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The effect of orthotic devices on knee adduction moment, pain and function in medial compartment knee osteoarthritis

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.

Langue : ANGLAIS

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