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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 10/2011

01-10-2011 | Knee

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

Authors: Gul Baltaci, Gulcan Aktas, Elif Camci, Sevim Oksuz, Seda Yildiz, Tugce Kalaycioglu

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 10/2011

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Abstract

Purpose

Prophylactic knee braces are largely used in the prevention of ligament injuries, but their effectiveness on performance are still controversial. The aim of this study was to determine which brace was the most effective on functional performance.

Method

Twenty-four healthy subjects (14 men and 10 women), between the age of 18 and 22 with no prior history of lower limb injury and brace use, voluntarily participated in this study. Five different prophylactic knee braces were used. The test protocol consisted of dynamic balance, jumping performance, proprioception, coordination, and maximal force. Balance was assessed by the Y balance test; jumping performance was assessed by vertical jump and one-leg hop tests; maximal force, proprioception, and coordination were assessed by using functional squat testing. Proprioceptive test was performed by using the functional squat system machine that the participants were instructed to keep the crosshair on the line, even after the visual aid had disappeared. The subjects without a brace and with the brace by using 5 different braces (DonJoy-USA) were evaluated by five different therapists.

Results

Hinged “H” buttress for the support of the knee brace was found to be more effective than the others in terms of balance. Drytex economy hinged knee brace had the best result in terms of proprioception and maximal force. There were no significant differences in vertical jump and one-leg hop tests (n.s.).

Conclusion

In conclusion, the hinged “H” buttress for support of the knee brace and Drytex economy hinged knee brace produced the best results on the performance parameters. The other three braces demonstrated more variable and less optimal results. Prophylactic knee braces can be used for both healthy subjects and athletes to enhance proprioception, coordination, maximal force, and balance, but it is important to choose the best proper brace to the individuals according to their fitness level.

