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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2021

Open Access 01-12-2021 | Research

Immediate and 6-week effects of wearing a knee sleeve following anterior cruciate ligament reconstruction: a cross-over laboratory and randomised clinical trial

Authors: Gisela Sole, Peter Lamb, Todd Pataky, Stefan Klima, Pierre Navarre, Niels Hammer

Published in: BMC Musculoskeletal Disorders | Issue 1/2021

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Abstract

Background

Rehabilitation following anterior cruciate ligament (ACL) reconstructions is based mainly on comprehensive progressive exercise programmes using a multi-dimensional approach. Elastic knee sleeves may be useful adjuncts to rehabilitation. The aim of this study was to determine the immediate and 6-week effects of wearing a knee sleeve on person-reported outcomes and function in participants who had undergone an ACL reconstruction and who had residual self-reported functional limitations.

Methods

Individuals with ACL reconstruction in the previous 6 months to 5 years were recruited. Immediate effects of a commercially-available elastic knee sleeve on single-leg horizontal hop distance were explored using a cross-over design. Following this first session, participants were randomised into a Control Group and a Sleeve Group who wore the sleeve for 6 weeks, at least 1 h daily. Outcome measures for the randomised clinical trial (RCT) were the International Knee Documentation Classification Subjective Knee Form (IKDC-SKF) score, the single-leg horizontal hop distance, and isokinetic quadriceps and hamstring peak torque. Linear mixed models were used to determine random effects. Where both limbs were measured at multiple time points, a random measurement occasion effect nested within participant was used.

Results

Thirty-four individuals (16 women) with ACL reconstruction completed the cross-over trial. Hop distance for the injured side during the sleeve condition increased by 3.6 % (95 % CI 0.4–6.8 %, p = 0.025). There was no evidence of differential changes between groups for the IKDC-SKF (Sleeve Group n = 15; Control Group n = 16; p = 0.327), or relative improvement in the injured side compared to the uninjured side for the physical performance measures (Sleeve Group n = 12, Control Group n = 12; three-way interaction p = 0.533 [hop distance], 0.381 [quadriceps isokinetic peak torque], and 0.592 [hamstring isokinetic peak torque]).

Conclusions

Single-leg hop distance of the ACL reconstructed side improved when wearing a knee sleeve. Wearing the knee sleeve over 6 weeks did not lead to enhanced improvements in self-reported knee function, hop distance and thigh muscle strength compared to the control group.

