Effect of knee braces and insoles on clinical outcomes of individuals with medial knee osteoarthritis: A systematic review and meta-analysis.

Mobina Khosravi, Taher Babaee, Aliyeh Daryabor, Maryam Jalali
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引用次数: 7

Abstract

Knee osteoarthritis is a disabling disease, causing pain and reduced function.Orthoses are used to manage this problem, including knee braces and lateral wedge insoles. However, there is still controversy on which type of intervention is more effective. This systematic review and meta-analysis aimed toevaluate the effect of knee braces and lateral wedge insoles and compare their clinical outcomes onindividuals with medial knee osteoarthritis. We conducted the search strategy based on the population, intervention, comparison, andoutcome (PICO) method. We searched with PubMed, EMBASE, Web of Science, and Scopus databases for the related studies. The articles quality assessment was done based on the modified Downs and Black checklist. Totally, we chose 32 controlled trials, including 1.849 participants, for the final evaluation. Almosttwo-thirds of the studies had a moderate quality. The overall outcome suggested that both interventionshad improved pain and function. The difference between both interventions on pain reduction was not significant (standardized mean difference = 0.12, 95% confidence interval = 0.34 to 0.1) based on meta-analysis. Both knee brace and lateral wedge insole can improve pain and function in people with knee osteoarthritis. Using either separately or both of them together are effective.

膝关节支架和鞋垫对内侧膝骨关节炎患者临床结果的影响:一项系统回顾和荟萃分析。
膝骨关节炎是一种致残疾病,引起疼痛和功能下降。矫形器是用来解决这个问题的,包括膝盖支架和侧楔鞋垫。然而,对于哪种干预方式更有效,目前仍存在争议。本系统综述和荟萃分析旨在评估膝关节支架和外侧楔形鞋垫的效果,并比较它们对内侧膝骨关节炎患者的临床结果。我们采用基于人群、干预、比较和结果(PICO)方法的搜索策略。我们在PubMed、EMBASE、Web of Science和Scopus数据库中检索相关研究。文章质量评估依据修改后的Downs和Black检查表进行。我们共选择32项对照试验,共1849名受试者进行最终评价。几乎三分之二的研究质量中等。总体结果表明,两种干预措施都改善了疼痛和功能。基于meta分析,两种干预措施在减轻疼痛方面的差异无统计学意义(标准化平均差异= 0.12,95%可信区间= 0.34 ~ 0.1)。膝关节支架和侧楔鞋垫都可以改善膝关节骨关节炎患者的疼痛和功能。单独使用或同时使用都是有效的。
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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