Knee Sleeve Research Articles

Finite element simulation of knee joint pressure and surface displacement: relationship and influencing factors

Knee sleeves are widely used functional pressure garments that exert pressure on the knee, causing body surface displacement and deformation. Understanding the relationship between knee joint pressure distribution and body surface displacement, along with the factors affecting this displacement, is crucial for optimizing knee sleeves. This study established a biomechanical model of the human knee joint using three-dimensional reconstruction and finite element analysis. The study simulated the pressure distribution and body surface displacement after wearing five different knee sleeve designs. Using SPSS software, it analyzed clothing and human factors to determine the main influences on displacement, resulting in linear regression equations linking knee physiological characteristics and skin displacement. Findings indicated that skin curvature radius and the distance between skin and bone significantly affect displacement, while knee sleeve structure design shows less correlation. The study also divided the knee joint into eight sections to calculate volume shrinkage after compression, providing insights for designing knee sleeves that enhance comfort and functionality based on human physiology.

Finite-element simulation of functional knee sleeves based on three-dimensional modeling of the knee joint

Knee sleeves are one of the most satisfying and widely used items of protective equipment for sports enthusiasts. Achieving an effective balance between functionality and comfort is a key factor in the design of knee sleeves. However, there are still some problems with the knee protection products currently on the market, such as poor thermal and moisture comfort, difficulty in putting on and taking off, slippage during doing sports, and the lack of a timely and effective feedback mechanism that cannot guide the user to actively adjust their movement posture to avoid sports injuries. To improve the function and pressure comfort of the human body after wearing knee sleeves, this study took the knee joint as the research object, established a three-dimensional knee joint model through computed tomography (CT) scanning and Mimics software, and then built a finite-element model under the contact state between the human body and pressure clothing on this basis. Moreover, ABAQUS was used for finite-element simulation to obtain the pressure and displacement distribution of knee joints after wearing knee sleeves. In order to further investigate the stress state and deformation trend of knee joint after wearing knee sleeves, each section of the human body at the knee joint was divided into four regions according to the angle, and the functional relationship between pressure and displacement was obtained by curve fitting. This study has significance for the investigation of the pressure comfort threshold of knee sleeves and the optimization of the design of functional knee sleeves.

Effects of stiffness-altered sport compression garments on lower-limb biomechanics in cutting maneuvers

Athletes commonly use compression garments (CGs) for perceived effectiveness in preventing injury occurrence. However, limited evidence is available on whether lower-limb CGs reduce the risk of injury. This study aimed at (1) evaluating the effects of CGs on mitigating the risk factors of cutting-related knee injuries; (2) identifying undesirable side-effects of CGs on other joints and cutting performance; and (3) identifying possible interactions between sex and condition. 62 healthy adults performed pre-planned 90˚ cutting tasks under four conditions: control, knee sleeves, placebo leggings and stiffness-altered leggings. Joint angle at initial contact, range of motion, moments, and ground reaction force were measured. A mixed two-way (sex*condition) ANOVA was performed, followed by post-hoc comparisons and subset analyses for sexes. Results showed that the leggings restricted hip sagittal (45.4 ± 1.3 vs. control 50.0 ± 1.3˚, p = 0.001) and rotational (16.8 ± 0.8 vs. control 22.5 ± 1.1˚, p < 0.001) motion. At initial contact, the stiffness-altered leggings reduced knee valgus (0.4 ± 0.8 vs. control −2.1 ± 0.8˚, p = 0.031). However, the altered alignment of lower-limb joints did not reduce multiplanar knee joint moments (p > 0.05). CGs were not effective protective equipment yet. There was no significant difference between knee sleeves and control, nor between leggings conditions (p > 0.05). Force plate measurements, such as increased rate of force development (stiffness-altered 42.6 ± 1.1 & placebo 42.9 ± 1.1 vs. control 39.9 ± 1.0 BW/s, p < 0.028), implied the possibility of performance enhancement through CGs. While further investigations on the optimal compression and stiffness alterations are warranted, athletes are recommended to be aware of the discrepancies between the claimed and actual biomechanical effects of CGs.

Knee sleeves improve gait symmetry during fast walking in older adults.

