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首页> 外文期刊>Joint, bone, spine : >Clinical practice guidelines for rest orthosis, knee sleeves, and unloading knee braces in knee osteoarthritis.
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Clinical practice guidelines for rest orthosis, knee sleeves, and unloading knee braces in knee osteoarthritis.

机译：膝关节骨关节炎中的矫形器，膝套和卸除膝托的临床实践指南。

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OBJECTIVE: To develop clinical practice guidelines concerning the use of bracing--rest orthosis, knee sleeves and unloading knee braces--for knee osteoarthritis. METHODS: The French Physical Medicine and Rehabilitation Society (SOFMER) methodology, associating a systematic literature review, collection of everyday clinical practice, and external review by multidisciplinary expert panel, was used. RESULTS: Few high-level studies of bracing for knee osteoarthritis were found. No evidence exists for the effectiveness of rest orthosis. Evidence for knee sleeves suggests that they decrease pain in knee osteoarthritis, and their use is associated with subjective improvement. These actions do not appear to depend on a local thermal effect. The effectiveness of knee sleeves for disability is not demonstrated for knee osteoarthritis. Short- and mid-term follow-up indicates that valgus knee bracing decreases pain and disability in medial knee osteoarthritis, appears to be more effective than knee sleeves, and improves quality of life, knee proprioception, quadriceps strength, and gait symmetry, and decreases compressive loads in the medial femoro-tibial compartment. However, results of response to valgus knee bracing remain inconsistent; discomfort and side effects can result. Thrombophlebitis of the lower limbs has been reported with the braces. Braces, whatever kind, are infrequently prescribed in clinical practice for osteoarthritis of the lower limbs. CONCLUSION: Modest evidence exists for the effectiveness of bracing--rest orthosis, knee sleeves and unloading knee braces--for knee osteoarthritis, with only low level recommendations for its use. Braces are prescribed infrequently in French clinical practice for osteoarthritis of the knee. Randomized clinical trials concerning bracing in knee osteoarthritis are still necessary.
机译：目的：制定有关使用矫正器（休息矫形器，膝袖和卸除膝部矫正器）治疗膝骨关节炎的临床实践指南。方法：使用法国物理医学与康复学会（SOFMER）的方法，该方法将系统的文献综述，日常临床实践的收集以及多学科专家小组的外部综述相关联。结果：很少有高水平的支架治疗膝骨关节炎的研究。尚无证据证明休息矫形器的有效性。膝袖的证据表明它们可减轻膝骨关节炎的疼痛，其使用与主观改善相关。这些动作似乎并不依赖于局部热效应。对于膝骨关节炎，没有证明护膝对残疾的有效性。短期和中期随访表明，外翻膝关节支撑可以减轻内侧膝骨关节炎的疼痛和残疾，似乎比膝袖更有效，并且可以改善生活质量，膝关节本体感受，股四头肌力量和步态对称性，并降低股骨内侧隔室的压缩载荷。但是，对外翻护膝的反应结果仍然不一致。可能会导致不适和副作用。有牙套报道下肢血栓性静脉炎。在临床实践中，对于下肢骨关节炎很少使用任何类型的牙套。结论：目前尚无足够的证据证明支撑架（休息矫形器，膝袖和卸除膝部支撑架）对膝骨关节炎的有效性，仅建议使用低水平的建议。在法国的临床实践中，很少有人为膝盖骨关节炎开括号。关于支撑膝关节骨关节炎的随机临床试验仍然是必要的。

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