Effect Of Ankle Braces Research Articles

Efficacy of a semirigid ankle brace in reducing mechanical ankle instability evaluated by 3D stress-MRI

BackgroundNovel imaging technologies like 3D stress-MRI of the ankle allow a quantification of the mechanical instability contributing to chronic ankle instability. In the present study, we have tested the efficacy of a semirigid ankle brace on joint congruency in a plantarflexion/supination position with and without load.MethodsIn this controlled observational study of n = 25 patients suffering from mechanical ankle instability, a custom-built ankle arthrometer implementing a novel 3D-stress MRI technique was used to evaluate the stabilizing effect of an ankle brace. Three parameters of joint congruency (i.e., 3D cartilage contact area fibulotalar, tibiotalar horizontal and tibiotalar vertical) were measured. The loss of cartilage contact area from neutral position to a position combined of 40° of plantarflexion and 30° of supination without and with axial load of 200 N was calculated. A semirigid ankle brace was applied in plantarflexion/supination to evaluate its effect on joint congruence. Furthermore, the perceived stability of the brace during a hopping task was analyzed using visual analogue scale (VAS).ResultsThe application of a semirigid brace led to an increase in cartilage contact area (CCA) when the foot was placed in plantarflexion and supination. This effect was visible for all three compartments of the upper ankle joint (P < 0.001; η2 = 0.54). The effect of axial loading did not result in significant differences. The subjective stability provided by the brace (VAS 7.6/10) did not correlate to the magnitude of the improvement of the overall joint congruency.ConclusionsThe stabilizing effect of the semirigid ankle brace can be verified using 3D stress-MRI. Providing better joint congruency with an ankle brace may reduce peak loads at certain areas of the talus, which possibly cause osteochondral or degenerative lesions. However, the perceived stability provided by the brace does not seem to reflect into the mechanical effect of the brace.Trial registration The study protocol was prospectively registered at the German Clinical Trials Register (#DRKS00016356).

The Effect of Ankle Bracing on Kinematics in Simulated Sprain and Drop Landings: A Double-Blind, Placebo-Controlled Study

Background: The efficacy of external ankle braces to protect against sudden inversion sprain has yet to be determined while taking into account the possible placebo effect of brace application. Purpose: To assess the protective effect of an external ankle brace on ankle kinematics during simulated inversion sprain and single-legged drop landings among individuals with a history of unilateral lateral ankle sprain. Hypothesis: The primary hypothesis was that active and placebo external braces would reduce inversion angle during simulated inversion sprain. Study Design: Controlled laboratory study. Methods: Sixteen participants with ankle instability and previous sprain performed single-legged drop landings and sudden inversion tilt perturbations. Kinematics of the affected limb were assessed in 3 conditions (active bracing, passive placebo bracing, and unbraced) across 2 measurement days. Participators and investigators were blinded to the brace type tested. The effect of bracing on kinematics was assessed with repeated measures analysis of variance with statistical parametric mapping, with post hoc tests performed for significant interactions. Results: Only active bracing reduced inversion angles during a sudden ankle inversion when compared with the unbraced condition. This reduction was apparent between 65 and 140 milliseconds after the initial fall. No significant differences in inversion angle were found between the passive placebo brace and unbraced conditions during sudden ankle inversion. Furthermore, no significant differences were found among all tested conditions in the sagittal plane kinematics at the knee and ankle. Conclusion: During an inversion sprain, only the actively protecting ankle brace limited inversion angles among participants. These results do not indicate a placebo effect of external bracing for patients with ankle instability and a history of unilateral ankle sprain. Furthermore, sagittal plane knee kinematics appear to remain unaffected by bracing during single-legged landing, owing to the limited effects of bracing on sagittal ankle kinematics. These results highlight the role of brace design on biomechanical function during sports-related and injury-prone movements. Clinical Relevance: Athletes prone to reinjury after lateral ankle sprain may benefit from brace designs that allow for full sagittal range of motion but restrict only frontal plane motion.

