1
|
Effect of Braces on Performance in the Context of Chronic Ankle Instability. Foot Ankle Clin 2023; 28:145-154. [PMID: 36822684 DOI: 10.1016/j.fcl.2022.10.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
Abstract
Ankle braces are commonly recommended for prevention of ankle sprains, especially secondary sprains, rehabilitation, and return to normal activity or sport after injury. One common resistance to use is the feeling that braces will impede functional performance. For people with chronic ankle instability, the limited research indicates that the use of semirigid, lace-up, or soft-shell braces will not affect, and in some cases, may enhance performance. Activities that could be enhanced are jumping, hopping, and dynamic balance.
Collapse
|
2
|
Morikawa M, Maeda N, Komiya M, Kobayashi T, Urabe Y. The effect of two types of ankle orthoses on the repetitive rebound jump performance. BMC Sports Sci Med Rehabil 2022; 14:88. [PMID: 35578347 PMCID: PMC9109412 DOI: 10.1186/s13102-022-00478-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Accepted: 05/06/2022] [Indexed: 11/15/2022]
Abstract
Background Ankle orthotics decreases the maximal vertical jump height. It is essential to maximize jump height and minimize ground contact time during athletic performance. However, the effect of ankle orthotics on athletic performance has not been reported. We aimed to investigate the effect of ankle orthotics on squat jump (SJ), countermovement jump (CMJ), and repetitive rebound jump (RJ) performance. Methods Twenty healthy volunteers performed SJ, CMJ, repetitive RJ under no-orthosis and two orthotic conditions (orthosis 1 and orthosis 2). During SJ and CMJ, we measured the vertical ground reaction force and calculated the following parameters: jump height, peak vertical ground reaction force, rate of force development, net vertical impulse, and peak power. During repetitive RJ, the jump height, contact time, and RJ index were measured. A two-dimensional motion analysis was used to quantify the ankle range of motion in the sagittal plane during SJ, CMJ, and repetitive RJ. Results Multivariate analysis of variance and the post hoc test showed orthosis 2 significantly decreased in the vertical jump height (p = 0.003), peak power (p = 0.007), and maximum plantarflexion and dorsiflexion angles (p < 0.001) during SJ Ankle orthoses 1 and 2 did not influence to the RJ performance compared to those using the no-orthosis condition. Additionally, orthosis 2 significantly decreased the jump height at the end of repetitive RJ (p = 0.046). Conclusions These results suggest that ankle orthosis do not affect average RJ performance but should be considered when performing repetitive jumps frequently.
Collapse
Affiliation(s)
- Masanori Morikawa
- Division of Sport Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8553, Japan.,Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Japan
| | - Noriaki Maeda
- Division of Sport Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8553, Japan
| | - Makoto Komiya
- Division of Sport Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8553, Japan
| | - Toshiki Kobayashi
- Department of Biomedical Engineering, Faculty of Engineering, The Hong Kong Polytechnic University, 11 Yuk Choi Road, Hung Hom, Hong Kong, China
| | - Yukio Urabe
- Division of Sport Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8553, Japan.