Knee sleeves are commonly used to address knee-related concerns, particularly in older individuals. Although previous studies have demonstrated their efficacy in improving gait and functional outcomes in knees with pathological conditions, the effectiveness of knee sleeves for improving gait characteristics in healthy older adults remains unclear. The harmonic ratio (HR), an index for assessing gait symmetry commonly used to discriminate between individuals with different functional levels, can be used to detect alterations in gait characteristics. This study investigated the effects of knee sleeves on gait symmetry in healthy older adults. Sixteen healthy community-dwelling older adults walked barefoot with and without knee sleeves at normal and fast speeds. Gait symmetry indices (HR and improved HR [iHR]) and spatiotemporal gait parameters were compared under different conditions. A significant interaction between knee condition and walking speed was observed for mean iHR in the anteroposterior direction (p = 0.006). A significant simple main effect of knee condition was found during fast walking, with a larger iHR with knee sleeves than without (p = 0.002). In the condition without knee sleeves, the iHR was significantly lower during fast walking than during normal walking (p = 0.035). Furthermore, a significant main effect of knee condition was observed for the variability of iHR in the anteroposterior direction, with a smaller variability when walking with knee sleeves than when walking without (p = 0.006). These results suggest that knee sleeves may enhance gait symmetry along the anteroposterior direction, particularly during fast walking, where symmetry disruption is more likely than walking at a comfortable pace. A significant reduction in gait symmetry variability also suggests a stabilizing effect on gait dynamics. These findings provide the first evidence supporting the efficacy of knee sleeves for improving gait symmetry. The use of knee sleeves could be a valuable option for restoring disrupted gait symmetry during fast walking, with potential implications for reducing the risk of falls.

Are 7 MM neoprene knee sleeves capable of modifying the knee kinematics and kinetics during box jump and front squat exercises in healthy CrossFit practitioners? An exploratory cross-sectional study

ObjectiveInvestigate whether wearing 7 mm neoprene knee sleeves during the front squat and box jump CrossFit exercises change the biomechanics of the knee joint. Designa cross-sectional exploratory study. SettingLaboratory-based. ParticipantsSeventeen male healthy CrossFit participants completed front squats and box jumps with knee sleeves (KS) and without knee sleeves (WKS). Main outcomes measuresKinematic and kinetic data of the knee in the sagittal, frontal and transverse planes were obtained for the two tasks and under the two experimental situations. The maximum load lifted on 1 MR test was recorded under KS and WKS conditions. The GROC scales were applied after each exercise and condition to assess participants' self-reported perception of stability. ResultsThe KS reduced the knee range of motion in the transverse plane during box jump (p = 0.029) and the peak knee external adduction moment (p = 0.047) during front squat compared to WKS. The 1RM during front squat increased in KS compared to WKS (p < 0.001). Most participants (94%) reported that they felt better stability using KS and all participants (100%) believed that knee sleeves would avoid knee pain. Conclusionneoprene knee sleeves have little impact on the biomechanics of the knee joint during CrossFit. However, participants reported improved knee stability.

Study on a smart knee sleeve based on piezoresistive strain sensing for stride estimation

PurposeDevices for step estimation are body-worn devices used to compute steps taken and/or distance covered by the user. Even though textiles or clothing are foremost to come to mind in terms of articles meant to be worn, their prominence among devices and systems meant for cadence is overshadowed by electronic products such as accelerometers, wristbands and smart phones. Athletes and sports enthusiasts using knee sleeves should be able to track their performances and monitor workout progress without the need to carry other devices with no direct sport utility, such as wristbands and wearable accelerometers. The purpose of this study thus is to contribute to the broad area of wearable devices for cadence application by developing a cheap but effective and efficient stride measurement system based on a knee sleeve.Design/methodology/approachA textile strain sensor is designed by weft knitting silver-plated nylon yarn together with nylon DTY and covered elastic yarn using a 1 × 1 rib structure. The area occupied by the silver-plated yarn within the structure served as the strain sensor. It worked such that, upon being subjected to stress, the electrical resistance of the sensor increases and in turn, is restored when the stress is removed. The strip with the sensor is knitted separately and subsequently sewn to the knee sleeve. The knee sleeve is then connected to a custom-made signal acquisition and processing system. A volunteer was employed for a wearer trial.FindingsExperimental results establish that the number of strides taken by the wearer can easily be correlated to the knee flexion and extension cycles of the wearer. The number of peaks computed by the signal acquisition and processing system is therefore counted to represent stride per minute. Therefore, the sensor is able to effectively count the number of strides taken by the user per minute. The coefficient of variation of over-ground test results yielded 0.03%, and stair climbing also obtained 0.14%, an indication of very high sensor repeatability.Research limitations/implicationsThe study was conducted using limited number of volunteers for the wearer trials.Practical implicationsBy embedding textile piezoresistive sensors in some specific garments and or accessories, physical activity such as gait and its related data can be effectively measured.Originality/valueTo the best of our knowledge, this is the first application of piezoresistive sensing in the knee sleeve for stride estimation. Also, this study establishes that it is possible to attach (sew) already-knit textile strain sensors to apparel to effectuate smart functionality.

