- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02150057
Efficacy Study of an Unloading Brace for Knee Osteoarthritis
Efficacy of Medial Compartment Unloading Brace Use for Osteoarthritis of the the Knee: A Prospective Randomized Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This investigation will recruit 72 subjects from the clinical population of the investigators with symptomatic unicompartmental osteoarthritis of the medial compartment of the knee who meet the inclusion criteria of the investigation. Subjects who meet the recruitment conditions will be prospectively randomized into one of two treatment groups for 6 month evaluation:
- Fusion Osteoarthritis Knee Brace
- No brace group
Inclusion Criteria:
- Age 30-80.
- History of medial unicompartmental knee pain > 3 months duration (medial compartment only).
- Narrowing of medial joint space < one half of lateral compartment
- Varus deformity no greater than 80
- Mild to moderate limitation in Activities of Daily Living (ADL's) and/or recreational activities.
- Must read and understand English language and demonstrate the ability and willingness to follow the protocol and complete the questionnaires and diaries.
- Manual dexterity sufficient to perform all tasks required of study participants.
- Willingness to wear the brace a minimum of 4 hours per day.
Exclusion Criteria:
- Arthritides other than osteoarthritis.
- Previous high tibial osteotomy of the affected knee.
- Previous surgery of affected knee other than diagnostic arthroscopy with joint debridement, soft tissue reconstruction, menisectomy.
- Fixed flexion deformities / limitations >10 degrees as compared to the contralateral limb.
- Flexion limitation > 20 degrees.
- Significant soft tissue compromise preventing long-term brace use.
- Peripheral vascular disease or other neurovascular complaints
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Florida
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Gulf Breeze, Florida, United States, 32561
- Andrews Institute for Orthopaedics & Sports Medicine
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age 30-80.
- History of medial unicompartmental knee pain > 3 months duration (medial compartment only).
- Narrowing of medial joint space < one half of lateral compartment
- Varus deformity no greater than 80
- Mild to moderate limitation in Activities of Daily Living (ADL's) and/or recreational activities.
- Must read and understand English language and demonstrate the ability and willingness to follow the protocol and complete the questionnaires and diaries.
- Manual dexterity sufficient to perform all tasks required of study participants.
- Willingness to wear the brace a minimum of 4 hours per day.
Exclusion Criteria:
- Arthritides other than osteoarthritis.
- Previous high tibial osteotomy of the affected knee.
- Previous surgery of affected knee other than diagnostic arthroscopy with joint debridement, soft tissue reconstruction, menisectomy.
- Fixed flexion deformities / limitations >10 degrees as compared to the contralateral limb.
- Flexion limitation > 20 degrees.
- Significant soft tissue compromise preventing long-term brace use.
- Peripheral vascular disease or other neurovascular complaints.
- Leg-length discrepancy > 2cm.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Control Group
This group receives no experimental bracing intervention in the study.
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Active Comparator: Experimental Group
This group will receive the Breg Fusion Osteoarthritis Knee Unloading Brace to wear for a determined amount of time per study protocol for the treatment of osteoarthritis pain.
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This group is assigned to wear an unloading brace and report pain and quality of life by completion of a pain diary and related questionnaires.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Knee Injury and Osteoarthritis Outcome Score (KOOS) Pain Score
Time Frame: Baseline, 6 month follow-up
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The Knee injury and Osteoarthritis Outcome Score (KOOS) questionnaire will be administered to collect patient reported outcomes as they relate to pain, function, and quality of life.
The pain scale range is 0-10 with lower scores indicating less pain.
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Baseline, 6 month follow-up
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Roger Ostrander, MD, Andrews Institute for Orthopaedics & Sports Medicine
Publications and helpful links
General Publications
- Lawrence RC, Helmick CG, Arnett FC, Deyo RA, Felson DT, Giannini EH, Heyse SP, Hirsch R, Hochberg MC, Hunder GG, Liang MH, Pillemer SR, Steen VD, Wolfe F. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis Rheum. 1998 May;41(5):778-99. doi: 10.1002/1529-0131(199805)41:53.0.CO;2-V.