Trial registration

The trial was prospectively registered with the Australia New Zealand Clinical Trials Registry No: ACTRN12618001083​280, 28 June 2018.
Appendix
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Literature
1.
Rahardja R, Zhu M, Love H, Clatworthy MG, Monk AP, Young SW. Effect of graft choice on revision and contralateral anterior cruciate ligament reconstruction: Results from the New Zealand ACL registry. Am J Sports Med. 2019;48(1):63–9.PubMedCrossRef
2.
Sanders TL, Maradit Kremers H, Bryan AJ, Larson DR, Dahm DL, Levy BA, Stuart MJ, Krych AJ. Incidence of anterior cruciate ligament tears and reconstruction: a 21-year population-based study. Am J Sports Med. 2016;44:1502–7.PubMedCrossRef
3.
Sutherland K, Clatworthy M, Fulcher M, Chang K, Young SW. Marked increase in the incidence of anterior cruciate ligament reconstructions in young females in New Zealand. ANZ J Surg. 2019;89(9):1151–5.PubMedCrossRef
4.
Janssen KW, Orchard JW, Driscoll TR, van Mechelen W. High incidence and costs for anterior cruciate ligament reconstructions performed in Australia from 2003–2004 to 2007–2008: time for an anterior cruciate ligament register by Scandinavian model? Scand J Med Sci Sports. 2012;22(4):495–501.PubMedCrossRef
5.
6.
7.
Paterno MV, Rauh MJ, Schmitt LC, Ford KR, Hewett TE. Incidence of second ACL injuries 2 years after primary ACL reconstruction and return to sport. Am J Sports Med. 2014;42(7):1567–73.PubMedPubMedCentralCrossRef
8.
Barenius B, Ponzer S, Shalabi A, Bujak R, Norlén L, Eriksson K. Increased risk of osteoarthritis after anterior cruciate ligament reconstruction: a 14-year follow-up study of a randomized controlled trial. Am J Sports Med. 2014;42:1049–57.PubMedCrossRef
9.
Petersen W, Taheri P, Forkel P, Zantop T. Return to play following ACL reconstruction: a systematic review about strength deficits. Arch Orthop Trauma Surg. 2014;134(10):1417–28.PubMedCrossRef
10.
Kaur M, Ribeiro DC, Lamb P, Webster K, Sole G. Low knee-related quality of life and persistent physical asymmetries in participants up to 10 years post-ACL reconstruction – a cross-sectional study. Phys Ther Sport. 2021;48:35–42.PubMedCrossRef
11.
Kaur M, Ribeiro DC, Theis JC, Webster KE, Sole G. Movement patterns of the knee during gait following ACL reconstruction: a systematic review and meta-analysis. Sports Med. 2016;46(12):1869–95.PubMedCrossRef
12.
Bell DR, Pfeiffer KA, Cadmus-Bertram LA, Trigsted SM, Kelly A, Post EG, Hart JM, Cook DB, Dunn WR, Kuenze C. Objectively measured physical activity in patients after anterior cruciate ligament reconstruction. Am J Sports Med. 2017;45(8):1893–900.PubMedPubMedCentralCrossRef
13.
14.
Spindler KP, Kuhn JE, Freedman KB, Matthews CE, Dittus RS, Harrell FE. Anterior cruciate ligament reconstruction autograft choice: Bone-tendon-bone versus hamstring: Does it really matter? A systematic review. Am J Sports Med. 2004;32(8):1986–95.PubMedCrossRef
15.
Magnussen RA, Verlage M, Flanigan DC, Kaeding CC, Spindler KP. Patient-reported outcomes and their predictors at minimum 10 years after anterior cruciate ligament reconstruction: a systematic review of prospectively collected data. Orthop J Sports Med. 2015;3(3):2325967115573706.PubMedPubMedCentralCrossRef
16.
Spindler KP, Huston LJ, Chagin KM, Kattan MW, Reinke EK, Amendola A, Andrish JT, Brophy RH, Cox CL, Dunn WR, et al. Ten-year outcomes and risk factors after anterior cruciate ligament reconstruction: A MOON Longitudinal Prospective Cohort Study. Am J Sports Med. 2018;46(4):815–25.PubMedCrossRef
17.
Filbay SR, Ackerman IN, Dhupelia S, Arden NK, Crossley KM. Quality of life in symptomatic individuals after anterior cruciate ligament reconstruction, with and without radiographic knee osteoarthritis. J Orthop Sports Phys Ther. 2018;48(5):398–408.PubMedCrossRef
18.
Filbay SR, Ackerman IN, Russell TG, Macri EM, Crossley KM. Health-Related quality of life after anterior cruciate ligament reconstruction: a systematic review. Am J Sports Med. 2013;42:1247–55.PubMedCrossRef
19.
Ardern CL, Taylor NF, Feller JA, Webster KE. Fear of re-injury in people who have returned to sport following anterior cruciate ligament reconstruction surgery. J Sci Med Sport. 2012;15(6):488–95.PubMedCrossRef
20.
Filbay SR, Grindem H. Evidence-based recommendations for the management of anterior cruciate ligament (ACL) rupture. Best Pract Res Clin Rheumatol. 2019;33(1):33–47.PubMedPubMedCentralCrossRef
21.
Yang X-g, Feng J-t, He X, Wang F, Hu Y-c. The effect of knee bracing on the knee function and stability following anterior cruciate ligament reconstruction: a systematic review and meta-analysis of randomized controlled trials. Orthop Traumatol. 2019;105(6):1107–14.
22.
