Moller Francesca, Ortiz-Muñoz Luis, Irarrázaval Sebastián
Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; Proyecto Epistemonikos, Santiago, Chile. ORCID: 0000-0002-7896-2037.
Proyecto Epistemonikos, Santiago, Chile; Centro Evidencia UC, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. ORCID: 0000-0001-6449-2153.
Medwave. 2020 Jan 16;20(1):e7759. doi: 10.5867/medwave.2020.01.7759.
Knee osteoarthritis is a relevant health problem given its high prevalence and associated disability. Within the non-pharmacological management alternatives, the use of canes has been proposed, however, there is no consensus in the literature regarding its indication.
We searched in Epistemonikos, the largest database of systematic reviews in health, which is maintained by screening multiple information sources, including MEDLINE, EMBASE, Cochrane, among others. We extracted data from the systematic reviews, reanalyzed data of primary studies, conducted a meta-analysis and generated a summary of findings table using the GRADE approach.
We identified three systematic reviews including four studies overall, of which one was randomized trials. We conclude that the use of a contralateral cane in patients with knee osteoarthritis probably reduces pain. In addition, it could slightly increase function, but the certainty of the evidence is low.
鉴于膝骨关节炎的高患病率及其相关残疾，它是一个重要的健康问题。在非药物治疗选择中，有人提出使用手杖，然而，文献中对于其适用指征尚无共识。
我们在Epistemonikos中进行了检索，它是最大的健康领域系统评价数据库，通过筛选包括MEDLINE、EMBASE、Cochrane等在内的多个信息来源来维护。我们从系统评价中提取数据，重新分析了原始研究的数据，进行了荟萃分析，并使用GRADE方法生成了结果总结表。
我们识别出三项系统评价，总共包括四项研究，其中一项为随机试验。我们得出结论，膝骨关节炎患者使用对侧手杖可能会减轻疼痛。此外，它可能会轻微改善功能，但证据的确定性较低。
