Evidence map›Paper›PMID 41587822›Full record

Trial reportBMJ (Clinical research ed.)2026

Provision of knee bracing for knee osteoarthritis (PROP OA): multicentre, parallel group, superiority, statistician blinded, randomised controlled trial.

Melanie A Holden, Elaine Nicholls, Zainab Abdali, Fraser Birrell, Belinda Borrelli, Michael Callaghan, Krysia Dziedzic, David Felson, Nadine E Foster, Nicola Halliday and 5 more

Abstract readMulticenter StudyRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in BMJ (Clinical research ed.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Yonder: Ethnic inequalities in breast cancer, denigration of general practice, knee braces, and health care on release from prison.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Article
  3. Review
  4. Review
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

15 authors.

Melanie A HoldenSchool of Medicine, Primary Care Centre Arthritis UK, Keele University, Keele ST5 5BG, UK.ORCID https://orcid.org/0000-0003-0374-2862
Elaine NichollsSchool of Medicine, Primary Care Centre Arthritis UK, Keele University, Keele ST5 5BG, UK.
Zainab AbdaliHealth Economics Unit, Department of Applied Health Sciences, University of Birmingham, Birmingham, UK.
Fraser BirrellMedical Research Council Versus Arthritis Centre for Integrated Research into Musculoskeletal Ageing, Population, and Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Belinda BorrelliFaculty of Biology, Medicine, and Health, University of Manchester, Manchester, UK.
Michael CallaghanFaculty of Health and Education, Manchester Metropolitan University, Manchester, UK.
Krysia DziedzicSchool of Medicine, Primary Care Centre Arthritis UK, Keele University, Keele ST5 5BG, UK.
David FelsonResearch in OsteoArthritis Manchester (ROAM), Centre for Epidemiology Versus Arthritis, Centre for Musculoskeletal Research, Institute of Inflammation and Repair, University of Manchester, Manchester, UK.
Nadine E FosterSTARS Education and Research Alliance, Surgical Treatment and Rehabilitation Service, University of Queensland and Metro North Health, Brisbane, QLD, Australia.
Nicola HallidayKeele Clinical Trials Unit, Keele University, Keele, UK.
Carol IngramPublic representative, Research User Group, Primary Care Centre Arthritis UK, School of Medicine, Keele University, Keele, UK.
Clare JinksSchool of Medicine, Primary Care Centre Arthritis UK, Keele University, Keele ST5 5BG, UK.
Sue JowettHealth Economics Unit, Department of Applied Health Sciences, University of Birmingham, Birmingham, UK.
George PeatSchool of Medicine, Primary Care Centre Arthritis UK, Keele University, Keele ST5 5BG, UK.
PROP OA trial team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether adding compartment specific knee bracing with an adherence intervention to advice, written information, and exercise instruction (AIE+B) is superior to advice, written information, and exercise instruction (AIE) only in improving patient reported outcomes in people with knee osteoarthritis.

designMulticentre, parallel group, superiority, statistician blinded, randomised (1:1; block; stratified; centralised web based) controlled trial.

settingRecruitment through general practices and the community in Cheshire, Manchester, North Tyneside, and Staffordshire, England; enrolment 25 November 2019 to 16 September 2022.

participants466 adults aged ≥45 years with symptoms of knee osteoarthritis.

interventionsAIE was delivered in one in-person consultation by a trained physiotherapist. Individuals randomised to the AIE+B group were also fitted with a patellofemoral, tibiofemoral unloading, or neutral stabilising knee brace, according to their predominant compartmental distribution of knee osteoarthritis, and were offered a two week follow-up consultation. Brief motivational interviewing with targeted text reminders supported brace adherence.

main outcome measuresThe primary outcome was a composite patient reported Knee Osteoarthritis Outcomes Score (KOOS)-5 (0-100) at six months after randomisation. Key secondary outcomes were KOOS-5 at three and 12 months, KOOS-5 subscale scores, and pain on weight bearing activity at three, six, and 12 months.

results466 participants (mean age 64 (standard deviation 9) years; 46% female participants) were randomised, with 401 (86%), 394 (85%), and 370 (79%) participants followed up with analysable data at three, six, and 12 months, respectively. At six months, greater improvement in KOOS-5 was seen in the AIE+B group than in the AIE group (adjusted mean difference 3.39, 95% confidence interval (CI) 0.96 to 5.82; effect size 0.24). Secondary outcomes showed the benefits of AIE+B over AIE that diminished over time. The largest effects observed were for pain reduction (KOOS pain (0-100) adjusted mean difference at six months 6.13, 95% CI 3.36 to 8.91; effect size 0.39). Adverse events were minor and expected.

conclusionsAdding compartment specific knee bracing and an adherence intervention to advice, written information, and exercise instruction resulted in small improvements in patient reported outcomes among individuals with knee osteoarthritis. This safe intervention offers a potential treatment option for this common condition.

trial registrationISRCTN28555470.

Indexed as

BracesOsteoarthritis, KneeAdherence InterventionsAgedExercise TherapyFemaleHumansMaleMiddle AgedPatient CompliancePatient Education as TopicPatient Reported Outcome MeasuresTreatment Outcome

Identifiers

PMID41587822
PMCPMC12829467

What OpenQuestion holds

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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.