| |
Collapse
|
3
|
The effect of ankle supports on lower limb biomechanics during functional tasks: a systematic review with meta-analysis. J Sci Med Sport 2022; 25:615-630. [DOI: 10.1016/j.jsams.2022.02.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Revised: 02/18/2022] [Accepted: 02/24/2022] [Indexed: 11/18/2022]
|
4
|
Zhao Dubuc Y, Mazzone B, Yoder AJ, Esposito ER, Kang TH, Loh KJ, Farrokhi S. Ankle Sprain Bracing Solutions and Future Design Consideration for Civilian and Military Use. Expert Rev Med Devices 2022; 19:113-122. [PMID: 35130797 DOI: 10.1080/17434440.2022.2039622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
INTRODUCTION Ankle sprains are common injuries within the civilian and military populations, with lingering symptoms that include pain, swelling, giving-way, and a high likelihood for recurrence. Numerous bracing systems are available to stabilize the ankle joint following sprains, with new design iterations frequently entering the market. Currently available braces generally include sleeve, lace-up, and stirrup designs. Sleeves provide mild compression and warmth but limited stability for the ankle, while lace-ups and stirrups appear to be more effective at preventing and treating lateral ankle sprains. AREAS COVERED This review summarizes the use of various brace options in practice. Their major clinical benefits, and limitations are highlighted, followed by an overview of emerging concepts in brace design. Current advancements in biomechanical simulation, multifunctional material fabrication, and wearable, field-deployed devices for human injury surveillance are discussed, providing possibilities for conceiving new design concepts for next-generation smart ankle braces. EXPERT OPINION Performance of the commercially available braces are limited by their current design concepts. Suggestions on future brace design include: (1) incorporating high-performance materials suitable for extreme environments, (2) leveraging modeling and simulation techniques to predict mechanical support requirements, and (3) implementing adaptive, customizable componentry material to meet the needs of each unique patient.
Collapse
Affiliation(s)
- Yingjun Zhao Dubuc
- Applied Research Laboratories, The University of Texas at Austin, Austin, USA
| | - Brittney Mazzone
- DoD-VA Extremity Trauma and Amputation Center of Excellence (EACE), Naval Medical Center San Diego, San Diego, USA.,Naval Medical Center San Diego, San Diego, USA
| | - Adam J Yoder
- DoD-VA Extremity Trauma and Amputation Center of Excellence (EACE), Naval Medical Center San Diego, San Diego, USA.,Naval Medical Center San Diego, San Diego, USA
| | - Elizabeth Russell Esposito
- DoD-VA Extremity Trauma and Amputation Center of Excellence (EACE), Naval Medical Center San Diego, San Diego, USA.,Center for Limb Loss and MoBility (CLiMB), VA Puget Sound Health Care System, Seattle, WA, USA.,Department of Mechanical Engineering, University of Washington, Seattle, WA, USA
| | - Tae Hoon Kang
- Department of Nano Engineering, University of California San Diego, La Jolla, CA, USA
| | - Kenneth J Loh
- Department of Structural Engineering, University of California San Diego, La Jolla, CA, USA
| | - Shawn Farrokhi
- DoD-VA Extremity Trauma and Amputation Center of Excellence (EACE), Naval Medical Center San Diego, San Diego, USA.,Naval Medical Center San Diego, San Diego, USA.,Department of Rehabilitation Medicine, Uniformed Services University, 4301 Jones Bridge Rd, Bethesda, MD
| |
Collapse
|
5
|
FONG DANIELTP, KO JACKYKL, YUNG PATRICKSH. USING FAST FOURIER TRANSFORM AND POLYNOMIAL FITTING ON DORSAL FOOT KINEMATICS DATA TO IDENTIFY SIMULATED ANKLE SPRAIN MOTIONS FROM COMMON SPORTING MOTIONS. J MECH MED BIOL 2021. [DOI: 10.1142/s0219519421500408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Ankle sprain is very common in sports, and a commonly suggested etiology is the delayed peroneal muscle reaction time. Recent studies showed the successful attempts to deliver electrical stimulation to the peroneal muscles externally to initiate contraction before it could react, however, the success relies on a workable method to detect ankle sprain injury in time. This study presented a fast Fourier transform and polynomial fitting method with dorsal foot kinematics data for quick ankle sprain detection. Five males performed 100 simulated ankle sprain and 250 common sporting motion trials. Eight gyrometers recorded the three-dimensional angular velocities at 500[Formula: see text]Hz. Data were trimmed with a 0.11[Formula: see text]s window size, the suggested duration of preinjury phase in ankle sprain, and were transformed from time to frequency domain by fast Fourier transform and fitted with a fifth-order polynomial. First-order coefficients from polynomial fitting on frequency space were obtained. The method achieved 97.0% sensitivity and 91.4% specificity in identifying simulated sprains, vertical jump–landing, cutting, stepping-down, running, and walking motions, with vertical jump–landing excluded due to its relatively low specificity (67.3%). The method can be used to detect ankle sprain in sports with mainly floor movements and minimal vertical jump–landing motion.
