Influence of a knee brace intervention on perceived pain and patellofemoral loading in recreational athletes

Sinclair, Jonathan Kenneth; Selfe, James; Taylor, Paul J.; Shore, Hannah; Richards, Jim

doi:10.1016/j.clinbiomech.2016.05.002

Cited by 22 publications

(20 citation statements)

References 37 publications

(1 reference statement)

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“…Knee braces aim to improve the tracking of the patella in the trochlea grove (Paluska & McKeag, 2000). The use of proprioceptive bracing in injury prevention has also attracted some attention during daily activities (Selfe et al, 2011) and sports specific tasks (Hanzlíková et al, 2016; Sinclair et al, 2016; Sinclair, Vincent & Richards, 2017); however, little is known about their efficacy when the athlete is in a fatigued state. The aim of this study was to determine the changes in knee kinetics and kinematics during badminton lunges to the net due to; fatigue, lunge direction (forehand and backhand) and knee bracing.…”

Section: Introductionmentioning

confidence: 99%

An exploration of the effect of proprioceptive knee bracing on biomechanics during a badminton lunge to the net, and the implications to injury mechanisms

Valldecabres

Benito

Littler

et al. 2018

PeerJ

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The aim of this study was to determine changes in knee biomechanics during badminton lunges due to fatigue, lunge strategy and knee bracing. Kinetic and kinematic data were collected from 16 experienced right-handed badminton players. Three factor repeated measures ANOVAs (lunge direction—fatigue—brace) were performed with Least Significant Difference pairwise comparisons. In addition, clinical assessments including; Y-balance test, one leg hop distance and ankle dorsiflexion range of motion were performed pre- and postfatigue. The knee showed significantly greater flexion during the forehand lunge compared to backhand. In contrast, the internal rotation velocity and the knee extension moment were greater during backhand. Knee angular velocity in the sagittal plane, peak knee moment and range of moment in the coronal plane and stance time showed significantly lower values postfatigue. In addition, the peak knee adduction moment showed significantly lower values in the braced condition in both the fatigued and nonfatigues states, and no significant differences were seen for peak vertical force, loading rate, approach velocity, or in any of the clinical assessment scores. There appears to be greater risk factors when performing a backhand lunge to the net compared to a forehand lunge, and proprioceptive bracing appears to reduce the loading at the knee.

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Section: Introductionmentioning

confidence: 99%

An exploration of the effect of proprioceptive knee bracing on biomechanics during a badminton lunge to the net, and the implications to injury mechanisms

Valldecabres

Benito

Littler

et al. 2018

PeerJ

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“…Patellofemoral bracing has been shown to provide short term benefits in pain and functional activities such as walking and squatting. [39][40][41]. Postulated mechanisms of pain relief in addition to improved patellar tracking include unloading of the extensor mechanism, increased temperature and proprioception, or improved confidence.…”

Section: Patellofemoral Painmentioning

confidence: 99%

“…Unfortunately, the effects diminished at long-term (52 weeks) follow-up [42]. Bracing has been shown to be a good short-term treatment for pain [39][40][41][42], but much like taping has not shown significant longterm effects. Despite this, one should consider bracing as adjunctive therapy as they are low cost, safe, and able to provide patients short-term benefit to pain and functional activities.…”

Section: Patellofemoral Painmentioning

confidence: 99%

Taping, Bracing, and Injection Treatment for Patellofemoral Pain and Patellar Tendinopathy

Sisk

Fredericson

2020

Curr Rev Musculoskelet Med

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Purpose of Review This article will focus on additional treatment options for the two most common causes of anterior knee pain, patellofemoral pain syndrome, and patellar tendinopathy. Conservative management is the first-line treatment for these conditions. For clinicians to maximize the efficacy of conservative treatment options for their patients, they must understand the most up-to-date literature evaluating the potential benefit of taping, bracing, and injections as adjunctive treatments for maximizing treatment success. Recent Findings Recent studies of bracing and taping have found them to be helpful for patients in the short-term management of pain and improving function. However, less is known about their exact mechanism but studies are encouraging that they have a subtle role in changing patellofemoral biomechanics. Injections remain a commonly used treatment for musculoskeletal conditions; however, the evidence for their use in patellofemoral pain and patellar tendinopathy is limited. The use of platelet-rich plasma (PRP), sclerosing, high volume, or stem cell injections is an exciting new area in the treatment of patellar tendinopathy. However, evidence at this time to recommend these treatments is lacking, and more well-designed studies are needed. Summary The treatment of patellofemoral pain and patellar tendinopathy consists of a multi-faceted approach of physiotherapy and physical modalities. There is evidence for short-term use of taping and bracing for these conditions. The evidence for injections at this time is limited and remains under investigation. Future well-designed randomized controlled studies will provide insight into the efficacy of several different types of injections in the treatment of patellar tendinopathy. Physicians should feel comfortable integrating taping and bracing into their anterior knee pain treatment paradigm while making cautious use of invasive injections as adjunctive therapy.

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“…Passive interventions are relatively inexpensive and can be applied during sport and recreational activities [19][20][21][22]. Furthermore, a knee brace can be applied by the user without assistance from a healthcare professional and thereby can give the patient more control over the management of their PFP [23]. Several studies reported that knee braces have modified the frontal and transverse plane motion of the knee joint [24][25][26].…”

Section: Introductionmentioning

confidence: 99%

Influence of the Powers™ strap on pain and lower limb biomechanics in individuals with patellofemoral pain

et al. 2019

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Background: Abnormal biomechanics, especially hip internal rotation and adduction are known to be associated with patellofemoral pain (PFP). The Powers TM strap was designed to decrease hip internal rotation and to thereby stabilise the patellofemoral joint. Objectives: This study aimed to investigate whether the Powers TM strap influenced pain and lower limb biomechanics during running and squatting in individuals with PFP. Methods: 24 individuals with PFP were recruited using advertisements that were placed at fitness centres. They were asked to perform a single leg squat task (SLS) and to run on an indoor track at their own selected speed during two conditions: with and without the Powers TM strap. Immediate pain was assessed with the numeric pain rating scale. Three-dimensional motion and ground reaction force data were collected with 10 Qualisys cameras and 3 AMTI force plates. Results: Immediate pain was significantly reduced with the Powers TM strap (without the Powers TM strap: 4.04±1.91; with the Powers TM strap: 1.93±2.13). The Powers TM strap condition significantly increased hip external rotation by 4.7° during the stance phase in running and by 2.5° during the single leg squat task. Furthermore, the external knee adduction moment during the SLS and running increased significantly. Conclusion: This study assessed the effect of the Powers™ strap on lower limbs kinematics and kinetics in individual with PFP. The results suggest that the Powers TM strap has the potential to improve abnormal hip motion. Furthermore, the Powers TM strap demonstrated an ability to significantly reduce pain during functional tasks in patients with PFP.

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Influence of a knee brace intervention on perceived pain and patellofemoral loading in recreational athletes

Abstract: 23Background: The current investigation aimed to investigate the effects of an intervention

Cited by 22 publications

References 37 publications

An exploration of the effect of proprioceptive knee bracing on biomechanics during a badminton lunge to the net, and the implications to injury mechanisms

An exploration of the effect of proprioceptive knee bracing on biomechanics during a badminton lunge to the net, and the implications to injury mechanisms

Taping, Bracing, and Injection Treatment for Patellofemoral Pain and Patellar Tendinopathy

Influence of the Powers™ strap on pain and lower limb biomechanics in individuals with patellofemoral pain

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