Evidence map›Paper›PMID 27146819›Full record

Trial reportArchives of orthopaedic and trauma surgery2016

Evaluating the potential synergistic benefit of a realignment brace on patients receiving exercise therapy for patellofemoral pain syndrome: a randomized clinical trial.

Wolf Petersen, Andree Ellermann, Ingo Volker Rembitzki, Sven Scheffler, Mirco Herbort, Gert Peter Brüggemann, Raymond Best, Thore Zantop, Christian Liebau

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Archives of orthopaedic and trauma surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Dutch multidisciplinary guideline on anterior knee pain: Patellofemoral pain and patellar tendinopathy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Guideline
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Patellofemoral pain in athletes: clinical perspectives.Open access journal of sports medicine · 2017
    Review
  13. Patellofemoral pain in athletes.Open access journal of sports medicine · 2017
    Review
  14. CURRENT CONCEPTS IN BIOMECHANICAL INTERVENTIONS FOR PATELLOFEMORAL PAIN.International journal of sports physical therapy · 2016
    Article
  15. Observational
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 6 institutions in 1 country.

Wolf PetersenKlinik für Orthopädie und Unfallchirurgie, Martin Luther Krankenhaus Berlin, Grunewald, Caspar Theyß Strasse 27-31, 14193, Berlin, Germany. w.petersen@mlk-berlin.de.
Andree EllermannArcus Sportklinik, Pforzheim, Germany.
Ingo Volker RembitzkiOtto Bock, Duderstadt, Germany.
Sven SchefflerSporthopaedicum Berlin, Berlin, Germany.
Mirco HerbortKlinik für Unfall-, Hand-, und Wiederherstellungschirurgie, Universitätsklinikum Münster, Münster, Germany.
Gert Peter BrüggemannDeutsche Sporthochschule Köln, Institut für Biomechanik, Cologne, Germany.
Raymond BestSportklinik Stuttgart, Stuttgart, Germany.
Thore ZantopSporthopaedicum, Straubing, Germany.
Christian LiebauAsklepios, Harzkliniken GmbH, Fritz-König-Stift, Bad Harzburg, Germany.
ARCUS Sports Clinic · DEGerman Sport University Cologne · DEKlinikum Stuttgart · DEMartin-Luther-Krankenhaus · DEOttobock (Germany) · DEUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been previously shown that exercise programs for patellofemoral pain syndrome (PFPS) can be supported by medially directed taping. Evidence supporting the use of patellar braces is limited because previous studies have been low quality. The aim of this study is to compare the outcomes of patients with PFPS after treatment with a medially directed patellar realignment brace and supervised exercise.

methodsIn a prospective randomized multicenter trial, 156 patients with PFPS were included and randomly assigned to 6 weeks of supervised physiotherapy in combination with the patellar realignment brace, or supervised physiotherapy alone. Outcome measures were the Knee Injury and Osteoarthritis Outcome Score (KOOS) subscales, numeric analog pain scores, and the Kujala score at baseline, 6 weeks, 3 months, and 1 year after the start of therapy. The patient's self-reported perception of recovery was also assessed at these points.

resultsBoth treatment groups showed a significant improvement in all outcome measures over the study period. After 6 and 12 weeks of therapy, patients in the brace group had significantly higher KOOS sub-scale scores, a higher mean Kujala score, and less pain while climbing stairs or playing sports. After 54 weeks a group difference could be only detected for the KOOS ADL sub-scale.

conclusionThe use of a medially directed realignment brace leads to better outcomes in patients with PFPS than exercise alone after 6 and 12 weeks of treatment. After 1 year of follow-up this positive effect diminished.

Indexed as

BracesAdolescentAdultAgedAged, 80 and overExercise TherapyFemaleFollow-Up StudiesHumansMaleMiddle AgedPain MeasurementPatellaPatellofemoral Pain SyndromePhysical Therapy ModalitiesProspective StudiesAnterior knee painChondromalacia patellaeDynamic valgusFunctional malalignmentPatellar maltrackingPatellar orthosisPatellar tape

Identifiers

PMID27146819
PMCPMC4908172
OpenAlexW2345694589

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.