Effect of Patellofemoral Brace and Tape on Knee Joint Kinematics and Kinetics

McCall, Gary J.; Galen, Sujay; Callaghan, Michael J.; Chapman, Graham J.; Liu, Anmin; Jones, Richard

doi:10.1097/jpo.0000000000000035

Cited by 5 publications

(5 citation statements)

References 13 publications

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“…This might be considered relatively low statistical power, reflecting smaller effect sizes. However, despite this, we were able to find significant differences in these parameters and the present sample size of 30 was similar to or larger than that of previous studies of a similar nature exploring the effects of sleeve knee brace (Callaghan et al, 2014;Callaghan et al, 2016;McCall et al, 2014;McWalter et al, 2011).…”

Section: Tablesupporting

confidence: 67%

“…McWalter et al (McWalter et al, 2011) found that the BioSkin Q brace changed patellar kinematics in people with PFJOA during a prone lying static posture in the unloaded and loaded knee using a device to simulate loading. These changes were not large enough to be clinically meaningful primarily because no reduction in pain was observed in their parent study (Hunter et al, 2011). McCall et al (McCall et al, 2014 analysed the effects of the Bioskin Q brace on kinetics and kinematics during level walking on twelve healthy subjects.…”

Section: Discussionmentioning

confidence: 97%

“…Two randomised clinical trials on PFJOA have shown that a knee brace reduced pain (Callaghan et al, 2015;Hunter et al, 2011), but its effects on the biomechanics of the knee joint are less well known. There is evidence from static imaging studies that a knee brace may correct PFJ malalignment (Callaghan et al, 2016), increase contact area of the PFJ in standing (Callaghan et al, 2014) and that it alters knee flexion angle during level walking (McCall et al, 2014). Stair negotiation in particular causes pain in people with PFJOA (Duncan et al, 2009;van Middelkoop et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Background: The patellofemoral joint is an important source of pain in knee osteoarthritis. Most biomechanical research in knee osteoarthritis has focused on the tibiofemoral joint during level walking. It is unknown what happens during stair negotiation in patients with patellofemoral joint osteoarthritis, a task commonly increasing pain. Conservative therapy for patellofemoral joint osteoarthritis includes the use of a sleeve knee brace. We aimed to examine the effect of a sleeve knee brace on knee biomechanics during stair negotiation in patellofemoral joint osteoarthritis patients. Methods: 30 patellofemoral joint osteoarthritis patients (40-70 years) ascended and descended an instrumented staircase with force plates under two conditionswearing a Lycra flexible knee support (Bioskin Patellar Tracking Q Brace) and no brace (control condition). Knee joint kinematics (VICON) and kinetics were recorded. Findings: During stair ascent, at the knee, the brace significantly reduced the maximal flexion angle (2.7 0 , P = 0.002), maximal adduction angle (2.0 0 , P = 0.044), total sagittal range of motion (2.0 0 , P = 0.008), total frontal range of motion (1.7 0 , P = 0.023) and sagittal peak extension moment (0.05 Nm/kg, P = 0.043) compared to control. During stair descent, at the knee, the brace significantly reduced the maximal flexion angle (1.8 0 , P = 0.039) and total sagittal range of motion (1.5 0 , P = 0.045) compared to control. Interpretation: The small changes in knee joint biomechanics during stair negotiation observed in our study need to be investigated further to help explain mechanisms behind the potential benefits of a sleeve knee brace for painful patellofemoral joint osteoarthritis.

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Section: Tablesupporting

confidence: 67%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

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et al. 2017

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“…Increases in afferent information influences the brain centres responsible for movement program generation and may improve motor control of the knee joint. Thijs et al [13] found greater brain activation during knee movements when wearing the knee brace than knee sleeve which supports the clinical studies in the area that also report greater effect of knee sleeves than taping techniques [11,[14][15][16].…”

Section: Introductionmentioning

confidence: 65%

The effect of proprioceptive knee bracing on knee stability after anterior cruciate ligament reconstruction

et al. 2019

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“…Furthermore, a knee brace can be applied by the user without assistance from a healthcare professional and thereby can give the patient more control over the management of their PFP [23]. Several studies reported that knee braces have modified the frontal and transverse plane motion of the knee joint [24][25][26]. In contrast, studies investigating the influence of a passive intervention on the hip biomechanics in individuals with PFP are still lacking.…”

Section: Introductionmentioning

confidence: 99%

Influence of the Powers™ strap on pain and lower limb biomechanics in individuals with patellofemoral pain

et al. 2019

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Background: Abnormal biomechanics, especially hip internal rotation and adduction are known to be associated with patellofemoral pain (PFP). The Powers TM strap was designed to decrease hip internal rotation and to thereby stabilise the patellofemoral joint. Objectives: This study aimed to investigate whether the Powers TM strap influenced pain and lower limb biomechanics during running and squatting in individuals with PFP. Methods: 24 individuals with PFP were recruited using advertisements that were placed at fitness centres. They were asked to perform a single leg squat task (SLS) and to run on an indoor track at their own selected speed during two conditions: with and without the Powers TM strap. Immediate pain was assessed with the numeric pain rating scale. Three-dimensional motion and ground reaction force data were collected with 10 Qualisys cameras and 3 AMTI force plates. Results: Immediate pain was significantly reduced with the Powers TM strap (without the Powers TM strap: 4.04±1.91; with the Powers TM strap: 1.93±2.13). The Powers TM strap condition significantly increased hip external rotation by 4.7° during the stance phase in running and by 2.5° during the single leg squat task. Furthermore, the external knee adduction moment during the SLS and running increased significantly. Conclusion: This study assessed the effect of the Powers™ strap on lower limbs kinematics and kinetics in individual with PFP. The results suggest that the Powers TM strap has the potential to improve abnormal hip motion. Furthermore, the Powers TM strap demonstrated an ability to significantly reduce pain during functional tasks in patients with PFP.

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Effect of Patellofemoral Brace and Tape on Knee Joint Kinematics and Kinetics

Cited by 5 publications

References 13 publications

Introgression from non-native species unveils a hidden threat to the migratory Neotropical fish Prochilodus hartii

Introgression from non-native species unveils a hidden threat to the migratory Neotropical fish Prochilodus hartii

The effect of proprioceptive knee bracing on knee stability after anterior cruciate ligament reconstruction

Influence of the Powers™ strap on pain and lower limb biomechanics in individuals with patellofemoral pain

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