Evidence map›Paper›PMID 29191237›Full record

Trial reportArthritis research & therapy2017

The immediate effect of a soft knee brace on pain, activity limitations, self-reported knee instability, and self-reported knee confidence in patients with knee osteoarthritis.

Tomasz Cudejko, Martin van der Esch, Marike van der Leeden, Josien C van den Noort, Leo D Roorda, Willem Lems, Jos Twisk, Martijn Steultjens, James Woodburn, Jaap Harlaar and 1 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Arthritis research & therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 24 citations in OpenAlex.

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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

11 authors at 3 institutions in 2 countries.

Tomasz CudejkoDepartment of Rehabilitation Medicine, VU University Medical Center, Amsterdam, The Netherlands.
Martin van der EschAmsterdam Rehabilitation Research Centre Reade, Dr. J. van Breemenstraat 2, 1056 AB Amsterdam, P.O. Box 58271, 1040 HG, Amsterdam, The Netherlands. m.vd.esch@reade.nl.
Marike van der LeedenDepartment of Rehabilitation Medicine, VU University Medical Center, Amsterdam, The Netherlands.
Josien C van den NoortDepartment of Rehabilitation Medicine, VU University Medical Center, Amsterdam, The Netherlands.
Leo D RoordaAmsterdam Rehabilitation Research Centre Reade, Dr. J. van Breemenstraat 2, 1056 AB Amsterdam, P.O. Box 58271, 1040 HG, Amsterdam, The Netherlands.
Willem LemsAmsterdam Rheumatology & Immunology Center, Amsterdam Medical Center, Reade, VU University Medical Center, Amsterdam, The Netherlands.
Jos TwiskDepartment of Health Sciences, VU University Amsterdam, Amsterdam, The Netherlands.
Martijn SteultjensSchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom.
James WoodburnSchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom.
Jaap HarlaarDepartment of Rehabilitation Medicine, VU University Medical Center, Amsterdam, The Netherlands.
Joost DekkerDepartment of Rehabilitation Medicine, VU University Medical Center, Amsterdam, The Netherlands.
Amsterdam UMC Location VUmc · NLReade · NLGlasgow Caledonian University · GB

Funding

FP7 Health 607510
6 · The paper itself

Abstract

backgroundWe aimed to (i) evaluate the immediate effect of a soft knee brace on pain, activity limitations, self-reported knee instability, and self-reported knee confidence, and (ii) to assess the difference in effect between a non-tight and a tight soft brace in patients with knee osteoarthritis (OA).

methodsForty-four patients with knee OA and self-reported knee instability participated in the single-session, laboratory, experimental study. A within-subject design was used, comparing a soft brace with no brace, and comparing a non-tight with a tight soft brace. The outcome measures were pain, self-reported knee instability and knee confidence during level and perturbed walking on the treadmill and activity limitations (10-m walk test and the get up and go (GUG) test). Linear mixed-effect model analysis for continuous outcomes and logistic generalized estimating equations for categorical outcomes were used to evaluate the effect of wearing a soft brace.

resultsWearing a soft brace significantly reduced pain during level walking (B - 0.60, P = 0.001) and perturbed walking (B - 0.80, P < 0.001), reduced the time to complete the 10-m walk (B - 0.23, P < 0.001) and the GUG tests (B - 0.23, P = 0.004), reduced self-reported knee instability during level walking (OR 0.41, P = 0.002) and perturbed walking (OR 0.36, P < 0.001), and reduced lack of confidence in the knees during level walking (OR 0.45, P < 0.001) and perturbed walking (OR 0.56, P < 0.001), compared with not wearing a soft brace. There was no difference in effects between a non-tight and tight brace, except for the 10-m walk test. Wearing a tight brace significantly reduced the time to complete the 10-m walk test in comparison with wearing a non-tight brace (B - 0.11, P = 0.03).

conclusionThe results of this study indicate that a soft brace is an efficacious intervention targeting pain, activity limitations, self-reported knee instability, and knee confidence in the immediate term in patients with knee OA. Further studies are needed evaluating the mode of action based on exerted pressure, and on the generalization to functioning in daily life.

trial registrationtrialregister.nl, NTR6363 . Retrospectively registered on 15 May 2017.

Indexed as

BracesAgedFemaleHumansJoint InstabilityMaleMiddle AgedOsteoarthritis, KneePainWalkingBraceKneeOrthoticsOsteoarthritis

Identifiers

PMID29191237
PMCPMC5709997
OpenAlexW2773973387

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.