Design and development of a stretchable electronic textile and its application in a knee sleeve targeting wearable pain management

This paper presents the development of a stretchable electronic textile (e-textile) and the design of a knee sleeve with integrated electrodes for wearable applications. The e-textile is achieved by laminating a printed conductive pattern onto knitted fabric, followed by printing a carbon rubber electrode layer on top of the conductive pads of the conductive pattern. The Young’s modulus of two knitted stretchable fabrics, made of different textile yarns, is tested and their impact on the e-textile and garment properties is discussed. Four printed conductive track designs in the form of a straight line, a sine wave, a half circle, and a horseshoe are laminated on these fabrics. The four designs are investigated in terms of conductivity, change during stretching, relaxation after stretching, and wash durability. A snap connector, attached to each end of the conductive tracks, provides electronic interconnection. The e-textiles survive 100 wash cycles with a resultant maximum resistance increase of 1.44 times. A fitted knee sleeve, for use in wearable electrotherapy for knee joint pain management, is fabricated by laminating a conductive track in the optimal sinusoidal design and then printing carbon rubber electrodes on top.

Functions and Effectiveness of Unloader, Patellofemoral, and Knee Sleeve Orthoses: A Review.

Knee orthoses have been extensively used as a nonsurgical approach to improving knee deficiencies. Currently, arthritic knee conditions remain the leading cause of disability, and this number is expected to increase. As the use of knee orthoses varies widely, so has their effectiveness which is still largely debatable. Here, we present the functions and effectiveness of the three most prominent knee orthotic models dedicated to supporting knee osteoarthritis-unloader, patellofemoral, and knee sleeves. Considering the depth and diversity of the many clinical studies and documented laboratory reports published to date, this literature review was created to educate the clinician, patient, and researcher on common knee orthoses used for the management of arthritic knee conditions. In doing so, we discuss their design, biomechanical effects, and clinical efficacy, as well as broader outcomes, limitations, and recommendations for use. The knee orthoses discussed within the scope of this paper are dedicated to protecting the knee against strenuous compressive loads that may affect the patellofemoral and tibiofemoral joints of the knee. Since the knee has multiple axes of motion and articulating surfaces that experience different loads during functional activities, it can be implied that, to a large extent, knee brace designs can differ drastically. Unloader knee orthoses are designed to decrease tibiofemoral and patellofemoral joint pressures. Patellofemoral knee orthoses are designed to decrease strain on the patellofemoral and quadriceps tendons while stabilizing the patella. Knee sleeves are designed to stabilize movements, reduce pain in joints, and improve proprioception across the knee joint. Although patients often report benefits from wearing braces, these benefits have not been confirmed by clinicians and scientific investigators. Results from these three orthosis types show that clinical efficacy is still elusive due to the different methodologies used by researchers. Knee orthoses also referred to as knee brace are commonly used for support and stability of the knee. Unloader knee braces are designed to relieve and support those suffering from knee osteoarthritis by improving physical impairment and reducing pain. Patellofemoral knee braces aim to help patients manage patellofemoral pain syndrome. Rehabilitative compression sleeves, also known as knee sleeves, are often used to assist patients suffering from knee pain and laxity. Important findings on the three knee braces discussed show discrepancies in results. Their effectiveness and validity are yet to be understood.

Combined Rehabilitation Protocol in the Treatment of Osteoarthritis of the Knee: Comparative Study of Extremely Low-Frequency Magnetic Fields and Soft Elastic Knee Brace Effect.