Effect of Ankle Brace on the Activity and Co-Contraction of Ankle Muscles During Single-Leg Landing

Effect of Ankle Brace on the Activity and Co-Contraction of Ankle Muscles During Single-Leg Landing

Effect of simulated joint instability and bracing on ankle and subtalar joint flexibility

It is clinically challenging to distinguish between ankle and subtalar joints instability in vivo. Understanding the changes in load-displacement at the ankle and subtalar joints after ligament injuries may detect specific changes in joint characteristics that cannot be detected by investigating changes in range of motion alone. The effect of restricting joints end range of motion with ankle braces was already established, but little is known about the effect of an ankle brace on the flexibility of the injured ankle and subtalar joints. Therefore, the purposes of this study were to (1) understand how flexibility is affected at the ankle and subtalar joints after sectioning lateral and intrinsic ligaments during combined sagittal foot position and inversion and during internal rotation and (2) investigate the effect of a semi-rigid ankle brace on the ankle and subtalar joint flexibility. Kinematics and kinetics were collected from nine cadaver feet during inversion through the range of ankle flexion and during internal rotation. Motion was applied with and without a brace on an intact foot and after sequentially sectioning the calcaneofibular ligament (CFL) and the intrinsic ligaments. Segmental flexibility was defined as the slope of the angle-moment curve for each 1 Nm interval. Early flexibility significantly increased at the ankle and subtalar joint after CFL sectioning during inversion. The semi-rigid ankle brace significantly decreased early flexibility at the subtalar joint during inversion and internal rotation for all ligament conditions and at the ankle joint after all ligaments were cut.

The effects of ankle protectors on lower limb kinematics in male football players: a comparison to braced and unbraced ankles

Football (soccer) players have a high risk of injuring the lower extremities. To reduce the risk of ankle inversion injuries ankle braces can be worn. To reduce the risk of ankle contusion injuries ankle protectors can be utilised. However, athletes can only wear one of these devices at a time. The effects of ankle braces on stance limb kinematics has been extensively researched, however ankle protectors have had little attention. Therefore, the current study aimed to investigate the effects of ankle protectors on lower extremity kinematics during the stance phase of jogging and compare them with braced and uncovered ankles. Twelve male participants ran at 3.4 m/s in three test conditions; ankle braces (BRACE), ankle protectors (PROTECTOR) and with uncovered ankles (WITHOUT). Stance phase kinematics were collected using an eight-camera motion capture system. Kinematic data between conditions were analysed using one-way repeated measures ANOVA. The results showed that BRACE (absolute range of motion (ROM) = 10.72° and relative ROM = 10.26°) significantly (P&lt;0.05) restricted the ankle in the coronal plane when compared to PROTECTOR (absolute ROM=13.44° and relative ROM =12.82°) and WITHOUT (absolute ROM=13.64° and relative ROM=13.10°). It was also found that both BRACE (peak dorsiflexion=17.02° and absolute ROM=38.34°) and PROTECTOR (peak dorsiflexion =18.46° and absolute ROM =40.15°) significantly (P&lt;0.05) reduced sagittal plane motion when compared to WITHOUT (peak dorsiflexion =19.20° and absolute ROM =42.66°). Ankle protectors’ effects on lower limb kinematics closely resemble that of an unbraced ankle. Therefore, ankle protectors should only be used as a means to reduce risk of ankle contusion injuries and not implemented as a method to reduce the risk of ankle inversion injuries. Furthermore, the reductions found in sagittal plane motion of the ankle could possibly increase the bodies energy demand needed for locomotion when ankle protectors are utilised.

The effects of ankle braces and taping on lower extremity running kinematics and energy expenditure in healthy, non-injured adults

Ankle braces and taping are commonly used to prevent ankle sprains and allow return to play following injury, however, it is unclear how passive restriction of joint motion may effect running gait kinematics and energy expenditure during exercise. The purpose of this study was to determine the effect of different types of ankle supports on lower extremity kinematics and energy expenditure during continuous running. Thirteen healthy physically active adults ran at self-selected speed on the treadmill for 30min in four different ankle support conditions: semi-rigid hinged brace, lace-up brace, tape and control. Three-dimensional lower extremity kinematics and energy expenditure were recorded every five minutes. The semi-rigid hinged brace was most effective in restricting frontal plane ankle motion. The lace-up brace and tape restricted sagittal plane ankle motion, while semi-rigid hinged bracing allowed for normal sagittal plane ankle kinematics. Kinematic changes from all three ankle supports were generally persistent through 25–30min of exercise. Only tape influenced knee kinematics, limiting flexion velocity and flexion-extension excursion. Small but significant increased in energy expenditure was found in tape and semi-rigid hinged brace conditions; however, the increases were not to any practically significant level (<0.5kcal/min).

