The effect of orthosis management on joint instability in knee joint disease: A systematic review.

IF 0.8 4区医学 Q4 ORTHOPEDICS

Prosthetics and Orthotics International Pub Date : 2024-08-01 Epub Date: 2023-09-14 DOI:10.1097/PXR.0000000000000289

Kenji Murata, Takuma Sakakida, Sora Kawabata, Moeka Yokoyama, Yuri Morishita, Shunsuke Kita, Keisuke Kubota, Takuma Kano, Takuma Kojima, Hidenobu Terada, Chiharu Takasu, Naohiko Kanemura

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引用次数: 0

Abstract

Introduction: Joint instability is a common finding of clinical importance in patients with knee disease. This literature review aimed to examine the evidence regarding the effect of orthosis management on joint instability in knee joint disease.

Methods: The detailed protocol for this study was published in the International Prospective Register of Systematic Reviews in the field of health and social welfare (CRD 42022335360). A literature search was conducted on May 2023, using the following databases: Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Physiotherapy Evidence Database (PEDro), and Institute of Electrical and Electronics Engineers (IEEE) Xplore. A secondary search was manually conducted using Google Scholar to address publication bias. Each database search strategy was described, and the search was conducted by independent reviewers.

Results: A total of 281 studies were retrieved, 11 articles were included in the systematic review. Of the 11 articles selected, the number of included diseases was 2 for osteoarthritis, 7 for anterior cruciate ligament injuries, and 3 for posterior cruciate ligament injuries. In result, orthosis management may improve self-reported instability and functional assessment in patients with osteoarthritis, anterior cruciate ligament injury, and posterior cruciate ligament injury. However, an objective evaluation of anatomical instability did not indicate an improvement in joint instability.

Conclusion: The effects of orthosis management on knee instability might improve physical function and self-reported instability.

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矫形器管理对膝关节疾病关节不稳定性的影响：系统综述。

导言：关节不稳定是膝关节疾病患者的常见临床症状。本文献综述旨在研究矫形器管理对膝关节疾病患者关节不稳定性影响的相关证据：本研究的详细方案已发布在健康与社会福利领域的国际系统综述前瞻性登记簿（CRD 42022335360）上。2023 年 5 月，我们使用以下数据库进行了文献检索：科克伦对照试验中央注册中心（CENTRAL）、PubMed、物理治疗证据数据库（PEDro）和电气与电子工程师协会（IEEE）Xplore。为解决出版偏差问题，还使用谷歌学术进行了二次人工检索。每个数据库的检索策略都有说明，检索由独立审稿人进行：结果：共检索到 281 项研究，11 篇文章被纳入系统综述。在入选的 11 篇文章中，被纳入的疾病数量分别为：骨关节炎 2 篇、前交叉韧带损伤 7 篇、后交叉韧带损伤 3 篇。因此，矫形器管理可改善骨关节炎、前交叉韧带损伤和后交叉韧带损伤患者自我报告的不稳定性和功能评估。然而，对解剖不稳定性的客观评估并未显示关节不稳定性有所改善：结论：矫形器管理对膝关节不稳定性的影响可能会改善身体功能和自我报告的不稳定性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Prosthetics and Orthotics International 医学-康复医学

CiteScore

2.30

自引率

13.30%

发文量

208

审稿时长

6-12 weeks

期刊介绍： Prosthetics and Orthotics International is an international, multidisciplinary journal for all professionals who have an interest in the medical, clinical, rehabilitation, technical, educational and research aspects of prosthetics, orthotics and rehabilitation engineering, as well as their related topics.