Influence of magnetic knee wraps on joint proprioception in individuals with osteoarthritis: a randomized controlled pilot trial.
OBJECTIVE
To determine the effects of magnetic knee wraps (MKWs) on joint position sense (JPS) in individuals with mild-to-moderate knee osteoarthritis.


METHODS
Randomized, double-blind, placebo-controlled pilot trial.


METHODS
Rehabilitation clinic of a tertiary hospital.


METHODS
Fifty volunteers with mild-to-moderate knee osteoarthritis participated and 33 (66%) completed the trial; only one (2%) withdrew due to study-related adverse effects.


METHODS
Knee wraps with a static magnetic field (35  mT) were compared with control knee wraps for 12 weeks.


METHODS
The main outcome measure was JPS at first, fourth, and twelfth week while applying of the knee wrap, quantified as the ability to replicate target knee joint angles. The secondary outcome was the Comprehensive Osteoarthritis Test (COAT) total score.


RESULTS
In the intention-to-treat analysis with an alpha-level of 0.05, 12-week application of the MKWs did not significantly reduce the mean absolute error (MAE) of JPS (n = 18; P = 0.627); contrarily, the MAE was found to decrease significantly after wearing the sham MKWs (n = 20; P = 0.01). The COAT total score gradually improved in both groups (P < 0.05). When comparing the improvement of MAE and COAT total score at each follow-up between two groups, no significant differences were found; the maximal difference in the improvement of MAE between two groups was noted at week 12 (mean difference: 1.2°; 95% confidence interval -0.4 to 2.9; P = 0.144). In the per-protocol analysis, the study group showed better improvement in the COAT total score at week 12 (P = 0.033).


CONCLUSIONS
The 35-mT MKWs could not significantly influence knee JPS in individuals with mild-to-moderate knee osteoarthritis.
Chen
Chung-Yao
CY
Department of Physical Therapy, College of Medicine, Chang Gung University, Taoyuan and Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Keelung, Taiwan.
Fu
Tieh-Cheng
TC
Hu
Ching-Fang
CF
Hsu
Chih-Chin
CC
Chen
Chia-Ling
CL
Chen
Chih-Kuang
CK
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004311:Double-Blind Method; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000502:physiology; D055909:Magnetic Field Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000175:diagnosis* / Q000534:rehabilitation*; D010147:Pain Measurement; D010865:Pilot Projects; D011434:Proprioception / Q000502:physiology*; D016059:Range of Motion, Articular / Q000502:physiology; D012016:Reference Values; D012720:Severity of Illness Index; D018709:Statistics, Nonparametric; D013624:Taiwan; D016896:Treatment Outcome