Mohd Sharif Nahdatul Aishah, Goh Siew-Li, Usman Juliana, Wan Safwani Wan Kamarul Zaman
Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, 50603, Kuala Lumpur, Malaysia.
Sports Medicine Unit, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
Phys Ther Sport. 2017 Nov;28:44-52. doi: 10.1016/j.ptsp.2017.05.001. Epub 2017 May 6.
Knee sleeves are widely used for the symptomatic relief and subjective improvements of knee problems. To date, however, their biomechanical effects have not been well understood.
To determine whether knee sleeves can significantly improve the biomechanical variables for knee problems.
Systematic literature search was conducted on four online databases - PubMed, Web of Science, ScienceDirect and Springer Link - to find peer-reviewed and relevant scientific papers on knee sleeves published from January 2005 to January 2015. Study quality was assessed using the Structured Effectiveness Quality Evaluation Scale (SEQES).
Twenty studies on knee sleeves usage identified from the search were included in the review because of their heterogeneous scope of coverage. Twelve studies found significant improvement in gait parameters (3) and functional parameters (9), while eight studies did not find any significant effects of knee sleeves usage.
Most improvements were observed in: proprioception for healthy knees, gait and balance for osteoarthritic knees, and functional improvement of injured knees. This review suggests that knee sleeves can effect functional improvements to knee problems. However, further work is needed to confirm this hypothesis, due to the lack of homogeneity and rigor of existing studies.
护膝被广泛用于缓解膝关节问题的症状并在主观上改善膝关节状况。然而，迄今为止，其生物力学效应尚未得到充分理解。
确定护膝是否能显著改善膝关节问题的生物力学变量。
在四个在线数据库——PubMed、科学网、ScienceDirect和Springer Link上进行系统的文献检索，以查找2005年1月至2015年1月发表的关于护膝的同行评审且相关的科学论文。使用结构化有效性质量评估量表（SEQES）评估研究质量。
检索中确定的20项关于护膝使用的研究因其覆盖范围的异质性而被纳入综述。12项研究发现步态参数（3项）和功能参数（9项）有显著改善，而8项研究未发现护膝使用有任何显著效果。
观察到的最大改善体现在：健康膝关节的本体感觉、骨关节炎膝关节的步态和平衡，以及受伤膝关节的功能改善。本综述表明护膝可对膝关节问题产生功能改善。然而，由于现有研究缺乏同质性和严谨性，需要进一步开展工作来证实这一假设。