Bordes P, Laboute E, Bertolotti A, Dalmay JF, Puig P, Trouve P, Verhaegue E, Joseph PA, Dehail P, De Seze M. No beneficial effect of bracing after anterior cruciate ligament reconstruction in a cohort of 969 athletes followed in rehabilitation. Ann Phys Rehabil Med. 2017;60(4):230–6.PubMedCrossRef
23.
Kaur M, Ribeiro DC, Theis JC, Webster KE, Sole G. Individuals’ experiences of the consequences of anterior cruciate ligament reconstruction surgery. NZ J Physio. 2019;48:76–93.
24.
Schween R, Gehring D, Gollhofer A. Immediate effects of an elastic knee sleeve on frontal plane gait biomechanics in knee osteoarthritis. PLoS One. 2015;10(1):e0115782.PubMedPubMedCentralCrossRef
25.
Mohd Sharif NA, Goh S-L, Usman J, Wan Safwani WKZ. Biomechanical and functional efficacy of knee sleeves: a literature review. Phys Ther Sport. 2017;28:44–52.PubMedCrossRef
26.
Van Tiggelen D, Coorevits P, Witvrouw E. The use of a neoprene knee sleeve to compensate the deficit in knee joint position sense caused by muscle fatigue. Scand J Med Sci Sports. 2008;18:62–6.PubMedCrossRef
27.
Birmingham TB, Bryant DM, Giffin JR, Litchfield RB, Kramer JF, Donner A, Fowler PJ. A randomized controlled trial comparing the effectiveness of functional knee brace and neoprene sleeve use after anterior cruciate ligament reconstruction. Am J Sports Med. 2008;36(4):648–55.PubMedCrossRef
28.
Schulz KF, Altman DG, Moher D, the CG. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. Trials. 2010;11(1):32.PubMedPubMedCentralCrossRef
29.
Irrgang JJ, Anderson AF, Boland AL, Harner CD, Kurosaka M, Neyret P, Richmond JC, Shelborne KD. Development and validation of the international knee documentation committee subjective knee form. Am J Sports Med. 2001;29(5):600–13.PubMedCrossRef
30.
Tegner Y, Lysholm J. Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res. 1985;198:43–9.
31.
van BL Meer, Meuffels DE, Vissers MM, Bierma-Zeinstra SMA, Verhaar JAN, Terwee CB, Reijman M. Knee injury and osteoarthritis outcome score or international knee documentation committee subjective knee form: which questionnaire is most useful to monitor patients with an anterior cruciate ligament rupture in the short term? Arthroscopy. 2013;29(4):701–15.CrossRef
32.
Lefevre N, Klouche S, Mirouse G, Herman S, Gerometta A, Bohu Y. Return to sport after primary and revision anterior cruciate ligament reconstruction: a prospective comparative study of 552 patients from the FAST Cohort. Am J Sports Med. 2017;45:34–41.PubMedCrossRef
33.
Gustavsson A, Neeter C, Thomee P, Silbernagel KG, Augustsson J, Thomee R, Karlsson J. A test battery for evaluating hop performance in patients with an ACL injury and patients who have undergone ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2006;14(8):778–88.PubMedCrossRef
34.
Reid A, Birmingham TB, Stratford PW, Alcock GK, Giffin JR. Hop testing provides a reliable and valid outcome measure during rehabilitation after anterior cruciate ligament reconstruction. Phys Ther. 2007;87(3):337–49.PubMedCrossRef
35.
Sole G, Hamren J, Milosavljevic S, Nicholson H, Sullivan SJ. Test-retest reliability of isokinetic knee extension and flexion. Arch Phys Med Rehabil. 2007;88(5):626–31.PubMedCrossRef
36.
Byrne NM, Hills AP, Hunter GR, Weinsier RL, Schutz Y. Metabolic equivalent: one size does not fit all. J Appl Physiol. 2005;99(3):1112–9.PubMedCrossRef
37.
Anderson AF, Irrgang JJ, Kocher MS, Mann BJ, Harrast JJ. The International Knee Documentation Committee Subjective Knee Evaluation Form: normative data. Am J Sports Med. 2006;34(1):128–35.PubMedCrossRef
38.
Muller B, Yabroudi MA, Lynch A, Lai C-L, van Dijk CN, Fu FH, Irrgang JJ. Defining thresholds for the Patient Acceptable Symptom State for the IKDC Subjective Knee Form and KOOS for patients who underwent acl reconstruction. The Am J Sports Med. 2016;44(11):2820–6.PubMedCrossRef
39.
Edwards PK, Ebert JR, Joss B, Ackland T, Annear P, Buelow J-U, Hewitt B. Patient characteristics and predictors of return to sport at 12 months after anterior cruciate ligament reconstruction: The importance of patient age and postoperative rehabilitation. Orthop J Sports Med. 2018;6(9):2325967118797575.PubMedPubMedCentralCrossRef
40.
Ebert JR, Webster KE, Edwards PK, Joss BK, D’Alessandro P, Janes G, Annear P. Current perspectives of Australian therapists on rehabilitation and return to sport after anterior cruciate ligament reconstruction: a survey. Phys Ther Sport. 2019;35:139–45.PubMedCrossRef
41.
Thomee R, Kaplan Y, Kvist J, Myklebust G, Risberg MA, Theisen D, Tsepis E, Werner S, Wondrasch B, Witvrouw E. Muscle strength and hop performance criteria prior to return to sports after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2011;19(11):1798–805.PubMedCrossRef
42.
Swearingen J, Lawrence E, Stevens J, Jackson C, Waggy C, Davis DS. Correlation of single leg vertical jump, single leg hop for distance, and single leg hop for time. Phys Ther Sport. 2011;12(4):194–8.PubMedCrossRef
