Functional knee brace use effect on peak vertical ground reaction forces during drop jump landing
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  • 作者:Neetu Rishiraj (1)
    Jack E. Taunton (2)
    Robert Lloyd-Smith (2)
    William Regan (3)
    Brian Niven (4)
    Robert Woollard (5)
  • 关键词:ACL ; Deceleration task ; Knee brace ; PVGRFs
  • 刊名:Knee Surgery, Sports Traumatology, Arthroscopy
  • 出版年:2012
  • 出版时间:December 2012
  • 年:2012
  • 卷:20
  • 期:12
  • 页码:2405-2412
  • 全文大小:407KB
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  • 作者单位:Neetu Rishiraj (1)
    Jack E. Taunton (2)
    Robert Lloyd-Smith (2)
    William Regan (3)
    Brian Niven (4)
    Robert Woollard (5)

    1. ACTIN Health and Rehabilitation Inc., 5767 Oak Street, Vancouver, BC, V6M 2V7, Canada
    2. Allan McGavin Sports Medicine Centre (Primary Care), University of British Columbia, Vancouver, BC, Canada
    3. Allan McGavin Sports Medicine Centre (Orthopaedics), University of British Columbia, Vancouver, BC, Canada
    4. Department of Mathematics and Statistics, University of Otago, Dunedin, New Zealand
    5. Department of Family Practice, University of British Columbia, Vancouver, BC, Canada
  • ISSN:1433-7347
文摘
Purpose The aim of the study was to investigate the landing strategies used by non-injured athletes while wearing functional knee braces (FKB, BR condition) during a drop jump task compared with non-injured, non-braced (NBR condition) subjects and also to ascertain whether accommodation to a FKB was possible by non-injured BR subjects. Methods Twenty-three healthy male provincial and national basketball and field hockey athletes (age, 19.4?±?3.0?years) were tested. Each subject was provided with a custom-fitted FKB. Five NBR testing sessions were performed over 3?days followed by five BR testing sessions also over 3?days, for a total of 17.5?h of testing per condition. Each subject performed eight trials of the drop jump task during each testing session per condition. Single-leg peak vertical ground reaction forces (PVGRF) and the time to PVGRF were recorded for each NBR and BR trail. Results The BR group mean PVGRF at landing was significantly lower (1,628?±?405?N, 2.1?±?0.5 BW versus 1,715?±?403?N, 2.2?±?0.5 BW, F 1,22?=?6.83, P?=?0.01) compared with NBR subjects, respectively. The group mean time to PVGRF was not statistically longer during the BR condition (F 1,22?=?0.967, P?=?0.3). Further, an accommodation trend was noted as percent performance difference decreased with continued FKB use. Conclusions The significantly lower group mean PVGRF while using a FKB could keep traumatic forces from reaching the ACL until the active neuromuscular restraints are activated to provide protection to the knee joint ligaments. Also, accommodation to FKB is possible after approximately 14.0?h of brace use. The results of this paper will assist clinicians in providing information to their patients regarding a FKB ability to offer protection to an ACL-deficient knee or to address concerns about early muscle fatigue, energy expenditure, heart rate, and decrease in performance level. Level of evidence Prospective study, Level I.

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