Evidence map›Paper›PMID 21232620›Full record

Trial reportOsteoarthritis and cartilage2011

A randomized trial of patellofemoral bracing for treatment of patellofemoral osteoarthritis.

D J Hunter, W Harvey, K D Gross, D Felson, P McCree, L Li, K Hirko, B Zhang, K Bennell

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Osteoarthritis and cartilage, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00381563 nacompletednot on this map

Bracing in Patellofemoral Osteoarthritis: A Clinical Trial

TypeinterventionalSponsorBoston UniversityRan2006 to 2009Enrolled80ConditionsKnee OsteoarthritisArmsPatellofemoral realigning knee brace, Non-aligning knee brace
NCT02984254 nacompletednot on this mapstarted 2016, after this paper: background citation

Bracing for Patellofemoral Osteoarthritis. A Prospective Randomized Study of the Treatment of Patellofemoral Arthritis by an Orthosis

TypeinterventionalSponsorUniversity of Sao Paulo General HospitalRan2016 to 2018Enrolled52ConditionsKnee Osteoarthritis, Metabolic DiseaseArmsWomac, Lequesne, Timed-up-and-go (TUG), five-times-sit-to-stand-test (FTSST), Six-minute walk test.
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 71 citations in OpenAlex.

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  19. Patellofemoral pain: an update on diagnostic and treatment options.Current reviews in musculoskeletal medicine · 2013
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

D J HunterNew England Baptist Hospital, 125 Parker Hill Ave, Boston, MA 02120, USA. David.Hunter@sydney.edu.au
W Harvey
K D Gross
D Felson
P McCree
L Li
K Hirko
B Zhang
K Bennell
Parker Hannifin (United States) · USBoston University · USNew England Baptist Hospital · USMGH Institute of Health Professions · USUniversity of Melbourne · AU

Funding

WORK DISABILITY-- PERSONS WITH RHEUMATOID ARTHRITISP60AR047785 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI FELSON, DAVID TOBIN · 2001 to 2016
$18.0M
NIAMS NIH HHS 2 P60 AR047785NIAMS NIH HHS AR47785NIAMS NIH HHS P60 AR047785
6 · The paper itself

Abstract

purposeThe number of effective knee osteoarthritis (OA) interventions, especially those tailored to specific compartmental involvement, are small. The objective of this study was to determine the efficacy of a realigning patellofemoral (PF) brace in improving pain and function among persons with symptomatic lateral PF OA.

methodWe conducted a double blind, randomized crossover trial of a realigning PF brace for persons with lateral PF OA. Participants had lateral PF OA with anterior knee symptoms on most days of the month, lateral PF joint space narrowing, and radiographic evidence of a definite osteophyte in the PF joint. We compared two treatments: (1) Control treatment consisting of a BioSkin Q Brace with patellar realigning strap removed; and (2) Active treatment consisting of a realigning BioSkin Q Brace with the strap applied. For each participant, the trial lasted 18 weeks, including 6 weeks each of active and control treatment period separated by a 6-week washout period. The order of treatments was randomized. The primary outcome was change in knee pain on the visual analog scale (VAS). Secondary outcomes included WOMAC pain, function, and stiffness. An unstructured correlation matrix for observations within participants was used in generalized estimating equation fitting to derive a linear regression model that expressed the relation between the intervention and change in VAS pain.

results80 participants (63 F) with a mean age and body mass index of 61 years and 28 kg/m(2), respectively, were randomized by order of treatment. A model examining the main effects for change in VAS knee pain (0-100) demonstrated no significant treatment effect (-0.68 VAS units, 95% CI: -6.2, 4.8 units, P=0.81) and no differential carryover effect. There was also no significant difference between active and control treatments for WOMAC pain, function, or stiffness outcomes.

conclusionThe effects of a specific realigning PF brace are not of clinical or statistical significance.

Indexed as

BracesPatellofemoral JointAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedOsteoarthritis, KneePainPain ManagementPain MeasurementSeverity of Illness Index

Identifiers

PMID21232620
PMCPMC3090698
OpenAlexW1971692363

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.