Orthotics and Prosthetics department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran (the Islamic Republic of).
Orthopedic surgery department, Tehran University of Medical Sciences, Tehran, Iran (the Islamic Republic of).
Assist Technol. 2021 Mar 4;33(2):87-94. doi: 10.1080/10400435.2019.1595788. Epub 2019 Apr 4.
: The aim of this study was to evaluate the effect (6 weeks) of the use of a knee brace and a lateral wedge insole, both in isolation and combined, on the knee adduction moment (KAM), pain levels, kinematics (velocity, stride length, cadence), knee ROM, function, and satisfaction in patients with knee osteoarthritis (OA).: Twenty-one patients with medial compartment knee OA were participated in this study. A relatively light three-point valgus knee brace (VB) and full length custom-made lateral wedge insole with arch support were prepared for each subject. Patients divided into three groups at random.: The use of a custom fit valgus brace with lateral edge insole concurrently can reduce a greater peak KAM than use in isolation (30%). In addition, the use of both interventions can improve walking velocity, cadence, and reduce levels of pain in patients with medial compartment OA.: All parameters except stride length and KAM in comparison with first day of wearing interventions improved significantly in the combined, concurrent usage group. The use of a lateral wedge insole and a valgus knee brace in combination can improve the kinetic and kinematic parameters in patients with medial compartment knee OA.
本研究旨在评估膝关节内翻支具和外侧楔形鞋垫单独及联合使用（6 周）对膝内收力矩（KAM）、疼痛水平、运动学（速度、步长、步频）、膝关节活动度、功能和膝骨关节炎（OA）患者满意度的影响。：本研究纳入 21 例内侧间室膝 OA 患者。为每位患者准备了相对轻便的三点式外翻支具（VB）和全长定制的外侧楔形鞋垫，具有足弓支撑。患者随机分为三组。：与单独使用相比，同时使用定制的外翻支具和外侧边缘鞋垫可以减少更大的峰值 KAM（30%）。此外，这两种干预措施的联合使用可以提高内侧间室 OA 患者的行走速度、步频，并减轻疼痛水平。：除了步长和 KAM 与佩戴干预措施的第一天相比有所改善外，所有参数均显著改善。外侧楔形鞋垫和外翻膝关节支具的联合使用可以改善内侧间室膝骨关节炎患者的运动学和运动学参数。
