Cochrane · systematic review · CD010513

Knee orthoses for treating patellofemoral pain syndrome

Smith, TO, Drew, BT, Meek, TH, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Bone, Joint and Muscle TraumaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
4
No studies
3
Included studies
NR
No studies 3 · 42.9%Ungraded 0 · 0%Very low 4 · 57.1%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings: Knee orthosis (any type) and exercise versus control (exercise only) for treating patellofemoral pain syndrome

Population: Adults (recruited from health clinics or military recruits) with PFPS (duration of symptoms ranged from acute, under 2 to 3 weeks in two trials, to predominantly chronic in three trials: mean durations 8.3 months, 21 months, 21 months)
7 questions
OutcomeEffectEvidenceStatus / GRADE
Pain score (VAS) Scale from: 0 to 10 (higher scores mean worse pain)
Summary of findings: Knee orthosis (any type) and exercise vs control (exercise only)
no estimate extracted3 studies · 234 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Functional outcomes Scale various 2
Summary of findings: Knee orthosis (any type) and exercise vs control (exercise only)
no estimate extracted2 studies · 183 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Quality of Life and General Health Assessments
Summary of findings: Knee orthosis (any type) and exercise vs control (exercise only)
no estimate extractedNRNo studies
Impact on sporting and occupational participation
Summary of findings: Knee orthosis (any type) and exercise vs control (exercise only)
no estimate extracted1 study · 51 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Resource use
Summary of findings: Knee orthosis (any type) and exercise vs control (exercise only)
no estimate extractedNRNo studies
Participant satisfaction
Summary of findings: Knee orthosis (any type) and exercise vs control (exercise only)
no estimate extractedNRNo studies
Complications
Summary of findings: Knee orthosis (any type) and exercise vs control (exercise only)
no estimate extracted1 study · 59 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness