The immediate effect of a soft knee brace on dynamic knee instability in persons with knee osteoarthritis. (20th June 2018)

• Record Type: Journal Article
• Authors: Cudejko, Tomasz; van der Esch, Martin; Schrijvers, Jim; Richards, Rosie; van den Noort, Josien C; Wrigley, Tim; van der Leeden, Marike; Roorda, Leo D; Lems, Willem; Harlaar, Jaap; Dekker, Joost
• Is Part Of: Rheumatology. Volume 57:Number 10(2018)
• Page Start: 1735
• Page End: 1742
• Publication Date: 2018-06-20
• Subjects: knee -- osteoarthritis -- brace -- orthotics -- knee instability; Rheumatism -- Periodicals; Rheumatology -- Periodicals; 616.723005
• DOI: 10.1093/rheumatology/key162
• Languages: English
• ISSNs: 1462-0324

Abstract

Abstract: Objectives: Wearing a soft knee brace has been shown to reduce self-reported knee instability in persons with knee OA. There is a need to assess whether a soft knee brace has a beneficial effect on objectively assessed dynamic knee instability as well. The aims of the study were to evaluate the effect of a soft knee brace on objectively assessed dynamic knee instability and to assess the difference in effect between a non-tight and a tight soft knee brace in persons with knee OA. Methods: Thirty-eight persons with knee OA and self-reported knee instability participated in a laboratory study. A within-subject design was used comparing no brace vs brace and comparing a non-tight vs a tight brace. The primary outcome measure was dynamic knee instability, expressed by the perturbation response (PR). The PR reflects deviation in the mean knee varus–valgus angle during level walking after a controlled mechanical perturbation. Linear mixed-effect model analysis was used to evaluate the effect of a brace on dynamic knee instability. Results: Wearing a brace significantly reduced the PR compared with not wearing a brace ( B = −0.16, P = 0.01). There was no difference between a non-tight and a tight brace ( B = −0.03, P = 0.60). Conclusion: This study is the first to report that wearing a soft knee brace reduces objectively assessed dynamic knee instability in persons with knee OA. Wearing a soft brace results in an objective improvement of knee instability beyond subjectively reported improvement. Trial registration: Nederlands Trial register (trialregister.nl) NTR6363