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Disabil Rehabil Assist Technol. 2017 Jul;12(5):441-449. doi: 10.3109/17483107.2016.1151952. Epub 2016 Mar 15.

The effect of orthotic devices on knee adduction moment, pain and function in medial compartment knee osteoarthritis: a literature review.

Author information

1
a Department of Orthotics and Prosthetics , University of Social Welfare and Rehabilitation Sciences , Tehran , Islamic Republic of Iran.
2
b Shahid Beheshti University of Medical Sciences , Tehran , Islamic Republic of Iran.
3
c School of Rehabilitation Sciences, Iran University of Medical Sciences , Tehran , Islamic Republic of Iran.

Abstract

Background Knee braces and foot orthoses are commonly used to improve knee adduction moment, pain and function in subjects with knee osteoarthritis (OA). However, no literature review has been performed to compare the effects of foot orthoses and knee braces in this group of patients. Purpose The aim of this review was to evaluate the effects of foot orthoses and knee braces on knee adduction moment, pain and function in individuals with knee OA. Study design Literature review. Method The search strategy was based on the Population Intervention Comparison Outcome method. A search was performed in PubMed, Science Direct, Google Scholar and ISI web of knowledge databases using the PRISMA method and based on selected keywords. Thirty-one related articles were selected for final evaluation. Results The results of the analysis of these studies demonstrated that orthotic devices reduce knee adduction moment and also improve pain and function in individuals with knee OA. Conclusion Foot orthoses may be more effective in improving pain and function in subjects with knee OA. Both knee braces and foot orthoses reduce the knee adduction moment in knee OA and consequently patients typically do not need to use knee braces for a long period of time. Also, foot orthoses and knee braces may be more effective for medial compartment knee OA patients due to the fact that this treatment helps improve pain and function. Implications for Rehabilitation Knee braces and foot orthoses are commonly used for improving knee adduction moment, pain and function in subjects with knee osteoarthritis (OA). Orthotic devices can reduce knee adduction moment, pain and improve function in knee OA. The combined use of a knee braces and foot orthoses can provide more improvement in knee adduction moment, reduced pain and increased function.

KEYWORDS:

Braces; foot orthoses; functional performance; knee adduction moment; knee orthoses; knee osteoarthritis; medial compartment knee osteoarthritis; pain

PMID:
26980073
DOI:
10.3109/17483107.2016.1151952
[Indexed for MEDLINE]

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