Level of evidence

(Economic and decision analysis—developing an economic or decision model), Level II.
Literature
1.
go back to reference Ageberg E, Zätterström R, Moritz U (1998) Stabilometry and one-leg hop test have high test-retest reliability. Scand J Med Sci Sports 8:198–202PubMedCrossRef Ageberg E, Zätterström R, Moritz U (1998) Stabilometry and one-leg hop test have high test-retest reliability. Scand J Med Sci Sports 8:198–202PubMedCrossRef
2.
go back to reference Albright JP, Powell JW, Smith W, Martindale A, Crowley E, Monroe J, Miller R, Connolly J, Hill BA, Miller D et al (1994) Medial collateral ligament knee sprains in college football: brace wear preferences and injury risk. Am J Sports Med 22:2–11PubMedCrossRef Albright JP, Powell JW, Smith W, Martindale A, Crowley E, Monroe J, Miller R, Connolly J, Hill BA, Miller D et al (1994) Medial collateral ligament knee sprains in college football: brace wear preferences and injury risk. Am J Sports Med 22:2–11PubMedCrossRef
3.
go back to reference Albright JP, Saterbak A, Stokes J (1995) Use of knee braces in sport. Current recommendations. Sports Med 20:281–301PubMedCrossRef Albright JP, Saterbak A, Stokes J (1995) Use of knee braces in sport. Current recommendations. Sports Med 20:281–301PubMedCrossRef
4.
go back to reference BenGal S, Lowe J, Mann G, Finsterbush A, Matan Y (1997) The role of the knee brace in the prevention of anterior knee pain syndrome. Am J Sports Med 25:118–122PubMedCrossRef BenGal S, Lowe J, Mann G, Finsterbush A, Matan Y (1997) The role of the knee brace in the prevention of anterior knee pain syndrome. Am J Sports Med 25:118–122PubMedCrossRef
5.
go back to reference Borsa PA, Lephart SM, Fu FH (1993) Muscular and functional performance characteristics of individuals wearing prophylactic knee braces. J Athl Train 28:336–344PubMed Borsa PA, Lephart SM, Fu FH (1993) Muscular and functional performance characteristics of individuals wearing prophylactic knee braces. J Athl Train 28:336–344PubMed
6.
go back to reference Chew KT, Lew HL, Date E, Fredericson M (2007) Current evidence and clinical applications of therapeutic knee braces. Am J Phys Med Rehabil 86:678–686PubMedCrossRef Chew KT, Lew HL, Date E, Fredericson M (2007) Current evidence and clinical applications of therapeutic knee braces. Am J Phys Med Rehabil 86:678–686PubMedCrossRef
7.
go back to reference Deppen RJ, Landfried MJ (1994) Efficacy of prophylactic knee bracing in high school football players. J Orthop Sports Phys Ther 20:243–246PubMed Deppen RJ, Landfried MJ (1994) Efficacy of prophylactic knee bracing in high school football players. J Orthop Sports Phys Ther 20:243–246PubMed
8.
go back to reference Erickson AR, Yasuda K, Beynnon B, Johnson R, Pope M (1993) An in vitro dynamic evaluation of prophylactic knee braces during lateral impact loading. Am J Sports Med 21:26–35PubMedCrossRef Erickson AR, Yasuda K, Beynnon B, Johnson R, Pope M (1993) An in vitro dynamic evaluation of prophylactic knee braces during lateral impact loading. Am J Sports Med 21:26–35PubMedCrossRef
9.
go back to reference Fleming BC, Renstrom PA, Beynnon BD, Engstrom B, Peira G (2000) The influence of functional knee bracing on the anterior cruciate strain biomechanics in weight-bearing knees. Am J Sports Med 28:815–824PubMed Fleming BC, Renstrom PA, Beynnon BD, Engstrom B, Peira G (2000) The influence of functional knee bracing on the anterior cruciate strain biomechanics in weight-bearing knees. Am J Sports Med 28:815–824PubMed
10.
go back to reference France EP, Paulos LE (1994) Knee Bracing. J Am Acad Orthop Surg 2:281–287PubMed France EP, Paulos LE (1994) Knee Bracing. J Am Acad Orthop Surg 2:281–287PubMed
11.
go back to reference Fujiwara LM, Perrin DH, Buxton BP (1990) The effect of three lateral knee braces on speed and agility in experienced and non-experienced wearers. Athl Train 25:160–161 Fujiwara LM, Perrin DH, Buxton BP (1990) The effect of three lateral knee braces on speed and agility in experienced and non-experienced wearers. Athl Train 25:160–161
12.
go back to reference Grace TG, Skipper BJ, Newberry JC, Nelson MA, Sweetser ER, Rothman ML (1988) Prophylactic knee braces and injury to the lower extremity. J Bone Joint Surg Am 70:422–427PubMed Grace TG, Skipper BJ, Newberry JC, Nelson MA, Sweetser ER, Rothman ML (1988) Prophylactic knee braces and injury to the lower extremity. J Bone Joint Surg Am 70:422–427PubMed
