VALGUS KNEE BRACE (SHORT)

Product Details

• Front opening wrap-around design
• Made from 4 way stretch, breathable, neoprene, nylon fabric
• Removable dual pivot polycentric hinge with hyperextension stop
• Universal fit for left or right leg
• Moderate ligament instabilities
• traumatic or degenerative deformities of the knee joint
• osteoarthritis
• unstable valgus or varus knee
• Measure 10 cm / 4 in above knee centre

• Large, publicly funded trial addressing an important unresolved question around affordable, effective non-pharmacological management of painful knee osteoarthritis.

• Recruitment from a broad range of settings (general practice, physiotherapy services and self-referral following awareness raising).

• The intervention arm of our pragmatic design stratifies the provision of brace type based on predominant clinical and radiographic features at presentation, incorporates adherence support components and is delivered by physiotherapists—a scalable model for future implementation.

• Restricted range of off-the-shelf brace options included.

• The trial is powered for the overall comparison between treatment arms but not for subgroup analyses of different brace types.

A priori exploratory subgroup analyses will explore the effectiveness of the knee brace plus advice, written information and exercise instruction intervention versus advice, written information and exercise instruction alone by: (1) predominant knee compartmental involvement, (2) knee buckling, (3) adherence to brace use, (4) anxiety/depression. We will also explore how often physiotherapists’ clinical judgement on appropriate brace type is changed by plain X-ray findings. A multi-centre, primary care, randomised (1:1), parallel-group, superiority trial with internal pilot. The trial protocol has been co produced with stakeholders including patients. Participants will be recruited from National Health Service (NHS) general practice, physiotherapy services and from self-referral within the community following an awareness raising campaign. Supportive lumbar orthosis, lumbar-sacral orthosis, and thoracic-lumbar-sacral orthosis are considered experimental and investigational for other indications because their effectiveness for indications other than the ones listed above has not been established. Following a strain/sprain, supportive lumbar orthosis, lumbar-sacral orthosis, and thoracic-lumbar-sacral orthosis (back supports, lumbosacral supports, support vests) are used to render support to an injured site of the back. The main effect is to support the injured muscle and reduce discomfort.