The results of this large-scale patient-reported outcome measure (PROM) study show that the use of a semi-rigid knee brace appears to provide suitable joint support, offering pain relief and freedom of movement and should be considered a useful non-surgical treatment method for use in patients with knee osteoarthritis.

Clinical trial: This study does not include a clinical trial.

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半刚性膝支具对膝关节骨关节炎患者活动能力和疼痛的影响。
目的:骨关节炎是导致老年人(60岁以上)残疾的最常见慢性疾病之一。膝骨关节炎对日常功能有重大影响。疼痛、僵硬、力量减弱、姿势改变和膝关节稳定性降低都可能导致活动能力降低。本研究的目的是利用患者报告的结果,评估半刚性膝支具对膝关节骨性关节炎患者进行保守治疗的短期和长期效果。设计:使用半刚性膝关节支架的骨关节炎患者在佩戴支架3周后完成一份关于支架有效性的问卷调查。主要结局指标是活动能力,在使用和不使用膝托的情况下使用常规量表进行评估。次要结局指标是疼痛症状和总体日常功能。结果:共381例患者完成问卷调查。结果显示,在不同的活动组中,使用膝托显著改善了活动能力。在受限于家庭环境的调查对象中,使用膝托时活动能力下降了74%。在能够步行到附近商店的受访者群体中,行动能力增加了50%,而没有行动限制的群体从不使用护膝的3%增加到使用护膝的13%。此外,54%的受访者报告疼痛症状减轻,62%的受访者报告在使用膝关节支架时整体日常功能有所改善。结论:这项大规模的患者报告结果测量(PROM)研究的结果表明,使用半刚性膝支具似乎可以提供适当的关节支持,提供疼痛缓解和活动自由,应该被认为是一种有用的非手术治疗方法,用于膝关节骨关节炎患者。临床试验:本研究不包括临床试验。
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