PDF(Pubmed)
Abstract：
UNASSIGNED: Knee orthoses have been extensively used as a nonsurgical approach to improving knee deficiencies. Currently, arthritic knee conditions remain the leading cause of disability, and this number is expected to increase. As the use of knee orthoses varies widely, so has their effectiveness which is still largely debatable. Here, we present the functions and effectiveness of the three most prominent knee orthotic models dedicated to supporting knee osteoarthritis-unloader, patellofemoral, and knee sleeves.
UNASSIGNED: Considering the depth and diversity of the many clinical studies and documented laboratory reports published to date, this literature review was created to educate the clinician, patient, and researcher on common knee orthoses used for the management of arthritic knee conditions. In doing so, we discuss their design, biomechanical effects, and clinical efficacy, as well as broader outcomes, limitations, and recommendations for use.
UNASSIGNED: The knee orthoses discussed within the scope of this paper are dedicated to protecting the knee against strenuous compressive loads that may affect the patellofemoral and tibiofemoral joints of the knee. Since the knee has multiple axes of motion and articulating surfaces that experience different loads during functional activities, it can be implied that, to a large extent, knee brace designs can differ drastically. Unloader knee orthoses are designed to decrease tibiofemoral and patellofemoral joint pressures. Patellofemoral knee orthoses are designed to decrease strain on the patellofemoral and quadriceps tendons while stabilizing the patella. Knee sleeves are designed to stabilize movements, reduce pain in joints, and improve proprioception across the knee joint.
UNASSIGNED: Although patients often report benefits from wearing braces, these benefits have not been confirmed by clinicians and scientific investigators. Results from these three orthosis types show that clinical efficacy is still elusive due to the different methodologies used by researchers.
UNASSIGNED: Knee orthoses also referred to as knee brace are commonly used for support and stability of the knee. Unloader knee braces are designed to relieve and support those suffering from knee osteoarthritis by improving physical impairment and reducing pain. Patellofemoral knee braces aim to help patients manage patellofemoral pain syndrome. Rehabilitative compression sleeves, also known as knee sleeves, are often used to assist patients suffering from knee pain and laxity. Important findings on the three knee braces discussed show discrepancies in results. Their effectiveness and validity are yet to be understood.
UNASSIGNED: Considering the depth and diversity of the many clinical studies and documented laboratory reports published to date, this literature review was created to educate the clinician, patient, and researcher on common knee orthoses used for the management of arthritic knee conditions. In doing so, we discuss their design, biomechanical effects, and clinical efficacy, as well as broader outcomes, limitations, and recommendations for use.
UNASSIGNED: The knee orthoses discussed within the scope of this paper are dedicated to protecting the knee against strenuous compressive loads that may affect the patellofemoral and tibiofemoral joints of the knee. Since the knee has multiple axes of motion and articulating surfaces that experience different loads during functional activities, it can be implied that, to a large extent, knee brace designs can differ drastically. Unloader knee orthoses are designed to decrease tibiofemoral and patellofemoral joint pressures. Patellofemoral knee orthoses are designed to decrease strain on the patellofemoral and quadriceps tendons while stabilizing the patella. Knee sleeves are designed to stabilize movements, reduce pain in joints, and improve proprioception across the knee joint.
UNASSIGNED: Although patients often report benefits from wearing braces, these benefits have not been confirmed by clinicians and scientific investigators. Results from these three orthosis types show that clinical efficacy is still elusive due to the different methodologies used by researchers.
UNASSIGNED: Knee orthoses also referred to as knee brace are commonly used for support and stability of the knee. Unloader knee braces are designed to relieve and support those suffering from knee osteoarthritis by improving physical impairment and reducing pain. Patellofemoral knee braces aim to help patients manage patellofemoral pain syndrome. Rehabilitative compression sleeves, also known as knee sleeves, are often used to assist patients suffering from knee pain and laxity. Important findings on the three knee braces discussed show discrepancies in results. Their effectiveness and validity are yet to be understood.