The investigation of this observational case-control study aimed at determining the effectiveness of a combined treatment of extremely low-frequency electromagnetic fields (ELF) with a soft elastic knee brace versus ELF alone in knee osteoarthritis (KOA) with respect to a reduction in pain and functional recovery. We hypothesized that the combined use of ELF and a soft elastic knee brace may provide better results. Thirty-five patients (N = 35, divided into Group 1 = ELF and Group 2 = ELF with the soft elastic knee brace) were analyzed. The rehabilitative protocol consisted of 10 sessions of antiphlogistic and antiedema programs (first cycle) for 2 weeks, followed by twelve sessions of bone repair and connective tissue repair programs (second cycle) in patients with knee osteoarthritis (KOA) for 4 weeks. Patient evaluations were conducted at baseline (T0) and after 2 (T1) and 4 (T2) weeks of treatment. A follow-up evaluation was conducted 6 weeks after treatment (T3). The LIMFA© Therapy System was used to create multifrequency magnetoelectric fields with an intensity of 100 µT and a low-frequency field. The Incrediwear Cred 40 knee sleeve (Incred) was used for alleviating knee pain. The Visual Analogue Scale (VAS), the Knee Injury and Osteoarthritis Outcome Score (KOOS), and the Lysholm score (Ls) were used as outcome measures. The results showed that pain at rest (Vr), pain in motion (Vm), KOOS, and Ls were significantly affected by ELF over time. In conclusion, Group 2 had a better response in terms of pain resolution at rest (p < 0.05) and a concurrent better response at T3 in terms of functional recovery (p < 0.05).

Evaluation of the Effect of Knee Unloader Orthoses, Lateral Wedge Insoles, and Ankle Foot Orthoses on Pain, Function, and Knee Adduction Moment in Subjects with Medial Compartment Knee Osteoarthritis: A Literature Review

ABSTRACT Introduction Osteoarthritis (OA) is a destructive joint disease and a major cause of pain in the elderly. The use of supportive orthoses including valgus knee brace, lateral wedged insole, and ankle-foot orthosis (AFO) is a common treatment for these people. The purpose of this review of the literature is to evaluate the effect of orthoses on pain, function, and adduction moment (AM) of individuals with medial knee OA. Method The search was conducted among articles published from 2010 to 2021 in bibliographic online databases including ISI Web of Science, PubMed, Scopus, and Google Scholar. The potential titles and abstracts were reviewed based on the study inclusion criteria. All randomized controlled trial (RCT) studies on the effectiveness of valgus knee brace, AFO, and lateral wedged insoles in subjects with medial knee OA were reviewed. The search terms were OA, medial knee osteoarthritis, medial joint arthritis, unloader knee brace, valgus knee brace, knee sleeve, lateral wedge insole, AFO, ankle-foot orthosis, function, pain, alignment, kinetic, kinematic, and AM. Result Forty-two articles were reviewed to determine the current research process. Thirteen studies evaluated the effect of lateral wedge insole on pain, function, and AM in subjects with medial compartment knee OA. Ten studies evaluated unloader knee braces. Nine studies evaluated unloader knee brace compared with lateral wedge insole, three studies evaluated AFO, and seven studies examined the combination of knee braces and lateral wedge insoles on pain, function, and AM. Conclusion All three orthoses in short-term follow-up reduced the AM in subjects with medial knee OA. Lateral wedge insoles did not support pain reduction in studies. The results of this study showed that knee braces may have a more lasting effect on the knee joint in the long run than lateral wedge insoles. Although the number of studies that evaluated the effect of AFOs on outcomes of subjects with knee OA is low, this intervention was found to be effective in relieving pain and reducing AM. Clinical Relevance In clinical studies, clinical relevance in patients with medial knee OA, orthoses effectively reduced external knee AM and pain sensation during daily activities. Thus, use of orthoses effectively supports conservative treatment in medial knee OA.