43.
Hiemstra LA, Webber S, MacDonald PB, Kriellaars DJ. Contralateral limb strength deficits after anterior cruciate ligament reconstruction using a hamstring tendon graft. Clin Biomech. 2007;22(5):543–50.CrossRef
44.
Erin HH, Joseph Z, Stephanie Di S, Michael JA, Lynn S-M. Preoperative Predictors for noncopers to pass return to sports criteria after ACL Reconstruction. J Appl Biomech. 2012;28(4):366–73.CrossRef
45.
Goerger BM, Marshall SW, Beutler AI, Blackburn JT, Wilckens JH, Padua DA. Anterior cruciate ligament injury alters preinjury lower extremity biomechanics in the injured and uninjured leg: the JUMP-ACL study. Br J Sports Med. 2015;49(3):188–95.PubMedCrossRef
46.
Mirkov DM, Knezevic OM, Maffiuletti NA, Kadija M, Nedeljkovic A, Jaric S. Contralateral limb deficit after ACL-reconstruction: an analysis of early and late phase of rate of force development. J Sports Sci. 2017;35(5):435–40.PubMedCrossRef
47.
Collins A, Blackburn T, Olcott C, Jordan JM, Yu B, Weinhold P. A kinetic and kinematic analysis of the effect of stochastic resonance electrical stimulation and knee sleeve during gait in osteoarthritis of the knee. J Appl Biomech. 2014;30(1):104–12.PubMedCrossRef
48.
Hyo-Jeoung K, Dae-Sung P, Ju Ri J, Kwang-Ik J. The effect of silicone sleeve and taping on balance and strength in anterior cruciate ligament reconstruction patients. J Kor Phys Ther. 2014;26(3):147–55.
49.
Zbrojkiewicz D, Vertullo C, Grayson JE. Increasing rates of anterior cruciate ligament reconstruction in young Australians, 2000–2015. Med J Australia. 2018;208(8):354–8.PubMedCrossRef
50.
Dodwell ER, LaMont LE, Green DW, Pan TJ, Marx RG, Lyman S. Twenty years of pediatric anterior cruciate ligament reconstruction in New York state. Am J Sports Med. 2014;42(3):675–80.PubMedCrossRef
51.
Abram SGF, Price AJ, Judge A, Beard DJ. Anterior cruciate ligament (ACL) reconstruction and meniscal repair rates have both increased in the past 20 years in England: hospital statistics from 1997 to 2017. Br J Sports Med. 2020;54(5):286–91.PubMedCrossRef
52.
Bahr R, Clarsen B, Ekstrand J. Why we should focus on the burden of injuries and illnesses, not just their incidence. Br J Sports Med. 2018;52(16):1018–21.PubMedCrossRef
53.
Scott S, Perry MA, Sole G. “Not always a straight path”: patients’ perspectives following anterior cruciate ligament rupture and reconstruction. Disabil Rehabil. 2018;40:2311–7.PubMedCrossRef
54.
de Oliveira FCL, Roy J-S, Pappas E. ACL injury, physical activity, and overweight/obesity: a vicious cycle? Knee Surg Sports Traumatol Arthrosc. 2019;28:667–9.PubMedCrossRef
55.
Webster KE, Nagelli CV, Hewett TE, Feller JA. Factors associated with psychological readiness to return to sport after anterior cruciate ligament reconstruction surgery. Am J Sports Med. 2018;46:1545–50.PubMedPubMedCentralCrossRef
56.
Ardern CL, Taylor NF, Feller JA, Webster KE. A systematic review of the psychological factors associated with returning to sport following injury. Br J Sports Med. 2013;47:1120–6.PubMedCrossRef
57.
Filbay SR, Crossley KM, Ackerman IN. Activity preferences, lifestyle modifications and re-injury fears influence longer-term quality of life in people with knee symptoms following anterior cruciate ligament reconstruction: a qualitative study. J Physiother. 2016;62(10):103–10.PubMedCrossRef
58.
Ardern CL, Kvist J, Ardern C, Kvist J, Fältström A, Stålman A, O’Halloran P, Webster K, Taylor N. on behalf of the BTG: BAck iN the Game (BANG) – a smartphone application to help athletes return to sport following anterior cruciate ligament reconstruction: protocol for a multi-centre, randomised controlled trial. BMC Musculoskel Disord. 2020;21(1):523.CrossRef
59.
Mahood C, Perry M, Gallagher P, Sole G. Chaos and confusion with confidence: Managing fear of Re-Injury after anterior cruciate ligament reconstruction. Phys Ther Sport. 2020;45:145–54.PubMedCrossRef
60.
Annear A, Sole G, Devan H. What are the current practices of sports physiotherapists in integrating psychological strategies during athletes’ return-to-play rehabilitation? Mixed methods systematic review. Phys Ther Sport. 2019;38:96–105.PubMedCrossRef
61.
Bunn JA, Navalta JW, Fountaine CJ, Reece JD. Current state of commercial wearable technology in physical activity monitoring 2015–2017. Int J Exerc Sci. 2018;11(7):503–15.PubMedPubMedCentral
Metadata
Title
Immediate and 6-week effects of wearing a knee sleeve following anterior cruciate ligament reconstruction: a cross-over laboratory and randomised clinical trial
Authors
Gisela Sole
Peter Lamb
Todd Pataky
Stefan Klima
Pierre Navarre
Niels Hammer
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2021
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-021-04540-x

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