Collapse
Affiliation(s)
- DANIEL T. P. FONG
- National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, UK
| | - JACKY K. L. KO
- Department of Physics, Faculty of Science, The Chinese University of Hong Kong, Hong Kong
| | - PATRICK S. H. YUNG
- Department of Orthopedics and Traumatology, Prince of Wales Hospital, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong
| |
Collapse
|
6
|
Cinque ME, Bodendorfer BM, Shu HT, Arnold NA, Gray AD, Summerhays BJ, Guess TM, Sherman SL. The effect of silicone ankle sleeves and lace-up ankle braces on neuromuscular control, joint torque, and cutting agility. J Orthop 2020; 20:359-366. [PMID: 32684673 DOI: 10.1016/j.jor.2020.05.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Accepted: 05/31/2020] [Indexed: 01/13/2023] Open
Abstract
Objective To evaluate the effects of silicone ankle sleeves (SASs) and lace-up ankle braces (LABs) on neuromuscular control, net joint torques, and cutting agility in healthy, active individuals. Design Markerless motion-capture technology tracked subjects fitted with SASs, LABs, or no brace while they performed the movements: Y-excursion, left cutting, right cutting, single-leg drop vertical jump (SLDVJ), 45-degree bound, and single-leg squat (SLS). Setting University Laboratory. Participants Ten healthy, active individuals (5 males and 5 females, mean ± SD 23.60 ± 1.43 years of age). Main outcome measures Degrees of joint range of motion (ROM), Newton-meters of joint torque, time to perform a cutting maneuver. Results SASs and LABs resulted in significantly different knee and ankle ROM and hip internal rotation in the SLDVJ, SLS, Y-excursion, cutting maneuver, and 45-degree bound when compared to control (p < .05). Both ankle and knee torque were significantly reduced in the 45-degree bound and cutting movements with both types of PABs (p < .05). There were minimal differences between the SASs and LABs for all conditions. There were no statistically significant differences in cutting times for any of the 3 conditions. Conclusion Both SAS and LAB positively impacted neuromuscular control, reduced net joint torque, and neither impaired cutting agility when compared to control.
Collapse
Affiliation(s)
- Mark E Cinque
- Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA
| | - Blake M Bodendorfer
- Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, DC, USA
| | - Henry T Shu
- Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, DC, USA
| | - Nicholas A Arnold
- Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
| | - Aaron D Gray
- Department of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA
| | | | - Trent M Guess
- Department of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA
| | - Seth L Sherman
- Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA
| |
Collapse
|
7
|
Henderson ZJ, Sanzo P, Zerpa C, Kivi D. Ankle bracing's effects during a modified agility task: analysis of sEMG, impulse, and time to complete using a crossover, repeated measures design. Sports Biomech 2020:1-15. [PMID: 32643530 DOI: 10.1080/14763141.2020.1778777] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
This study explored the effects of no braces, softshell (AE), and semi-rigid (T1) ankle braces on time to complete a modified agility task, as well as lower extremity muscle activity and impulse during the change of direction component of the task. Thirty-nine healthy, active individuals completed a modified agility task under the three brace conditions. Time to complete the modified agility task, along with mean surface electromyographic activity (sEMG) and impulse during the deceleration and propulsive phases of the task were measured. There were no significant differences across conditions with respect to sEMG or impulse measures during the deceleration or propulsive phases. There was a significant change in time to complete the modified agility task, F(2,76) = 17.242, p< 0.001, ηp2 = 0.312. Post-hoc analysis revealed a significant increase in time to complete the modified agility task when wearing the AE (0.16 (95% CI, 0.062 to 0.265) seconds, p< 0.001) and T1 (0.20 (95% CI, 0.113 to 0.286) seconds, p< 0.001) ankle braces compared to no braces. It appears that performance on a modified agility task may be diminished when wearing ankle braces, although sEMG activity and impulse are unaffected.