Knee Wraps are Detrimental to the Maximal Squat Performance of Powerlifters Competing in Lower Weight Classes

The aim of the study was to evaluate the efficacy of knee wraps for competitive powerlifters. To achieve this, an analysis of powerlifting results dating back to 1964 has been conducted. From these results the one repetition max (1RM) squat was evaluated, specifically examining the influence of competitors using knee wraps versus raw (allowing only neoprene knee sleeves). Student’s t-test was used to compare the 1RM squat for male raw competitors (n=270,268) to those using wraps (n=26,576); and likewise for female raw (n=136,530) versus wraps (n=11,468). Overall, the males using wraps yielded significantly higher (p&amp;lt;.05) 1RM squat values (203 kg ± 46.8) than their raw counterparts (195 kg ± 45.7). The females yielded modest, but significantly higher (p&amp;lt;.05) 1RM squat values for raw (112 kg ± 29.3), compared to wraps (111 kg ± 29.8). The results were stratified by weight classes, and it was found that males in heavier classes (105, 120, and 120+ kg) significantly benefited (p&amp;lt;.05) from using knee wraps (+1.3, +4.8, and +6.9 kg respectively). For the lighter weight classes (59, 66, and 74 kg) knee wraps appeared significantly detrimental (p&amp;lt;.05) to the 1RM squat (-8.4, -4.4, and -3.6 kg), respectively. Only the heaviest female weight class (84 kg+) saw a significant benefit (p&amp;lt;.05) in the use of wraps with a net gain in 1RM squat of 4.5 kg. Again, wraps were shown to be significantly detrimental (p&amp;lt;.05) to the lighter weight classes (47, 52, 57, and 63 kg) with a net loss in 1RM squat (-3, -5.3, -3.6, and -3.3 kg), respectively. Considering these findings, it is suggested that only males in the heaviest three weight classes (105, 120, and 120+ kg), as well as females in the heaviest weight class (84+ kg), stand to gain any benefit from the use of knee wraps in competition.

The relationship between residual limb health, motion within the socket, and prosthetic suspension.

Residual limb health is critical for continued prosthesis use; however, many prosthesis users experience skin-related breakdown. The interface between the residual limb and the prosthetic socket sets the local mechanical environment and plays a role in skin stresses. Motion of the residual limb in the socket adds additional mechanical strain on the limb. This article explores the relationship between motion of the limb in the socket and residual limb health. We evaluated current methods for assessing residual limb health and motion of the residual limb in the socket and compared these evaluations across different prosthetic suspension systems. While few direct studies comparing residual limb health and motion exist, it has been shown that elevated vacuum suspension systems result in both improved residual limb health compared to passive suction and pin-lock systems and decreased motion compared to passive suction, pin-lock, knee sleeve, and anatomical suspension systems. While motion and health have not been directly linked, elevated vacuum suspension may demonstrate a relationship that reduced motion of the residual limb in the socket improves residual limb health. Further evaluation in this area is necessary to more completely and directly understand the relationship between residual limb motion and residual limb health.

슬개골 통증 증후군 여자축구선수의 무릎 보호대와 테이핑 처치가 무릎 안정성, 통증 척도 및 체력요인에 미치는 영향

The purpose of this study was to compare and analyze knee kinesiology taping (KT) and knee sleeve on the effects of knee stability, pain scale, and physical fitness factors in female soccer players with patellofemoral pain syndrome (PFPS). Subjects were 5 female soccer players from University D who had been diagnosed with PFPS, and those who experienced two or more knee pains from long sitting, climbing stairs, squatting, running, kneeling, and deep kneeling were selected. For the knee sleeve, Fortium (Co., Ltd.)

