The effect of orthotic devices on knee adduction moment, pain and function in medial compartment knee osteoarthritis: a literature review.
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.
['Baghaei Roodsari|Roshanak|R|', 'Esteki|Ali|A|', 'Aminian|Gholamreza|G|', 'Ebrahimi|Ismaeil|I|', 'Mousavi|Mohammad Ebramim|ME|', 'Majdoleslami|Basir|B|', 'Bahramian|Fatemeh|F|']
D001696:Biomechanical Phenomena D001915:Braces D061826:Foot Orthoses D005684:Gait D006801:Humans D007719:Knee Joint D051346:Mobility Limitation D020370:Osteoarthritis, Knee D010146:Pain
knee adduction moment pain medial compartment knee osteoarthritis knee osteoarthritis Braces foot orthoses functional performance knee orthoses