Collapse
Affiliation(s)
- Zachariah J Henderson
- School of Kinesiology, Lakehead University, Thunder Bay, Canada.,Applied Health Sciences, University of Manitoba, Winnipeg, Canada
| | - Paolo Sanzo
- School of Kinesiology, Lakehead University, Thunder Bay, Canada.,Clinical Sciences, Northern Ontario School of Medicine, Thunder Bay, Canada
| | - Carlos Zerpa
- School of Kinesiology, Lakehead University, Thunder Bay, Canada
| | - Derek Kivi
- School of Kinesiology, Lakehead University, Thunder Bay, Canada
| |
Collapse
|
8
|
Fu X, Ma L, Zeng Y, He Q, Yu F, Ren L, Luo B, Fu S, Zhang L. Implications of Classification of Os Trigonum: A Study Based on Computed Tomography Three-Dimensional Imaging. Med Sci Monit 2019; 25:1423-1428. [PMID: 30794531 PMCID: PMC6396439 DOI: 10.12659/msm.914485] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND The os trigonum is an accessory bone that is not fully fused with the talus during secondary ossification, and is one of the risk factors of posterior malleolus impact syndrome. The purpose of this study was to classify the os trigonum and to guide the diagnosis and treatment of related clinical diseases. MATERIAL AND METHODS Ankle computed tomography (CT) scans of 586 Chinese patients between October 2014 and October 2018 were reviewed. CT images of 1011 ankle joints were reconstructed to evaluate the classification of the os trigonum and the measurement of anatomical parameters. RESULTS The incidences of os trigonum in 3 groups were determined as type I (1.9%), type II (10.5%), and type III (14.7%). The macro-axis of type II (0.89±0.31) cm was significantly larger than with type I (0.65±0.24 cm) and type III (0.74±0.23 cm) (p<0.05).The minor axis of similar of type I (0.41±0.23 cm) was significantly shorter than that of type II (0.58±0.32 cm) and type III (0.55±0.16 cm) (p<0.05).The distance from os trigonum to calcaneal tubercle was significantly different than that of type I (1.33±0.52 cm), type II (1.67±0.55 cm), and type III (1.84±0.45 cm) (p<0.05). CONCLUSIONS This study showed that os trigonum has a high incidence. Type I was the least common, the volume of type II was larger, and type III was more common. The anatomical parameters of each type may improve treatment of related diseases and the further development of ankle arthroscopic surgery.
Collapse
Affiliation(s)
- Xiaoyong Fu
- Department of Foot and Ankle Surgery, Guangzhou Orthopedic Hospital, Guangzhou, Guangdong, China (mainland)
| | - Li Ma
- School of Integrated Chinese and Western Medicine, Southwest Medical University, Luzhou, Sichuan, China (mainland)
| | - Yan Zeng
- Department of Nephrology, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China (mainland)
| | - Qizhou He
- Department of Radiological, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China (mainland)
| | - Fei Yu
- Department of Radiological, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China (mainland)
| | - Lin Ren
- Department of Radiological, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China (mainland)
| | - Bei Luo
- School of Basic Medical, Southwest Medical University, Luzhou, Sichuan, China (mainland)
| | - Shijie Fu
- Department of Orthopedic, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China (mainland).,Academician Workstation in Luzhou, Luzhou, Sichuan, China (mainland)
| | - Lei Zhang
- Department of Orthopedic, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China (mainland).,Academician Workstation in Luzhou, Luzhou, Sichuan, China (mainland).,National Key Discipline of Human Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou, Guangdong, China (mainland)
| |
Collapse
|