13.
go back to reference Greene DL, Hamson KR, Bay RC, Bryce CD (2000) Effects of protective knee bracing on speed and agility. Am J Sports Med 28:453–459PubMed Greene DL, Hamson KR, Bay RC, Bryce CD (2000) Effects of protective knee bracing on speed and agility. Am J Sports Med 28:453–459PubMed
14.
go back to reference Hardin GT, Farr J, Stiene HA (1993) Prophylactic knee braces for football: do they work? Indiana Med 86:308–311PubMed Hardin GT, Farr J, Stiene HA (1993) Prophylactic knee braces for football: do they work? Indiana Med 86:308–311PubMed
15.
go back to reference Houston ME, Goemans PH (1982) Leg muscle performance of athletes with and without knee support braces. Arch Phys Med Rehabil 63:431–432PubMed Houston ME, Goemans PH (1982) Leg muscle performance of athletes with and without knee support braces. Arch Phys Med Rehabil 63:431–432PubMed
16.
go back to reference Kaminski TW, Perrin DH (1996) Effect of prophylactic knee bracing on balance and joint position sense. J Athl Train 31:131–136PubMed Kaminski TW, Perrin DH (1996) Effect of prophylactic knee bracing on balance and joint position sense. J Athl Train 31:131–136PubMed
17.
go back to reference Kramer JF, Dubowitz T, Fowler P, Schachter C, Birmingham T (1997) Functional knee braces and dynamic performance: a review. Clin J Sport Med 7:32–39PubMedCrossRef Kramer JF, Dubowitz T, Fowler P, Schachter C, Birmingham T (1997) Functional knee braces and dynamic performance: a review. Clin J Sport Med 7:32–39PubMedCrossRef
18.
go back to reference Kinzey SJ, Armstrong CW (1998) The reliability of the star-excursion test in assessing dynamic balance. J Orthop Sports Phys Ther 27:356–360PubMed Kinzey SJ, Armstrong CW (1998) The reliability of the star-excursion test in assessing dynamic balance. J Orthop Sports Phys Ther 27:356–360PubMed
19.
go back to reference Liggett CL, Tandy RD, Young JC (1995) The effects of prophylactic knee bracing on running gait. J Athl Train 30:159–161PubMed Liggett CL, Tandy RD, Young JC (1995) The effects of prophylactic knee bracing on running gait. J Athl Train 30:159–161PubMed
20.
go back to reference Maffiuletti NA, Bizzini M, Schatt S, Munzinger U (2005) A multi-joint lower-limb tracking-trajectory test for the assessment of motor coordination. Neurosci Lett 384:106–111PubMedCrossRef Maffiuletti NA, Bizzini M, Schatt S, Munzinger U (2005) A multi-joint lower-limb tracking-trajectory test for the assessment of motor coordination. Neurosci Lett 384:106–111PubMedCrossRef
21.
go back to reference Moir G, Shastri P, Connaboy C (2008) Intersession reliability of vertical jump height in women and men. J Strength Cond Res 22:1779–1784PubMedCrossRef Moir G, Shastri P, Connaboy C (2008) Intersession reliability of vertical jump height in women and men. J Strength Cond Res 22:1779–1784PubMedCrossRef
22.
go back to reference Najibi S, Albright JP (2005) The use of knee braces, part 1: Prophylactic knee braces in contact sports. Am J Sports Med 33:602–611PubMedCrossRef Najibi S, Albright JP (2005) The use of knee braces, part 1: Prophylactic knee braces in contact sports. Am J Sports Med 33:602–611PubMedCrossRef
23.
go back to reference Osternig LR, Robertson RN (1993) Effects of prophylactic knee bracing on lower extremity joint position and muscle activation during running. Am J Sports Med 21:733–737PubMedCrossRef Osternig LR, Robertson RN (1993) Effects of prophylactic knee bracing on lower extremity joint position and muscle activation during running. Am J Sports Med 21:733–737PubMedCrossRef
24.
go back to reference Paluska SA, McKeag DB (2000) Knee braces: current evidence and clinical recommendations for their use. Am Fam Physician 61(411–8):423–424 Paluska SA, McKeag DB (2000) Knee braces: current evidence and clinical recommendations for their use. Am Fam Physician 61(411–8):423–424
25.
go back to reference Paluska SA, McKeag DB (1999) Using patellofemoral braces for anterior knee pain. Phys Sportsmed 27:81–82PubMedCrossRef Paluska SA, McKeag DB (1999) Using patellofemoral braces for anterior knee pain. Phys Sportsmed 27:81–82PubMedCrossRef
26.
go back to reference Paluska SA, McKeag DB (1999) Prescribing functional braces for knee instability. Phys Sportsmed 27:117–118PubMedCrossRef Paluska SA, McKeag DB (1999) Prescribing functional braces for knee instability. Phys Sportsmed 27:117–118PubMedCrossRef