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

BackgroundElastic knee sleeves are often worn following anterior cruciate ligament reconstruction (ACLR) but their effects on movement patterns are unclear.AimTo determine the immediate and six-week effects of wearing a knee sleeve on biomechanics of the knee during a step-down hop task.MethodsUsing a cross-over design, we estimated sagittal plane knee kinematics and kinetics and stance duration during a step-down hop for 31 participants (age 26.0 [SD 6.6] years, 15 women) after ACLR (median 16 months post-surgery) with and without wearing a knee sleeve. In a subsequent randomised clinical trial, participants in the ‘Sleeve Group’ (n = 9) then wore the sleeve for 6 weeks at least 1 h daily, while a ‘Control Group’ (n = 9) did not wear the sleeve. We used statistical parametric mapping to compare (1) knee flexion/extension angle and external flexion/extension moment trajectories between three conditions at baseline (uninjured side, unsleeved injured side and sleeved injured side); (2) within-participant changes for knee flexion angles and external flexion/extension moment trajectories from baseline to follow-up between groups. We compared discrete flexion angles and moments, and stance duration between conditions and between groups.ResultsWithout sleeves, knee flexion was lower for the injured than the uninjured sides during mid-stance phase. When wearing the sleeve on the injured side, knee flexion increased during the loading phase of the stance phase. Discrete initial and peak knee flexion angles increased by (mean difference, 95% CIs) 2.7° (1.3, 4.1) and 3.0° (1.2, 4.9), respectively, when wearing the knee sleeve. Knee external flexion moments for the unsleeved injured sides were lower than the uninjured sides for 80% of stance phase, with no change when sleeved. The groups differenced for within-group changes in knee flexion trajectories at follow-up. Knee flexion angles increased for the Control group only. Stance duration decreased by 22% for the Sleeve group from baseline to follow-up (-89 ms; -153, -24) but not for the Controls.ConclusionsApplication of knee sleeves following ACLR is associated with improved knee flexion angles during hop landing training. Longer term (daily) knee sleeve application may help improve hop stance duration, potentially indicating improved hop performance.Trial registrationThe trial was prospectively registered with the Australia New Zealand Clinical Trials Registry No: ACTRN12618001083280, 28/06/2018. ANZCTR

Accurate Prediction of Knee Angles during Open-Chain Rehabilitation Exercises Using a Wearable Array of Nanocomposite Stretch Sensors.

In this work, a knee sleeve is presented for application in physical therapy applications relating to knee rehabilitation. The device is instrumented with sixteen piezoresistive sensors to measure knee angles during exercise, and can support at-home rehabilitation methods. The development of the device is presented. Testing was performed on eighteen subjects, and knee angles were predicted using a machine learning regressor. Subject-specific and device-specific models are analyzed and presented. Subject-specific models average root mean square errors of 7.6 and 1.8 degrees for flexion/extension and internal/external rotation, respectively. Device-specific models average root mean square errors of 12.6 and 3.5 degrees for flexion/extension and internal/external rotation, respectively. The device presented in this work proved to be a repeatable, reusable, low-cost device that can adequately model the knee’s flexion/extension and internal/external rotation angles for rehabilitation purposes.

EFFECTS OF A PROPHYLACTIC KNEE SLEEVE ON THE ANTERIOR CRUCIATE LIGAMENT AND LOWER EXTREMITY BIOMECHANICS: AN EXAMINATION USING MUSCULOSKELETAL SIMULATION

The current study aimed using a two-experiment musculoskeletal simulation-based approach, measuring anterior cruciate ligament (ACL) biomechanics, knee joint kinematics, and lower extremity joint loading to examine the effects of both a prophylactic knee sleeve on (1) a sport-specific change of direction movement in female footballers and (2) a single leg landing in male footballers. Experiment 1 examined 12 female university first team level footballers (age [Formula: see text] years, height [Formula: see text][Formula: see text]m, body mass [Formula: see text][Formula: see text]kg) undertaking a [Formula: see text] cutting movement in sleeve and no-sleeve conditions. Experiment 2 examined 10 male university first team level footballers (age [Formula: see text] years, height [Formula: see text][Formula: see text]m, body mass [Formula: see text][Formula: see text]kg) undertaking a single leg drop jump landing in sleeve and no-sleeve conditions. In each experiment, data was collected in a biomechanics laboratory and three-dimensional (3D) motion capture and ground reaction force (GRF) information was collected. 3D kinematics, 3D knee kinetics, and ACL ligament forces/strains were measured using musculoskeletal simulation, and participants were also asked to subjectively rate the knee sleeve in terms of both comfort and stability. Experiment 1 showed that the sleeve condition was associated with greater ACL strain ([Formula: see text]% and no-[Formula: see text]%) and forces ([Formula: see text] BW and no-[Formula: see text] BW). In addition, the brace condition also enhanced lateral compressive tibiofemoral ([Formula: see text] BW and no-[Formula: see text] BW) and total compressive tibiofemoral force ([Formula: see text] BW and no-[Formula: see text] BW). Finally, for the subjective ratings, participants indicated that the knee sleeve significantly improved perceived comfort and stability. Experiment 2 did not reveal any statistical differences between knee sleeve and no-sleeve conditions nor any effects of the knee sleeve on subjective ratings of comfort or stability. Therefore, the findings from the current investigation suggest that the prophylactic knee sleeve examined in the current investigation does not appear to reduce the biomechanical parameters linked to the aetiology of knee pathologies in male/female footballers.