Ankle brace attenuates the medial-lateral ground reaction force during basketball rebound jump

ABSTRACT Introduction: The jump landing is the leading cause for ankle injuries in basketball. It has been shown that the use of ankle brace is effective to prevent these injuries by increasing the mechanical stability of the ankle at the initial contact of the foot with the ground. Objective: To investigate the effects of ankle brace on the ground reaction force (GRF) during the simulation of a basketball rebound jump. Method: Eleven young male basketball players randomly carried out a simulated basketball rebound jump under two conditions, with and without ankle brace (lace-up). Dynamic parameters of vertical GRF (take-off and landing vertical peaks, time to take-off and landing vertical peaks, take-off impulse peak, impulse at 50 milliseconds of landing, and jump height) and medial-lateral (take-off and landing medial-lateral peaks, and time to reach medial-lateral peaks at take-off and landing) were recorded by force platform during rebound jumps in each tested condition. The comparisons between the tested conditions were performed by paired t test (P&lt;0.05). Results: The use of ankle braces reduced the medial and lateral peaks of the GRF by -15.7% (P=0.035) and -24.9% (P=0.012), respectively, during the landing of the rebound jump. Additionally, wearing the brace did not affect any dynamic parameters of vertical GRF or temporal parameters of the medial-lateral GRF (P&gt;0.05). Conclusion: The use of ankle brace during basketball rebound jumps attenuates the magnitude of medial-lateral GRF on the landing phase, without changing the vertical GRF. This finding indicates that the use of brace increases the medial-lateral mechanical protection by decreasing the shear force exerted on the athlete’s body without change the application of propulsive forces in the take-off and the impact absorption quality in the landing during the basketball rebound jump.

The effect of ankle bracing on landing biomechanics in female netballers

ObjectivesInvestigate the impact of lace-up ankle braces on landing biomechanics. DesignWithin-subject repeated measures. Participants completed a drop jump, drop land, and netball-specific task in braced and unbraced conditions. SettingBiomechanical research laboratory. ParticipantsTwenty female high school netballers. Main outcome measuresLeg, knee, and ankle stiffness, knee/ankle stiffness ratio, knee and ankle sagittal excursion, peak vertical ground reaction force, time-to-peak vertical ground reaction force, and loading rate. ResultsIn the brace condition leg stiffness increased bilaterally during the drop land (ES = 0.21, 0.22), ankle stiffness increased bilaterally during the drop jump (ES = 0.37, 0.29) and drop land (ES = 0.40, 0.60), and knee/ankle stiffness ratio decreased in all three tasks (ES = −0.22 to −0.45). Ankle sagittal excursion decreased bilaterally during the drop jump (ES = −0.35, −0.53) and drop land (ES = −0.23, −0.46), and decreased in the lead limb during the netball jump (ES = −0.36). Knee excursion decreased bilaterally during the drop jump (ES = −0.36, −0.40) and in the lead limb during netball task (ES = −0.59). Lead limb TTP was greater during the netball jump (ES = 0.41). ConclusionsLace-up ankle braces may increase leg and joint stiffness and reduce joint excursion during landing but do not appear to affect landing forces. The observed effect on landing biomechanics may predispose young netballers to injury.

Effect of Ankle Bracing Vs. Taping on Vertical Jump Performance

Effect of Ankle Bracing Vs. Taping on Vertical Jump Performance The purpose of this study was to investigate the effects of ankle taping and bracing on ankle plantar and dorsiflexion range of motion (ROM) and vertical jump performance. Twenty males with no history of current or recent lower extremity injury were recruited to participate. Subjects randomly performed under three conditions on three different days, (T) taping, (B) bracing, and (C) control. Ankle ROM was assessed at four time periods each day: pre-condition, post-condition, post-warm-up and post-jump. Following the condition application, subjects completed a dynamic warm-up and then performed three maximal vertical jumps on a force plate. Relative ground reaction force (relGRF) and relative impact force (relIF) were measured by the force plate, while vertical jump height (VJH) was estimated using the time-in-air equation. Ankle dorsi-plantar flexion ROM was measured using a standard goniometer and expressed in total degrees. The same certified athletic trainer performed all tape and brace applications, as well as all measurements. ANOVA for ROM revealed no differences at pre-condition, but control was significantly greater than T and B at all other time points. Vertical jump performance was not different between conditions. Although T and B ROM was acutely decreased and then increased over time, values were still less than C. Therefore, within the limits of this study, prophylactic taping and bracing may be used to provide ankle support without compromising vertical jump performance.

