Mahmoodi Maede, Arazpour Mokhtar, Mousavi Mohammad Ebrahim
Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Science, Tehran, Iran.
J Rehabil Assist Technol Eng. 2024 Aug 30;11:20556683241277179. doi: 10.1177/20556683241277179. eCollection 2024 Jan-Dec.
The purpose of this study was to compare the impact of three types of orthoses (knee orthosis, ankle foot orthosis (AFO), and foot orthosis) on knee alignment, pain, function, and quality of life in individuals with medial knee osteoarthritis (MKOA).
Thirty patients took part in this study and were randomly assigned to three groups ( = 10 in each group) based on the type of intervention. Knee function was assessed using the knee injury and osteoarthritis outcome score (KOOS) questionnaire, and knee alignment was evaluated by measuring angles using the images of bony prominence (AMI) method.
After using knee orthosis and AFO, all subscales of KOOS showed significant improvement ( < .05). However, there was no significant difference in the results after using foot orthosis ( > .05).
The findings indicate that knee orthosis or AFO for 6 weeks can improve clinical outcomes for individuals with MKOA. This suggests that clinicians can consider using knee orthosis and AFO among the available treatment options to improve clinical outcomes.
本研究旨在比较三种矫形器（膝关节矫形器、踝足矫形器（AFO）和足部矫形器）对内侧膝关节骨关节炎（MKOA）患者膝关节对线、疼痛、功能和生活质量的影响。
30名患者参与了本研究，并根据干预类型随机分为三组（每组 = 10人）。使用膝关节损伤和骨关节炎疗效评分（KOOS）问卷评估膝关节功能，并通过使用骨性突出图像（AMI）法测量角度来评估膝关节对线。
使用膝关节矫形器和AFO后，KOOS的所有子量表均显示出显著改善（ <.05）。然而，使用足部矫形器后的结果没有显著差异（ >.05）。
研究结果表明，使用膝关节矫形器或AFO 6周可改善MKOA患者的临床结局。这表明临床医生在可用的治疗选择中可以考虑使用膝关节矫形器和AFO来改善临床结局。
