Knee braces can decrease tibial rotation during pivoting  that occurs in high demanding activities

Knee braces can decrease tibial rotation during pivoting that occurs in high demanding activities

  • نوع فایل : کتاب
  • زبان : انگلیسی
  • مؤلف : Dimitrios Giotis • Vasilios Tsiaras • Stavros Ristanis • Franceska Zampeli • Grigoris Mitsionis • Nicholas Stergiou • Anastasios D. Georgoulis
  • چاپ و سال / کشور: 2011

Description

Purpose The purpose of this study was to investigate whether knee braces could effectively decrease tibial rotation during high demanding activities. Methods Using an in vivo three-dimensional kinematic analysis, 21 physically active, healthy, male subjects were evaluated. Each subject performed two tasks that were used extensively in the literature because they combine increased rotational and translational loads on the knee, (1) descending from a stair and subsequent pivoting and (2) landing from a platform and subsequent pivoting under three conditions: (A) wearing a prophylactic brace (braced), (B) wearing a patellofemoral brace (sleeved), and (C) unbraced condition. Results In the first task, tibial rotation during the pivoting phase was significantly decreased in the braced condition as compared to the sleeved condition (P = 0.019) and the non-braced condition (P = 0.002). In the second task, the same variable was significantly decreased in the braced condition as compared to the sleeved (P = 0.001) and the unbraced condition (P\0.001). The sleeved condition also produced significantly decreased tibial rotation with respect to the unbraced condition (P = 0.021). Conclusions Bracing decreased tibial rotation in activities where increased translational and rotational forces were applied. Because knee braces decreased tibial rotation, they can possibly be used with ACL-reconstructed and ACL-deficient patients to prevent such problems. Level of evidence Case–control study, Level III.
Knee Surg Sports Traumatol Arthrosc (2011) 19:1347–1354 DOI 10.1007/s00167-011-1454-8 Received: 19 August 2010 / Accepted: 10 February 2011 / Published online: 3 March 2011
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