Effect of Ankle Braces on Lower Extremity Joint Energetics in Single-Leg Landings

Ankle sprains are one of the most common injuries in competitive and recreational athletics. Studies have shown that the use of prophylactic ankle braces effectively reduces the frequency of ankle sprains in athletes. However, although it is generally accepted that the ankle braces are effective at reducing frontal plane motion, some researchers report that the design of the brace may also reduce ankle sagittal plane motion. The purpose of this study was to quantify lower extremity joint contributions to energy absorption during single-legged drop landings in three ankle brace conditions (no brace, boot brace, and hinged brace). Eleven physically active females experienced in landing and free of lower extremity injury (age = 22.3 ± 1.7 yr, height = 1.66 ± 0.04 m, mass = 58.43 ± 5.83 kg) performed 10 single-leg drop landings in three conditions (one unbraced, two braced) from a 0.33-m height. Measurements taken were hip, knee, and ankle joint impulse; hip, knee, ankle, and total work; and hip, knee, and ankle joint relative work. Total energy absorption remained consistent across the braced conditions (P = 0.057). Wearing the boot brace reduced relative ankle work (P = 0.04, Cohen d = 0.43) but did not change relative knee (P = 0.08, Cohen d = 0.32) or hip (P = 0.14, Cohen d = 0.20) work compared with the no-brace condition. In an ankle-braced condition, ankle, knee, and hip energetics may be altered depending on the design of the brace.

The Effect of Ankle Bracing on Peak Mediolateral Ground Reaction Force During Cutting Maneuvers in Collegiate Male Basketball Players

The literature suggests that one-third of ankle injuries sustained during a collegiate basketball season are due to the poor execution of dynamic cutting movements, leading to increased mediolateral force being placed on the unstable ankle. The objective of the present study was to examine the effect of ankle bracing on peak mediolateral ground reaction forces (PMGRF) during sidestep cutting motions in collegiate basketball players. Ten male collegiate basketball players, with no previous history of ankle trauma, performed sidestep cutting motions past a static defensive opponent at speeds between 4.5 and 5.5 meters per second under 2 different conditions, with and without ankle bracing. Peak mediolateral ground reaction force was recorded (as a unit of body weight) for each subject in both bracing and control conditions. The application of an Aircast brace significantly (P = 0.01) reduced peak mediolateral forces during cutting maneuvers compared with no brace. Results suggest that the application of an Aircast ankle brace significantly reduces PMGRF during cutting maneuvers around a static defensive opponent.

The effect of ankle braces on touch-down orientation of the foot, muscle pre-activation and joint loading during cutting tasks

The effect of ankle braces on touch-down orientation of the foot, muscle pre-activation and joint loading during cutting tasks

Prophylactic ankle bracing reduces rearfoot motion during sudden inversion

The purpose of this study was to evaluate the effects of ankle bracing on rearfoot angular displacement and angular velocity during a sudden inversion movement. A 1 x 3 factorial design was used. The single independent variable was ankle brace condition with three levels: semi-rigid, lace-up and control. The two dependent variables were rearfoot average angular displacement and average angular velocity. Twenty-four healthy volunteers participated in this study. A motion analysis system was used to capture, model and calculate two-dimensional rearfoot motion while the subjects' ankle/foot complex was inverted to 35 degrees on a platform device. All subjects performed five trials of each ankle brace condition, and the average of these trials was used for statistical analysis. The semi-rigid brace significantly reduced rearfoot angular displacement and angular velocity compared with the lace-up (P<0.05) and control conditions (P<0.05). Additionally, the lace-up style brace demonstrated significantly less rearfoot angular displacement and angular velocity compared with the control condition (P<0.05). These results demonstrate that a semi-rigid ankle brace is more superior then a lace-up style brace in limiting rearfoot angular displacement and angular velocity. Moreover, the lace-up style brace offers significant restriction of these measures compared with no support.

The Effects of Ankle Brace and Taping on Ankle ProprioceptiveFunction in the healthy Subjects

The Effects of Ankle Brace and Taping on Ankle ProprioceptiveFunction in the healthy Subjects

The effects of ankle bracing on the activation of the peroneal muscles during a lateral shuffling movement

The effects of ankle bracing on the levels and patterns of ankle muscle activation are not well understood. Objectives The purpose of this study was to examine this issue during a dynamic functional activity that involved marked ankle inversion. Design Within subjects repeated measures. Setting University Research Laboratory. Participants Fifteen female collegiate athletes completed multiple trials of a lateral shuffling movement, both with and without an ankle brace. Main outcome measures Frontal plane kinematics of the ankle and EMG data of the peroneus longus (PL) were recorded during lateral shuffling test trials at four time points: prior to brace application, after brace application, following 2 weeks of continued use of the brace, and 2 weeks after discontinued use of the brace. Results The results demonstrated no significant changes in PL activity across the four time points. Conclusions In contrast to previous reports, the use of an ankle brace does not produce immediate changes in muscle activation or changes in activation following short-term use.

