Knee Osteoarthritis: Evaluating Bracing Use
Researchers examine compartment-specific bracing delivered with adherence support.
By
Kathryn Wighton
February 3, 2026
Clinical Scorecard: Knee Osteoarthritis: Evaluating Bracing Use
At a Glance
Category Detail
Condition Knee Osteoarthritis
Key Mechanisms Compartment-specific knee bracing with adherence intervention
Target Population Adults aged 45 years or older with symptomatic knee osteoarthritis and moderate to severe pain during weight-bearing activity
Care Setting Multicenter randomized trial across four regions in England
Key Highlights
Greater improvement in Knee Osteoarthritis Outcomes Score at 6 months with bracing compared to usual care Adjusted mean difference of 3.39 points on a 0 to 100 scale at 6 months Improvements in pain and activities of daily living observed primarily at 3 and 6 months Adverse events were common but mild, primarily skin irritation Brace adherence declined over time, affecting treatment outcomes
Guideline-Based Recommendations
Diagnosis
Clinically assess knee osteoarthritis in adults aged 45 years or older
Management
Consider compartment-specific knee bracing in conjunction with advice, written information, and exercise instruction
Monitoring & Follow-up
Monitor adherence to brace use and pain levels during weight-bearing activities
Risks
Potential for mild adverse events such as skin irritation or redness
Patient & Prescribing Data
Adults with symptomatic knee osteoarthritis and moderate to severe pain
Adherence support through motivational interviewing and text prompts can enhance outcomes
Clinical Best Practices
Provide education on knee OA and self-management strategies Encourage gradual increase in brace wear during painful activities Follow up with patients to support adherence and assess outcomes
References