Influence of using knee sleeve and lateral wedge insole on knee loading among healthy individuals during stair negotiation

BackgroundFor individuals with knee osteoarthritis (OA), stair negotiation is a challenging task and the first task during which they report pain due to the high knee loading required. The use of lateral wedge insole (LWI) has been found to reduce loading in patients with OA but not to reduce pain, whereas the use of knee sleeve has been shown to result in good pain reduction. Understanding the effect of combining LWI and knee sleeve use on healthy individuals before testing on individuals with knee OA is an important step. Research questionThe current study aimed to evaluate the effect of combining the use of LWI and knee sleeve and compare the results with the application of each treatment separately and with the control condition. MethodsThis randomised cross-over study included 17 healthy participants who underwent 3D gait analysis. Participants performed ascending and descending stair activities with the following four treatment conditions: five-degree LWI, off-the-shelf knee sleeve, both LWI and knee sleeve and control condition. External knee adduction moment (EKAM) and knee frontal plane range of motion (ROM) were evaluated as primary outcomes. Repeated measure ANOVA or the Friedman test was selected based on meeting the assumption followed by multiple pairwise comparisons with Bonferroni correction. ResultsIn general, the use of LWI reduced the first peak EKAM significantly (p < 0.001) compared to the control condition in stir ascending (12% reduction) but not in stair descending (p > 0.05). Interestingly, knee sleeve use did not result in any reduction in the first peak EKAM compared to the control or any other condition. However, knee sleeve use led to a significant reduction in the knee frontal plane ROM during stair descending. The combined treatment was not superior to the LWI use when compared to control in the EKAM reduction. SignificanceCombined knee sleeve and LWI use was not superior to LWI use alone in reducing the knee loading, but it may be beneficial for individuals with knee OA since it helped in reduction of the knee frontal plane ROM during stair descending. Importantly, the effect of LWI use or any other treatment must be investigated for each different activity, and the results found in one activity must not be generalised across other activities.

Evaluation of the Preventive Effects of Knee Brace on Anterior Cruciate Ligament Injuries in Susceptible Individuals: a Systematic Review

Background: The results of various studies on the preventive effect of knee brace on anterior cruciate ligament (ACL) injuries in susceptible individuals are not summarized thus far, leading to doubts about their utilization for orthopedic specialists. The present study aimed at systematically reviewing the preventive effects of knee brace on ACL injuries in susceptible individuals.Methods: The present systematic review was performed on literature published since 2010 using the keywords of Prophylactic Knee Brace, Neoprene Knee Sleeve, Knee Brace, ACL, Tear Risk Factors, and Biomechanical Factors in databases of PubMed, Scopus, Springer, and ProQuest, as well as the Google Scholar search engine. The I2 index was used to assess heterogeneity among studies.Results: A total of 8 high-quality articles were enrolled in the present systematic review, all represented moderate heterogeneity (I2 index: 25%-75%). Of the enrolled studies, only one reported the ineffectiveness of knee brace in preventing ACL injuries, and the rest noticed the positive effect.Conclusion: The use of a prophylactic knee brace in individuals susceptible to ACL rupture can avoid sustaining pressure and possible damage to the knee and ACL. However, the results of the present study should be applied with caution.