Center of mass motion and the effects of ankle bracing on metabolic cost during submaximal walking trials

The goal of this research was to examine the relationship between center of mass (CoM) motion and metabolic cost and to assess secondarily the effects of equinus gait on metabolic cost during walking trials at various velocities. Twelve (n=12) healthy male adults walked in four brace conditions, including fixed equinus, at three different walking speeds. Metabolic measures and 3D kinematic data were collected during each trial. Significant main effects for velocity were observed on both dependent measures, net O2 cost (p<0.001), and CoM vertical excursion (CoMz) (p<0.01). Correlation analysis showed significant positive correlations between net O2 cost and CoMz that were strongest at fast velocities. Further, analysis revealed the cost of walking at a comfortable speed in the equine position was 28% greater than walking in braces without springs or springs in neutral position and 64% greater than walking in shoes alone. CoMz does correlate with metabolic cost as measured by net O2 cost. Also, normal subjects walking in equinus have an increased net O2 cost and increased CoMz when compared to walking with shoes alone or the other brace conditions at all velocities.

The effects of ankle bracing on motion of the knee and the hip joint during trunk rotation tasks

Background. The use of prophylactic ankle braces is common during athletic activities since the ankle is one of the most commonly injured joints. Past studies have focused on the effects of ankle braces on ankle movement restriction, preventing injuries, proprioception, balance and athletic performance. However, the influence of ankle restriction on other joints has not been studied. The constraint of ankle movement may lead to an increased loading on the knee joint, which could be a potential risk of knee injuries during athletic activities. The primary goal of the current study was to determine quantitatively the effect of an ankle brace on the knee axial rotation during two different trunk turning tasks. Methods. Ten healthy subjects performed trunk turning movements while standing on one leg: turning sideways to catch a ball and turning sideways to touch a target with the shoulder. The tasks were performed with and without an ankle brace worn on the supporting leg. The trunk axial rotation in reference to the floor and three dimensional joint angular motions of the ankle, knee and hip were determined. Findings. The use of an ankle brace resulted in reduced trunk axial rotation during the ball catching tasks, and increased knee axial rotation during the target touching tasks. Interpretation. The results of this study showed that the effect of the ankle brace on the knee axial rotation depended on the context of the tasks performed. Under situations that required forceful trunk turning movement while standing on a single leg, the ankle braces may cause an increase in the knee axial rotation indicating higher risk of knee injury.

Increased reflex activation of the peroneus longus following application of an ankle brace declines over time

Two experiments were performed to document the time-dependent characteristics of the peroneus longus short latency stretch reflex amplitude following application of an ankle brace. In Experiment 1, stretch reflexes were induced in 15 weightbearing subjects during an unbraced condition and braced condition. In Experiment 2, stretch reflexes were induced in 15 weightbearing subjects before and after 3 h of wearing the brace. In Experiment 1, the amplitude of the stretch reflex increased in the braced condition by about 25% relative to the non-braced condition ( p=0.006). In Experiment 2 the amplitude of the stretch reflex increased about 18% immediately after application of the brace relative to the non-braced condition ( p=0.037). After 3 h, the stretch reflex amplitude was not different from that of initial non-braced condition. Given the importance of the peroneus longus muscle in ankle complex stability, further attention should be directed to whether the increased stretch reflex gain can be exploited during rehabilitation from ankle complex injuries. The findings provide a framework by which the effect of ankle braces on ankle joint proprioception, muscle activation profiles and balance may be physiologically interpreted.

The effect of ankle bracing on athletic performance.

Ankle braces in sports are used for prevention of ankle sprains. Besides restricting inversion and eversion, it is possible that an ankle brace also reduces the functional range of motion of the ankle joint. Consequently, their use could also impair athletic performance. It is unlikely that prophylactic ankle bracing will gain wide acceptance if bracing hinders athletic performance. The purpose of this paper is to review the literature on the effect of ankle bracing on vertical jump height, running speed, agility and broad jump performance. In 2 studies, 2 ankle braces negatively affected vertical jump height. Other studies did not find a significant effect on vertical jump performance when wearing an ankle brace. One study found a negative effect on running speed and broad jump performance when wearing a lace-on brace. In other studies, no effects on running speed and broad jump were found. In 1 study, agility was negatively affected when wearing an ankle brace, although agility was not significantly affected in other studies. The effect of prolonged use of an ankle brace is un-known, but could possibly influence ankle musculature and ligament function. Further research is necessary to study the effect of prolonged ankle bracing on performance.