27.
go back to reference Pietrosimone BG, Grindstaff TL, Linens SW, Uczekaj E, Hertel J (2008) A systematic review of prophylactic braces in the prevention of knee ligament injuries in collegiate football players. J Athl Train 43:409–415PubMedCrossRef Pietrosimone BG, Grindstaff TL, Linens SW, Uczekaj E, Hertel J (2008) A systematic review of prophylactic braces in the prevention of knee ligament injuries in collegiate football players. J Athl Train 43:409–415PubMedCrossRef
28.
go back to reference Podesta L, Sherman MF (1988) Knee bracing. Orthop Clin North Am 19:737–745PubMed Podesta L, Sherman MF (1988) Knee bracing. Orthop Clin North Am 19:737–745PubMed
29.
go back to reference Risberg MA, Beynnon BD, Peura GD, Uh BS (1999) Proprioception after anterior cruciate ligament reconstruction with and without bracing. Knee Surg Sports Traumatol Arthrosc 7:303–309PubMedCrossRef Risberg MA, Beynnon BD, Peura GD, Uh BS (1999) Proprioception after anterior cruciate ligament reconstruction with and without bracing. Knee Surg Sports Traumatol Arthrosc 7:303–309PubMedCrossRef
30.
go back to reference Rishiraj N, Taunton JE, Lloyd-Smith R, Woollard R, Regan W, Clement DB (2009) The potential role of prophylactic/functional knee bracing in preventing knee ligament injury. Sports Med 39:937–960PubMedCrossRef Rishiraj N, Taunton JE, Lloyd-Smith R, Woollard R, Regan W, Clement DB (2009) The potential role of prophylactic/functional knee bracing in preventing knee ligament injury. Sports Med 39:937–960PubMedCrossRef
31.
go back to reference Rovere GD, Clarke TJ, Yates CS (1988) Retrospective comparison of taping and ankle stabilisers in preventing ankle injuries. Am J Sports Med 16:228–233PubMedCrossRef Rovere GD, Clarke TJ, Yates CS (1988) Retrospective comparison of taping and ankle stabilisers in preventing ankle injuries. Am J Sports Med 16:228–233PubMedCrossRef
32.
go back to reference Rovere GD, Haupt HA, Yates CS (1987) Prophylactic knee bracing in college football. Am J Sports Med 15:111–116PubMedCrossRef Rovere GD, Haupt HA, Yates CS (1987) Prophylactic knee bracing in college football. Am J Sports Med 15:111–116PubMedCrossRef
33.
go back to reference Sforzo GA, Chen NM, Gold CA, Frye PA (1989) The effect of prophylactic knee bracing on performance. Med Sci Sports Exerc 21:254–257PubMed Sforzo GA, Chen NM, Gold CA, Frye PA (1989) The effect of prophylactic knee bracing on performance. Med Sci Sports Exerc 21:254–257PubMed
34.
go back to reference Sitler M, Ryan J, Hopkinson W, Wheeler J, Santomier J, Kolb R, Polley D (1990) The efficacy of a prophylactic knee brace to reduce knee injuries in football. A prospective, randomized study at West Point. Am J Sports Med 18:310–315PubMedCrossRef Sitler M, Ryan J, Hopkinson W, Wheeler J, Santomier J, Kolb R, Polley D (1990) The efficacy of a prophylactic knee brace to reduce knee injuries in football. A prospective, randomized study at West Point. Am J Sports Med 18:310–315PubMedCrossRef
35.
go back to reference Van Tiggelen D, Witvrouw E, Roget P, Cambier D, Danneels L, Verdonk R (2004) Effect of bracing on the prevention of anterior knee pain–a prospective randomized study. Knee Surg Sports Traumatol Arthrosc 12:434–439PubMedCrossRef Van Tiggelen D, Witvrouw E, Roget P, Cambier D, Danneels L, Verdonk R (2004) Effect of bracing on the prevention of anterior knee pain–a prospective randomized study. Knee Surg Sports Traumatol Arthrosc 12:434–439PubMedCrossRef
36.
go back to reference Veldhuizen JW, Verstappen FT, Koene FM, Greep JM (1994) Effects of cast-bracing of the knee on physical performance in healthy subjects. Int J Sports Med 15:520–524PubMedCrossRef Veldhuizen JW, Verstappen FT, Koene FM, Greep JM (1994) Effects of cast-bracing of the knee on physical performance in healthy subjects. Int J Sports Med 15:520–524PubMedCrossRef
Metadata
Title
The effect of prophylactic knee bracing on performance: balance, proprioception, coordination, and muscular power
Authors
Gul Baltaci
Gulcan Aktas
Elif Camci
Sevim Oksuz
Seda Yildiz
Tugce Kalaycioglu
Publication date
01-10-2011
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 10/2011
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-011-1491-3

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