PROvision of braces for Patients with knee OsteoArthritis (PROP OA)

  • Research type

    Research Study

  • Full title

    A multi-centre, primary care, randomised, parallel-group, superiority trial (with internal pilot) to evaluate the effectiveness of bracing in the management of symptomatic knee osteoarthritis: the PROP OA trial

  • IRAS ID

    247370

  • Contact name

    George Peat

  • Contact email

    g.m.peat@keele.ac.uk

  • Sponsor organisation

    Keele University

  • ISRCTN Number

    ISRCTN28555470

  • Duration of Study in the UK

    4 years, 2 months, 30 days

  • Research summary

    Knee osteoarthritis is very common and causes pain and problems with movement. Wearing a brace could help patients with knee osteoarthritis, however, there are mixed reports about whether wearing a knee brace does actually help.

    This trial of 434 adults aged 45 years or older with knee osteoarthritis, aims to show whether wearing a knee brace provides more relief for people with painful knee osteoarthritis than just having best primary care, and whether this is good value for money for the NHS.

    Patients will be identified after they have consulted their GP with knee pain, by screening physiotherapy referrals in NHS services in Staffordshire, Cheshire, Greater Manchester, and Northumbria, and by asking people to volunteer following local advertising.

    Participants in the trial will get “best primary care”. This includes a 20 minute appointment with a physiotherapist who will give them education about knee osteoarthritis, exercise, physical activity and weight loss, advice about how to relieve knee pain, and a knee exercise programme. They will also be given an information booklet. Half of the participants will also get a knee brace that will be checked by the physiotherapist 2 weeks later. The type of brace they get will be based on the physiotherapist’s assessment and X-ray findings. Participants will be supported to keep wearing the brace for at least 6 months, which includes text message support.

    Participants will be asked about their pain and symptoms after 3, 6, and 12-months to see whether the knee brace was a useful addition to best primary care. We will ask participants if we can look at their medical records to see if wearing the knee brace has reduced the need for surgery. We will interview some patients to find out more about using the knee brace and the advice they had from physiotherapists.

  • REC name

    North West - Preston Research Ethics Committee

  • REC reference

    19/NW/0183

  • Date of REC Opinion

    3 Jun 2019

  • REC opinion

    Further Information Favourable Opinion