The effect of prophylactic knee bracing on performance: balance, proprioception, coordination, and muscular power

Baltaci, Gül; Aktas, Gulcan; Camci, E.; Oksuz, Sevim; Yıldız, Seda; Kalaycioglu, Tugce

doi:10.1007/s00167-011-1491-3

Cited by 40 publications

(49 citation statements)

References 29 publications

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“…Straps can increase compartmental pressure, reducing muscle perfusion and increasing fatigue (21). Regarding strength, there are conflicting results, showing both increase and decrease in strength even within the same study, with different results for different braces (22).…”

Section: Influence On Performancementioning

confidence: 99%

Do Knee Braces Prevent Ski Knee Injuries?

2017

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Background: Alpine skiing has high rates of knee injuries. Prophylactic knee braces (PKBs) and functional knee braces (FKBs) are often prescribed by clinicians to reduce injuries or re-injuries in skiers. Objectives: This literature review evaluates current knowledge on the biomechanical and clinical effectiveness of prophylactic and functional knee braces in preventing knee injuries and their impact on the athletic performance of non-injured and injured individuals. Methods: A literature review was performed to analyze the efficiency of knee braces concerning the reduction of mechanical stress, influence on muscle control, performance and injury prevention. Results: Most of the available literature describes research on the use of knee braces in contact sports, specifically American football. In this context, several studies show braces to be more effective in preventing medial collateral ligament injuries than anterior cruciate ligament injuries in both cadaveric and clinical studies. The use of functional braces after anterior cruciate ligament reconstruction has been supported and refuted in both postoperative and long-term studies. Ski-specific studies show a positive effect of knee braces on proprioception; no influence on performance; and a protective effect on previously injured skiers. Conclusions: Current literature indicates PKBs may have a protective function in healthy patients, while influence on performance is minimal. Functional braces are recommended in ACL-deficient patients and are biomechanically effective under low-loading conditions. They may not be as effective in high-loading conditions, such as athletic activity. There is a protective effect of FKBs of preventing re-rupture of reconstructed ACLs and preventing further knee injuries on ACL-deficient knees in skiers. More research is needed to determine the effectiveness of PKBs snow sports.

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Section: Influence On Performancementioning

confidence: 99%

Do Knee Braces Prevent Ski Knee Injuries?

2017

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“…In human medicine, knee braces are commonly used for multiple conditions (13)(14)(15)(16)(17)(18)(19). Bracing of the human knee has been shown to enhance proprioception/joint position sense, permit the injured limb to relax, reduce fatigue in injured limb, provide some mechanical protection against impact, and slow movement down to allow muscles time to react and control motion (14,(17)(18)(19)(20)(21)(22).…”

Section: Introductionmentioning

confidence: 99%

The Use of Canine Stifle Orthotics for Cranial Cruciate Ligament Insufficiency

Carr¹,

Canapp²,

Meilleur³

et al. 2016

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Objective: To assess weight bearing of dogs treated for unilateral cranial cruciate ligament insufficiency with a custom stifle orthotic.Background: Cranial cruciate ligament (CCL) insufficiency is the most common cause of hind limb lameness in dogs. While there are numerous options for surgical management, surgery is not always an option. Recently, the use of canine stifle orthotics has also emerged as a means to non-surgically manage patients with cranial cruciate ligament insufficiency.

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“…Prophylactic knee braces (PKBs) are designed on the premise that they can protect players from sustaining debilitating injuries without inhibiting knee mobility and they have been utilized in sports without conclusive evidence regarding their efficacy in protecting the knee joint ligaments from injury [1]–[5].…”

Section: Introductionmentioning

confidence: 99%

The Effects of a Prophylactic Knee Brace and Two Neoprene Knee Sleeves on the Performance of Healthy Athletes: A Crossover Randomized Controlled Trial

et al. 2012

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Knee injury is one of the major problems in sports medicine, and the use of prophylactic knee braces is an attempt to reduce the occurrence and/or severity of injuries to the knee joint ligament(s) without inhibiting knee mobility. The aim of the present study was to examine the effect of one recently designed prophylactic knee brace and two neoprene knee sleeves upon performance of healthy athletes. Thirty-one healthy male athletes (age = 21.2±1.5) volunteered as participants to examine the effect of prophylactic knee brace/sleeves on performance using isokinetic and functional tests. All subjects were tested in four conditions in a random order: 1. nonbraced (control) 2. using a neoprene knee sleeve 3. using a knee sleeve with four bilateral metal supports and 4. using a prophylactic knee brace. The study design was a crossover, randomized, controlled trial. Subjects completed single leg vertical jump, cross-over hop, and the isokinetic knee flexion and extension (at 60, 180, 300°/sec). Data were collected from the above tests and analyzed for jump height, cross-over hop distance, peak torque to body weight ratio and average power, respectively. Comparisons of these variables in the four testing conditions revealed no statistically significant difference (p>0.05). The selected prophylactic brace/sleeves did not significantly inhibit athletic performance which might verify that their structure and design have caused no complication in the normal function of the knee joint. Moreover, it could be speculated that, if the brace or the sleeves had any limiting effect, our young healthy athletic subjects were well able to generate a mean peak torque large enough to overcome this possible restriction. Further studies are suggested to investigate the long term effect of these prophylactic knee brace and sleeves as well as their possible effect on the adjacent joints to the knee.

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The effect of prophylactic knee bracing on performance: balance, proprioception, coordination, and muscular power

Abstract: (Economic and decision analysis-developing an economic or decision model), Level II.

Cited by 40 publications

References 29 publications

Do Knee Braces Prevent Ski Knee Injuries?

Do Knee Braces Prevent Ski Knee Injuries?

The Use of Canine Stifle Orthotics for Cranial Cruciate Ligament Insufficiency

The Effects of a Prophylactic Knee Brace and Two Neoprene Knee Sleeves on the Performance of Healthy Athletes: A Crossover Randomized Controlled Trial

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