%0 Journal Article %T Clinical effectiveness and safety of a distraction-rotation knee brace for medial knee osteoarthritis %+ Service de Rhumatologie (CHU de Dijon) %+ Cognition, Action, et Plasticité Sensorimotrice [Dijon - U1093] (CAPS) %+ Service de rhumatologie [Centre Hospitalier de Chalon-sur-Saône William Morey] %+ Centre d'Investigation Clinique 1432 (Dijon) - Module Plurithématique : Périnatalité Cancérologie Handicap et Ophtalmologie (CIC-P803) %+ Pôle Rééducation - Réadaptation (Médecine Physique et Réadaptation) (CHU de Dijon) %A Ornetti, Paul %A Fortunet, Clémentine %A Morisset, C. %A Grémeaux, Vincent %A Maillefert, Jean-Francis %A Casillas, Jean-Marie %A Laroche, Davy %< avec comité de lecture %@ 1877-0657 %J Annals of Physical and Rehabilitation Medicine %I Elsevier Masson %V 58 %N 3 %P 126-131 %8 2015 %D 2015 %R 10.1016/j.rehab.2015.03.004 %K Unloader brace %K Valgus %K Effectiveness %K Gait analysis %K Knee osteoarthritis %K Safety %Z Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal systemJournal articles %X Evaluation of the clinical effectiveness and safety of a new custom-made valgus knee brace (OdrA) in medial knee osteoarthritis (OA) in terms of pain and secondary symptoms.METHODS:Open-label prospective study of patients with symptomatic medial knee OA with clinical evaluation at 6 and 52 weeks (W6, W52). We systematically assessed pain on a visual analog scale (VAS), Knee injury and Osteoarthritis Outcome Score (KOOS), spatio-temporal gait variables, use of nonsteroidal anti-inflammatory drugs (NSAIDs) and analgesic-sparing effects of the brace and tolerance. Mean scores were compared at baseline, W6 and W52 and the effect size (ES) and 95% confidence intervals (95% CIs) were calculated.RESULTS:We included 20 patients with knee OA (mean age 64.2±10.2 years, mean body mass index 27.2±5.4 kg/m2). VAS pain and KOOS were improved at W6 and W52: pain (ES=0.9 at 1 year), amelioration of other symptoms (ES=0.4), and function in activities of daily living (ES=1.1), sports and leisure (ES=1.5), quality of life (ES=0.9) and gait speed (ES=0.41). In total, 76% of patients showed clinical improvement at 1 year. Analgesic and NSAIDs consumption was significantly decreased at W6 and W52. One serious adverse effect noted was lower-limb varices, and observance was deemed satisfactory at 1 year.CONCLUSION:This new unloader brace appeared to have good effect on medial knee OA, with an acceptable safety profile and good patient compliance. %G English %L hal-01295715 %U https://u-bourgogne.hal.science/hal-01295715 %~ UNIV-BOURGOGNE %~ U1093