Article

OBJECTIVE: To assess the efficiency of knee-ankle-foot orthoses for treating
painful genu recurvatum, and to determine users' tolerance and satisfaction.
PATIENTS: Patients included in the study had a genu recurvatum during the stance
phase, confirmed by a medical doctor on physical examination.
A total of 27
patients with 31 knee-ankle-foot orthoses were included. METHODS: The main
outcome was scored on a verbal numerical rating scale (VNRS) before and at least
3 months after a knee-ankle-foot orthosis was fitted, and scored on a verbal
numerical pain rating scale (VRS). Secondary outcomes were rated with the Quebec
User Evaluation of Satisfaction with assistive Technology (QUEST). RESULTS: After
fitting the knee-ankle-foot orthosis, the median VNRS pain score decreased from
85/100 to 25/100 (p </= 0.001) and the description of pain on the VRS decreased
from "extreme" to "mild" (p </= 0.001). The QUEST total score was 4.0.
CONCLUSION: Treating a painful genu recurvatum with a knee-ankle-foot orthosis
reduced the pain efficiently whatever the patients' diagnosis, and high scores
were obtained for patients' satisfaction.

Langue : ANGLAIS