Review Article

Biomechanical Effect of Valgus Knee Braces on the Treatment of Medial Gonarthrosis: A Systematic Review

Table 1

Studies that evaluated the effect of knee brace on spatiotemporal parameters in medial gonarthrosis.

ReferencesType of braceSample sizeDurationStudy designOutcome measurementsResults

Arazpour et al. [26]Double-hinged brace (air cushions)7 P (5F/2M)Immediate effectWalkWalking speed
Step length
The walking speed and step length were significantly increased.
Brand et al. [27]Double-hinged brace22 P (10F/12M)2 weeksWalkWalking speed
Step length
Cadence
FPA
The walking speed, step length, step cadence, and FPA were not significantly changed.
Croce et al. [28]Single-hinged brace (air cushions)18 P (6F/12M)Immediate effectWalkWalking speedThe average walking speed was not statistically changed between the unbraced, uninflated, and 7 psi conditions.
Draganich et al. [29]Double-hinged brace10 P (-)4-5 weeksWalkWalking speedThe walking speed was not significantly changed.
Fesharaki et al. [30]Double-hinged brace (two DOF)16 (11F/5M)Immediate effectWalkWalking speed
Stride length
The walking speed and stride length were significantly increased.
Gaasbeek et al. [31]Single-hinged brace (air cushions)15 P (3F/12M)6 weeksWalkWalking speed
Step length
FPA
The walking speed was increased and the step length was reduced. FPA was not significantly changed.
Hall et al. [21]Single-hinged brace16 H (7F/9M)Immediate effectWalkWalking speed
Stride length
Step width
The walking speed, stride length, and stride width were not significantly changed.
Johnson et al. [32]Double-hinged brace10 P (4F/6M)3 monthsWalkWalking speedThe average walking speed increased from 100 cm/s to 112 cm/s.
Karimi et al. [33]Double-hinged brace5 P (-)Immediate effectWalkWalking speed
Stride length
Cadence
The walking speed, stride length, and cadence were not significantly changed.
Kutzner et al. [34]Single/double-hinged brace3 P (-)Immediate effectWalkStride lengthThe stride length was not significantly changed.
Lamberg et al. [35]Double-hinged brace15 P (3F/12M)2 weeks
8 weeks
WalkWalking speedThe walking speed was significantly increased.
Laroche et al. [36]Double-hinged brace20 P (16F/4M)5 weeksWalkWalking speed
Step width
FPA
The walking speed was definitely increased. Step width was not statistically changed. FPA was significantly reduced at the TS and PO phase.
Pollo et al. [37]Single-hinged brace11 P (-)>2 weeksWalkWalking speedThe walking speed was not significantly changed.
Schmalz et al. [38]Single-hinged brace16 P
(8F/8M)
4 weeksWalkWalking speed
Cadence
Step length
The mean walking speed, cadence, and step length were significantly increased.
Toriyama et al. [39]Single-hinged brace19 P
(17F/2M)
Immediate effectWalkWalk speed
Cadence
Step length
Stride length
The walking speed and cadence were significantly increased. Other variables were not significantly changed.

P: patient; F: female; M: male; H: healthy; (-): not mentioned; DOF: degree-of-freedom; FPA: foot progression angle; TS: terminal stance; PO: push-off.