Impact of local knee heating and the use of a neoprene knee sleeve on static and dynamic balance among young male athletes

Tyrimu siekta nustatyti, ar vietinio pasyvaus kelio paviršiaus šildymo taikymas, derinant su ortopedinio palaikymo (apsaugos) naudojimu, padeda gerinti jaunų sportininkų statinę ir dinaminę pusiausvyrą. Tiriamųjų kelio paviršinės dalies šildymui naudota standartinė kelio apsauga su įdiegta (spirališkai) silikonine vamzdelių sistema, sujungta su cirkuliatoriumi, kuris buvo laikomas prijungtas 10 minučių. Neopreninės kelio apsaugos, pagamintos iš kojinę primenančios elastingos medžiagos, užtikrinančios suspaudimą ir šilumą numatytajam plotui / kūno daliai, buvo trijų dydžių – mažo, vidutinio ir didelio. Kiekvienam tiriamajam buvo atliekamas YBT testas (Lower Quadrant Y-Balance Test) dinaminei pusiausvyrai išmatuoti ir naudota Kistlerio jėgos plokštė statinei pusiausvyrai įvertinti. Kiekvienas testas buvo atliekamas tris kartus: 1. Kontrolinis bandymas (CON trial), 2. Po šildymo (HT trial) ir 3. Po šildymo ir palaikymo (Heating + Support (HTS trial)). Rezultatai: ANOVA rezultatai parodė statistiškai reikšmingus skirtumus tarp HT ir HTS testų, palyginti su kontroliniu (CON) testu tik užpakalinėje šoninėje (angl. Posterolateral) kryptyje tik YBT (p = 0,01). Tiriant statinę pusiausvyrą, statistiškai reikšmingi skirtumai buvo aptikti tarp priekinės ir užpakalinės (angl. Antero-posterior) krypties (p = 0,03), vidutinio šoninio (angl. Medio-lateral) (p = 0,01) ir pilno mosto (p = 0,01) greičio rezultatų. Išvados: Pritaikius vietinį kelio šildymą ir ortopedines apsaugas, statinė ir dinaminė pusiausvyra pagerėjo. Šie rezultatai rodo, kad vietinis kelio šildymas, derinant su ortopedine apsauga (palaikymu), gali prisidėti gerinant jaunų sportininkų (vyrų) laikyseną, pusiausvyrą ir eiseną. Norint geriau suprasti šį poveikį, atsižvelgiant į tiriamųjų lytį bei gerokai kompleksiškesnes dinamines užduotis, reikalingi tolesni tyrimai.

IMMEDIATE EFFECTS OF SEMI-CUSTOM INSOLES AND STRUCTURED KNEE SLEEVES ON LOWER EXTREMITY KINETICS AND KINEMATICS IN RECREATIONAL MALE ATHLETES WITH PATELLOFEMORAL PAIN

The aim of this experiment was to provide insight into the immediate influence of both semi-custom insoles and knee sleeves in recreational male runners/athletes suffering from patellofemoral pain and also to explore the association between the extent of patellofemoral pain and psychological wellbeing. Experiment 1 examined 17 male recreational runners with patellofemoral pain, in semi-custom insole and no-insole conditions. Experiment 2 examined 13 male recreational athletes with patellofemoral pain, undertaking run, [Formula: see text] cut and single-leg hop movements in knee sleeve and no-sleeve conditions. In both experiments, motion capture and ground reaction forces were collected, allowing kinetics and three-dimensional kinematics to be calculated alongside patellofemoral joint loading quantified using musculoskeletal modeling. In both experiments, patellofemoral pain symptoms were examined using the KOOS patellofemoral pain subscale and psychological wellbeing using the COOP-WONCA questionnaire. The findings from both experiments showed that pain symptoms significantly predicted psychological wellbeing ([Formula: see text] in experiment 1 and [Formula: see text] in experiment 2). Experiment 1 showed that orthoses significantly reduced tibial internal rotation range of motion (no-[Formula: see text] and [Formula: see text]) whilst also increasing the peak knee adduction moment (no-[Formula: see text][Formula: see text]N[Formula: see text]m/kg and [Formula: see text][Formula: see text]N[Formula: see text]m/kg). The findings from experiment 2 revealed that the knee sleeve reduced the peak patellofemoral force (no-[Formula: see text][Formula: see text]BW and [Formula: see text][Formula: see text]BW) in the run movement and the patellofemoral load rate in the cut movement (no-[Formula: see text][Formula: see text]BW/s and [Formula: see text][Formula: see text]BW/s). Overall, the findings confirm that pain symptoms are predictive of psychological wellbeing in recreational male athletes with patellofemoral pain. Furthermore, the findings suggest that both insoles and knee sleeves may provide immediate biomechanical benefits in recreationally active individuals with patellofemoral pain, although when wearing insoles this may be at the expense of an increased knee adduction moment during running.