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Bracing and orthoses : a review of efficacy and mechanical effects for tibiofemoral osteoarthritis

SEGAL N
PM & R , 2012, vol. 4, n° 5 Suppl, p. S89-S96
Doc n°: 157854
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.pmrj.2012.01.018
Descripteurs : DE45 - PATHOLOGIE - CUISSE-FEMUR, EC25 -ORTHESES DE MEMBRE INFERIEUR

The knee is the weight-bearing joint most commonly affected by osteoarthritis.
Bracing of the knee or the foot can be a useful nonoperative and nonpharmacologic
treatment for persons with osteoarthritis that predominantly involves either the
medial or lateral tibiofemoral compartment. The aim of wedged insoles and
realigning knee braces is to reduce articular contact stress in the more involved
tibiofemoral compartment. There is evidence that even knee sleeves that do not
have an effect on alignment may confer symptomatic relief and enhance joint
position sense. This review summarizes the current state of knowledge regarding
the degree to which bracing at the knee or foot can effectively correct
tibiofemoral malalignment, improve knee joint pain, and enhance physical
function, and provides clinical recommendations for prescription of these devices
to optimize effectiveness.
CI - Copyright (c) 2012 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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