- Kirkley A, Webster-Bogaert S, Litchfield R, Amendola A, MacDonald S, McCalden R, Fowler P. The effect of bracing on varus gonarthrosis. J Bone Joint Surg Am. 1999 Apr;81(4):539-48. doi: 10.2106/00004623-199904000-00012.
- Cunningham LS, Kelsey JL. Epidemiology of musculoskeletal impairments and associated disability. Am J Public Health. 1984 Jun;74(6):574-9. doi: 10.2105/ajph.74.6.574.
- Lethbridge-Cejku M, Tobin JD, Scott WW Jr, Reichle R, Plato CC, Hochberg MC. The relationship of age and gender to prevalence and pattern of radiographic changes of osteoarthritis of the knee: data from Caucasian participants in the Baltimore Longitudinal Study of Aging. Aging (Milano). 1994 Oct;6(5):353-7. doi: 10.1007/BF03324264.
- Gabriel SE, Crowson CS, Campion ME, O'Fallon WM. Direct medical costs unique to people with arthritis. J Rheumatol. 1997 Apr;24(4):719-25.
- Gabriel SE, Crowson CS, O'Fallon WM. Costs of osteoarthritis: estimates from a geographically defined population. J Rheumatol Suppl. 1995 Feb;43:23-5.
- Rao JK, Mihaliak K, Kroenke K, Bradley J, Tierney WM, Weinberger M. Use of complementary therapies for arthritis among patients of rheumatologists. Ann Intern Med. 1999 Sep 21;131(6):409-16. doi: 10.7326/0003-4819-131-6-199909210-00003.
- Buckwalter JA, Stanish WD, Rosier RN, Schenck RC Jr, Dennis DA, Coutts RD. The increasing need for nonoperative treatment of patients with osteoarthritis. Clin Orthop Relat Res. 2001 Apr;(385):36-45. doi: 10.1097/00003086-200104000-00008.
- Pollo FE. Bracing and heel wedging for unicompartmental osteoarthritis of the knee. Am J Knee Surg. 1998 Winter;11(1):47-50. No abstract available.
- Pollo FE, Otis JC, Backus SI, Warren RF, Wickiewicz TL. Reduction of medial compartment loads with valgus bracing of the osteoarthritic knee. Am J Sports Med. 2002 May-Jun;30(3):414-21. doi: 10.1177/03635465020300031801.
- Matsuno H, Kadowaki KM, Tsuji H. Generation II knee bracing for severe medial compartment osteoarthritis of the knee. Arch Phys Med Rehabil. 1997 Jul;78(7):745-9. doi: 10.1016/s0003-9993(97)90083-6.
- Katsuragawa Y, Fukui N, Nakamura K. Change of bone mineral density with valgus knee bracing. Int Orthop. 1999;23(3):164-7. doi: 10.1007/s002640050337.
- Giori NJ. Load-shifting brace treatment for osteoarthritis of the knee: a minimum 2 1/2-year follow-up study. J Rehabil Res Dev. 2004 Mar;41(2):187-94. doi: 10.1682/jrrd.2004.02.0187.
- Draper ER, Cable JM, Sanchez-Ballester J, Hunt N, Robinson JR, Strachan RK. Improvement in function after valgus bracing of the knee. An analysis of gait symmetry. J Bone Joint Surg Br. 2000 Sep;82(7):1001-5. doi: 10.1302/0301-620x.82b7.10638.
- Divine JG, Hewett TE. Valgus bracing for degenerative knee osteoarthritis: relieving pain, improving gait, and increasing activity. Phys Sportsmed. 2005 Feb;33(2):40-6. doi: 10.3810/psm.2005.02.48.
- Birmingham TB, Kramer JF, Kirkley A, Inglis JT, Spaulding SJ, Vandervoort AA. Knee bracing for medial compartment osteoarthritis: effects on proprioception and postural control. Rheumatology (Oxford). 2001 Mar;40(3):285-9. doi: 10.1093/rheumatology/40.3.285.
- Barnes CL, Cawley PW, Hederman B. Effect of CounterForce brace on symptomatic relief in a group of patients with symptomatic unicompartmental osteoarthritis: a prospective 2-year investigation. Am J Orthop (Belle Mead NJ). 2002 Jul;31(7):396-401.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- BREG72609
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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