Article

Orthoses for osteoarthritis represent splints, taping, sleeves, unloading knee
braces and insoles.
This review of the effectiveness of these orthoses involved a
search for articles published up to 2015 in MEDLINE via PubMed, with a focus on
Osteoarthritis Research Society International, American College of Rheumatology
and European League Against Rheumatology international recommendations. Evidence
for splinting effectiveness in patients with thumb-base osteoarthritis is now
provided. Splints for thumb-base osteoarthritis decrease pain and functional
disability. Weaker evidence was found for knee bracing, including taping, sleeves
and unloading braces. Low rate of observance and safety results should be
considered before using current unloading knee braces for knee osteoarthritis.
For insoles, data remain controversial. Orthoses for interphalangeal or hip
osteoarthritis have not been investigated in a randomized trial. Regardless, if
indicated in daily clinical practice, bracing must be checked by a healthcare
professional to insure the suitability of the device.
Patients using bracing must
be educated. Patient education should include knowledge of the aims and
modalities of the treatment as well as knowledge of potential side effects.
Patients should be encouraged to contact the therapist if adjustment is needed,
with poor tolerance or with questions about the device.
CI - Copyright (c) 2016. Published by Elsevier Masson SAS.

Langue : ANGLAIS