摘要：
■膝关节矫形器已被广泛用作改善膝关节缺陷的非手术方法。目前,膝关节关节炎仍然是导致残疾的主要原因，这个数字预计还会增加。由于膝关节矫形器的使用差异很大，它们的有效性在很大程度上仍有争议。这里,我们介绍了三个最突出的膝关节矫形模型的功能和有效性，致力于支持膝关节骨关节炎卸载器，髌股,和膝盖袖子。
■考虑到迄今为止发表的许多临床研究和记录在案的实验室报告的深度和多样性，这篇文献综述是为了教育临床医生，病人,以及用于治疗关节炎膝关节疾病的普通膝关节矫形器的研究人员。在这样做的时候，我们讨论他们的设计，生物力学效应,和临床疗效，以及更广泛的结果，局限性,和使用建议。
■在本文范围内讨论的膝关节矫形器专门用于保护膝关节免受可能影响膝关节的髌股和胫骨股关节的剧烈压缩载荷。由于膝盖具有多个运动轴和关节表面，在功能活动期间会承受不同的负荷，可以暗示，在很大程度上,护膝设计可以大不相同。卸载器膝关节矫形器旨在降低胫骨股和髌股关节压力。髌股膝关节矫形器旨在减少髌股和股四头肌肌腱的应变，同时稳定髌骨。膝袖是用来稳定动作的,减少关节疼痛，改善膝关节的本体感觉.
■尽管患者经常报告佩戴牙套的益处，这些益处尚未得到临床医生和科学研究人员的证实.这三种矫形器的结果表明，由于研究人员使用的方法不同，临床疗效仍然难以捉摸。
■膝关节矫形器也称为膝关节支架，通常用于膝关节的支撑和稳定性。卸载器膝关节支架旨在通过改善身体损伤和减轻疼痛来缓解和支持患有膝关节骨关节炎的人。髌股膝关节支具旨在帮助患者治疗髌股疼痛综合征。康复压缩套筒,也被称为膝盖袖子，通常用于帮助患有膝关节疼痛和松弛的患者。所讨论的三个膝盖支架的重要发现表明结果存在差异。其有效性和有效性尚待理解。
■考虑到迄今为止发表的许多临床研究和记录在案的实验室报告的深度和多样性，这篇文献综述是为了教育临床医生，病人,以及用于治疗关节炎膝关节疾病的普通膝关节矫形器的研究人员。在这样做的时候，我们讨论他们的设计，生物力学效应,和临床疗效，以及更广泛的结果，局限性,和使用建议。
■在本文范围内讨论的膝关节矫形器专门用于保护膝关节免受可能影响膝关节的髌股和胫骨股关节的剧烈压缩载荷。由于膝盖具有多个运动轴和关节表面，在功能活动期间会承受不同的负荷，可以暗示，在很大程度上,护膝设计可以大不相同。卸载器膝关节矫形器旨在降低胫骨股和髌股关节压力。髌股膝关节矫形器旨在减少髌股和股四头肌肌腱的应变，同时稳定髌骨。膝袖是用来稳定动作的,减少关节疼痛，改善膝关节的本体感觉.
■尽管患者经常报告佩戴牙套的益处，这些益处尚未得到临床医生和科学研究人员的证实.这三种矫形器的结果表明，由于研究人员使用的方法不同，临床疗效仍然难以捉摸。
■膝关节矫形器也称为膝关节支架，通常用于膝关节的支撑和稳定性。卸载器膝关节支架旨在通过改善身体损伤和减轻疼痛来缓解和支持患有膝关节骨关节炎的人。髌股膝关节支具旨在帮助患者治疗髌股疼痛综合征。康复压缩套筒,也被称为膝盖袖子，通常用于帮助患有膝关节疼痛和松弛的患者。所讨论的三个膝盖支架的重要发现表明结果存在差异。其有效性和有效性尚待理解。
