Performance of Healthy Braced Participants During Aerobic and Anaerobic Capacity Tasks

Abstract

Context: Knee braces were introduced in sports approximately 30 years ago. However, the effects of a functional knee brace (FKB) on aerobic and anaerobic performance after fatigue are unknown.Objective: To investigate whether FKB use in noninjured participants hindered performance during aerobic (Léger beep test) and anaerobic (repeated high-intensity shuttle test [RHIST]) tasks.Design: Crossover study. Setting: Laboratory. Patients or Other Participants: Twenty-seven healthy male provincial and national basketball and field hockey athletes (age = 19.4 ± 3.0 years, range, 17-26 years; height = 182.6 ± 6.8 cm, range, 168-196 cm; mass = 80.0 ± 9.1 kg, range, 66-108 kg).Intervention(s): Each participant was provided a customfitted FKB and performed 5 nonbraced (NBR) testing sessions over 3 days, followed by 5 braced (BR) testing sessions over 3 days, for a total of 17.5 hours of testing per condition. During each testing session, participants performed 1 trial of the Léger beep test and 1 trial of the RHIST in each condition.Main Outcome Measure(s): Predicted maximal oxygen consumption (V · o 2 max) and time performance measures were recorded for each NBR and BR trial. Results:Initial performance levels were lower for BR than NBR for both the Léger beep test (BR = 44.3 mL/kg/min, NBR = 47.3 mL/kg/min; F 1,26 = 8.726; P = .007) and the RHIST (BR = 16.5 seconds, NBR = 16.2 seconds; F 1,26 = 13.98, P = .001). However, with continued FKB use, the aerobic performance measure remained higher for only the first 2 BR testing sessions (NBR = 46.9 mL/kg/min, BR = 42.4 mL/kg/min; F 3.0,79.8 = 4.95, P = .003). For the anaerobic test, no performance difference was noted between the testing conditions (NBR = 16.2 seconds, BR = 16.4 seconds; P = .7), whereas fatigue levels were lower during BR testing sessions (NBR = 33%, BR = 31%). After 14.0 hours of FKB use, performance levels were almost equal between the testing conditions (NBR = 47.6 mL/kg/min, BR = 46.1 mL/kg/min). Conclusions:We found an initial decrement in performance when the FKB was used during an aerobic or anaerobic task. However, after 14.0 hours of FKB use, accommodation to the FKB was possible.

Do Knee Braces Prevent Ski Knee Injuries?

“…After 14 hours of brace use, no differences in braced and non-braced groups were found, suggesting the need for an adaptation phase before engaging in full sport activity (24,25).…”

Anterior Cruciate Ligament Bracing: Evidence in Providing Stability and Preventing Injury or Graft Re-Rupture

“…Although bracing may have a beneficial impact performance initially, recent literature suggests that wearer accommodation to bracing is possible in terms of reaction, fatigue, and performance. 73,74 Though not studied, accommodation to bracing may apply to patients with ACL deficiency and those who have undergone ACL reconstruction.…”