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Clinical effectiveness and safety of a distraction-rotation knee brace for medial knee osteoarthritis / Paul Ornetti in Annals of physical and rehabilitation medicine, Vol. 58 n° 3 (June 2015)
[article] Clinical effectiveness and safety of a distraction-rotation knee brace for medial knee osteoarthritis [texte imprimé] / Paul Ornetti, Auteur ; Clémentine Fortunet, Auteur ; Claire Morisset, Auteur . - 2015 . - p. 126-131.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 58 n° 3 (June 2015) . - p. 126-131
Catégories : PHYSIOLOGIE
Mouvement corporel
PATHOLOGIE
Arthrose
POLITIQUE SANTÉ
Sécurité sanitaire
SOINS
Qualité soinsEnsemble des propriétés caractérisant les soins : efficacité, sécurité, caractère approprié, accessibilité, acceptabilité.
Thesaurus Santé Publique
GenouTags : Knee osteoarthritis Unloader brace Valgus Gait analysis Safety Effectiveness Résumé : Objective : Evaluation of the clinical effectiveness and safety of a new custom-made valgus knee brace (OdrA) in medial knee osteoarthritis (OA) in terms of pain and secondary symptoms.
Methods : Open-label prospective study of patients with symptomatic medial knee OA with clinical evaluation at 6 and 52 weeks (W6, W52). We systematically assessed pain on a visual analog scale (VAS), Knee injury and Osteoarthritis Outcome Score (KOOS), spatio-temporal gait variables, use of nonsteroidal anti-inflammatory drugs (NSAIDs) and analgesic-sparing effects of the brace and tolerance. Mean scores were compared at baseline, W6 and W52 and the effect size (ES) and 95% confidence intervals (95% CIs) were calculated.
Results : We included 20 patients with knee OA (mean age 64.2±10.2 years, mean body mass index 27.2±5.4kg/m2). VAS pain and KOOS were improved at W6 and W52: pain (ES=0.9 at 1 year), amelioration of other symptoms (ES=0.4), and function in activities of daily living (ES=1.1), sports and leisure (ES=1.5), quality of life (ES=0.9) and gait speed (ES=0.41). In total, 76% of patients showed clinical improvement at 1 year. Analgesic and NSAIDs consumption was significantly decreased at W6 and W52. One serious adverse effect noted was lower-limb varices, and observance was deemed satisfactory at 1 year.
Conclusion : This new unloader brace appeared to have good effect on medial knee OA, with an acceptable safety profile and good patient compliance.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=12416 [article]