Strength and Functional Improvement Using Pneumatic Brace with Extension Assist for End-Stage Knee Osteoarthritis: A Prospective, Randomized trial

被引：30

作者：

Cherian, Jeffrey J. ^{[1
]}

Bhave, Anil ^{[1
]}

Kapadia, Bhaveen H. ^{[1
]}

Starr, Roland ^{[1
]}

McElroy, Mark J. ^{[1
]}

Mont, Michael A. ^{[1
]}

机构：

[1] Sinai Hosp Baltimore, Ctr Joint Preservat & Replacement, Rubin Inst Adv Orthopaed, Baltimore, MD 21215 USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 05期

关键词：

unloader brace; osteoarthritis; total knee arthroplasty; muscle strength; pain; TO-STAND TEST; GO TEST; SCORING SYSTEM; UNITED-STATES; ARTHROPLASTY; ARTHRITIS; MOBILITY; HIP; ARTHROSIS; BURDEN;

D O I：

10.1016/j.arth.2014.11.036

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

Pneumatic unloader bracing with extension assists have been proposed as a non-operative modality that may delay the need for knee surgery by reducing pain and improving function. This prospective, randomized trial evaluated 52 patients who had knee osteoarthritis for changes in: (1) muscle strength; (2) objective functional improvements; (3); subjective functional improvements; (4) pain; (5) quality of life; and (6) conversion to total knee arthroplasty (TKA) compared to standard of care. Patient outcomes were evaluated at a minimum 3 months. Braced patient's demonstrated significant improvements in muscle strength, several functional tests, and patient reported outcomes when compared to the matched cohort. These results are encouraging and suggest that this device may represent a promising alternative to standard treatment methods for knee osteoarthritis. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：747 / 753

页数：7

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