Ankle Sprain Prophylaxis: An Analysis of the Stabilizing Effects of Braces and Tape

Shapiro, Matthew S.; Kabo, J. Michael; Mitchell, P.W.; Loren, Gregory J.; Tsenter, M.

doi:10.1177/036354659402200114

Cited by 100 publications

(66 citation statements)

References 18 publications

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“…These results are similar to those of Shapiro et al [18] who found resistance to an applied inversion movement by prophylactic bracing or taping. They also found that relative to the freshly taped ankle the semi-rigid brace increased resistance by about 10%.…”

Section: Discussionsupporting

confidence: 91%

“…It was also reported that resistance to inversion movements was two to three times greater with tape or brace than without. These differences are larger than ours and may be attributable to the use of cadaveric specimen [18]. Since neuromuscular feedback plays an important role in this kind of experiment and ankle supports may increase the afferent feedback from cutaneous receptors, it would be ideal if an experiment were conducted under conditions which did not preclude reflex response and muscle stiffness [5,16].…”

Section: Discussionmentioning

confidence: 65%

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Protection and performance effects of ankle bracing

Nishikawa¹,

Kurosaka²,

Mizuno³

et al. 2000

International Orthopaedics

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We investigated the protection afforded to ankle ligaments by ankle supports and the extent to which these were associated with a diminution of motor performance. Eleven volunteers were subjected to a 10°tilt in four directions (inversion, eversion, plantar flexion and dorsiflexion) on a rocking platform. Threedimensional videography was used to record complex ankle kinematics. The prophylactic ankle supports used were a semi-rigid brace, a lace-up cloth brace, and taping. The ankle supports provided similar initial protection against acute ligamentous inversion sprains. The semi-rigid ankle brace produced a smaller restriction of plantar flexion-dorsiflexion movement than either the lace-up cloth brace or taping.Résumé Les auteurs ont étudié la protection qu'une chevillère assure aux ligaments de la cheville, ainsi que la mesure dans laquelle le port d'une chevillère perturbe la motricité de l'articulation. A l'aide d'une plate-forme de perturbation, 11 volontaires ont été soumis à des inclinaisons de 10°dans quatre sens (inversion, éversion, flexion plantaire, flexion dorsale). La cinématique de l'articulation talo-crurale a été analysée pour chaque épreuve par vidéographie tridimensionnelle. Les chevillères employées à cette fin étaient de trois types: semi-rigide, lacée et bandage. Les résultats révèlent que les chevillères étudiées assurent initialement le même degré de protection contre les entorses par inversion. La chevillère semirigide limite moins les mouvements de flexion plantaire et dorsale que les deux autres types.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 65%

Protection and performance effects of ankle bracing

Nishikawa¹,

Kurosaka²,

Mizuno³

et al. 2000

International Orthopaedics

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“…A bandagem funcional de tornozelo tem sido demonstrada como eficaz na redução do movimento de inversão (17) ; entretanto, estudos demonstram que a eficácia da bandagem diminui rapidamente com exercício, em cerca de 12 e 50% após os 10 primeiros minutos de utilização (9)(10)(11)(12)14,(16)(17)(18)21) . Sendo assim, o uso do EDT promove maior estabilidade durante maior período de tempo, torna-o um recurso profilático mais eficiente (22) .…”

Section: Introductionunclassified

Efeito do Uso do Estabilizador Active Ankle System® na Altura do Salto Vertical em Jogadores de Voleibol

Anjos

Brasil

Barros

et al. 2009

Rev Bras Med Esporte

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INTRODUÇÃO E OBJETIVO: Na prática do voleibol, as entorses de tornozelo representam 25 a 50% das lesões agudas. Medidas preventivas, como estabilizadores dinâmicos de tornozelo (EDT), são frequentemente utilizadas, porém, há controvérsias se esse dispositivo pode ou não interferir no desempenho esportivo. O objetivo deste estudo foi analisar o efeito do EDT Active Ankle System® (AAS) na altura do salto vertical em jogadoras de voleibol. MÉTODOS: Selecionou-se uma amostra de conveniência de 14 atletas entre 14 e 18 anos de idade, do gênero feminino. Estas foram instruídas a saltar simulando o gesto esportivo do ataque e do bloqueio com e sem o EDT, sobre placas de contato conectadas a um computador portátil que, através de um programa, calculava a altura do salto vertical. Previamente, foi feito um estudo-piloto para determinação do coeficiente de correlação intraclasse para as quatro condições de teste (n = 4), no qual os valores encontrados foram: ataque com EDT, 0,95; ataque sem EDT, 0,76; bloqueio com EDT, 0,92; bloqueio sem EDT, 0,89. Os dados de altura de cada tipo de salto vertical nas condições com e sem EDT foram comparadas através de testes t de Student para amostras pareadas. RESULTADOS: Para um nível de significância de α = 0,05, não foi encontrada diferença significativa entre os saltos do ataque com o EDT (0,41 + 0,073m) e sem o EDT (0,41 + 0,086m), p = 0,517. Também não foi encontrada diferença significativa para os saltos do bloqueio com o EDT (0,31 ± 0,048m) e sem o EDT (0,32 ± 0,050m), p = 0,06. CONCLUSÃO: Os resultados do presente estudo apontam para não interferência do uso do EDT AAS no desempenho do salto vertical em atletas de voleibol.

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“…This is not only limited to vigourous activity, but occurs in daily activities such as walking. There is a large body of literature in which the effects of various prophylactic ankle supports on variables such as ankle range of motion [2], ankle muscle strength [4,24], reflex and voluntary reaction time [13,19], postural steadiness [5,9] and functional performance tasks [7] have been reported. Normal foot biomechanics during the stance phase has been thoroughly studied [8].…”

Section: Discussionmentioning

confidence: 99%

“…A relatively large body of literature, using cadaveric specimens and living subjects, has addressed the issue of how prophylactic ankle braces and taping stabilise the lateral ankle ligaments against undesirable inversion motion and influence athletic performance variables [10,11,24]. However, there have been relatively few papers investigating the influence of these ankle supports on the biomechanics of the ankle complex during normal daily activities such as walking or running.…”

Section: Introductionmentioning

confidence: 99%

Effects of prophylactic ankle supports on pronation during gait

Nishikawa

Kurosaka

Yoshiya

et al. 2002

International Orthopaedics

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We performed a gait analysis of 12 healthy subjects in order to analyse the rear foot pronation-supination angle and the shift of centre of pressure (COP) during walking. We used a video system and a force plate and examined the effects of semi-rigid Air-Stirrup brace, lace-up cloth RocketSoc brace, ankle taping and no bracing. Both the lace-up cloth brace and taping increased the maximum pronation angle during the stance phase. The lace-up cloth brace alone was associated with a larger maximum pronation velocity. With the lace-up cloth brace and taping, the COP was more laterally placed, allowing greater leverage about the subtalar axis and thus increasing the tendency toward pronation. The two braces and the tape did not similarly affect ankle joint biomechanics during gait. The ability to reduce excessive amounts of pronation is an important design consideration for prophylactic ankle supports.

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Ankle Sprain Prophylaxis: An Analysis of the Stabilizing Effects of Braces and Tape

Cited by 100 publications

References 18 publications

Protection and performance effects of ankle bracing

Protection and performance effects of ankle bracing

Efeito do Uso do Estabilizador Active Ankle System® na Altura do Salto Vertical em Jogadores de Voleibol

Effects of prophylactic ankle supports on pronation during gait

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