The effect of knee orthoses on gait parameters in medial knee compartment osteoarthritis

Abstract

Knee braces are an orthotic intervention that could potentially be significant in assisting in improving the walking parameters and treatment of medial compartment knee osteoarthritis.

Effects of knee orthosis adjustment on biomechanical performance and clinical outcome in patients with medial knee osteoarthritis

“…12–14 Several studies investigated these effects by the use of instrumented gait analysis, and recent systematic reviews reported that valgus bracing reduces KAM and therefore abnormal loading of the medial compartment. 15,16 In contrast, some studies were identified, which did not find significant changes in this biomechanical key parameter. 16 This indicates that the biomechanical effects might be highly dependent on variables such as orthosis composition and adequate fitting.…”

“…15,16 In contrast, some studies were identified, which did not find significant changes in this biomechanical key parameter. 16 This indicates that the biomechanical effects might be highly dependent on variables such as orthosis composition and adequate fitting. Stiff orthoses could lead to a higher load reduction, as observed in patients with increased varus deformities who showed profound biomechanical improvements by wearing rigid knee unloader orthoses.…”

Hesperidin protects against IL‑1β‑induced inflammation in human osteoarthritis chondrocytes

“…The causes of OA are complex, including genetic, physical and chemical factors, which are difficult to classify with regards to a systematic model (6). The pathogenesis associated with this disease is not well understood and OA is frequently misdiagnosed as rheumatoid arthritis or ankylosing spondylitis in clinical settings (7)(8)(9).…”

Identification of good candidates for valgus bracing as a treatment for medial knee osteoarthritis

“…11 Another limitation is that neither long nor short term symptomatic effectiveness or participant's subjective opinion of the brace was considered. However, given that the brace is designed to have an immediate mechanical effect 42 and that a strong link exists between mechanical loading and progression of osteoarthritis, we believe that the reduction in medial contact force was a suitable objective measure of brace effectiveness.…”