Effect of external ankle support on ankle and knee biomechanics during the cutting maneuver in basketball players

Background: Despite the high prevalence of lower extremity injuries in female basketball players as well as a high proportion of athletes who wear ankle braces, there is a paucity of research pertaining to the effects of ankle bracing on ankle and knee biomechanics during basketball-specific tasks....

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Main Authors: Klem, B., Wild, C., Williams, S., Ng, Leo
Format: Journal Article
Published: Sage Publications Inc 2016
Online Access:http://hdl.handle.net/20.500.11937/44998
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author Klem, B.
Wild, C.
Williams, S.
Ng, Leo
author_facet Klem, B.
Wild, C.
Williams, S.
Ng, Leo
author_sort Klem, B.
building Curtin Institutional Repository
collection Online Access
description Background: Despite the high prevalence of lower extremity injuries in female basketball players as well as a high proportion of athletes who wear ankle braces, there is a paucity of research pertaining to the effects of ankle bracing on ankle and knee biomechanics during basketball-specific tasks. Purpose: To compare the effects of a lace-up brace (ASO), a hinged brace (Active T2), and no ankle bracing (control) on ankle and knee joint kinematics and joint reaction forces in female basketball athletes during a cutting maneuver. Study Design: Controlled laboratory study. Methods: Twenty healthy, semi-elite female basketball players performed a cutting task under both ankle brace conditions (lace-up ankle brace and hinged ankle brace) and a no-brace condition. The 3-dimensional kinematics of the ankle and knee during the cutting maneuver were measured with an 18-camera motion analysis system (250 Hz), and ground-reaction force data were collected by use of a multichannel force plate (2000 Hz) to quantify ankle and knee joint reaction forces. Conditions were randomized using a block randomization method. Results: Compared with the control condition, the hinged ankle brace significantly restricted peak ankle inversion (mean difference, 1.7°; P = .023). No significant difference was found between the lace-up brace and the control condition (P = .865). Compared with the lace-up brace, the hinged brace significantly reduced ankle and knee joint compressive forces at the time of peak ankle dorsiflexion (mean difference, 1.5 N/kg [P = .018] and 1.4 N/kg [P = .013], respectively). Additionally, the hinged ankle brace significantly reduced knee anterior shear forces compared with the lace-up brace both during the deceleration phase and at peak ankle dorsiflexion (mean difference, 0.8 N/kg [P = .018] and 0.9 N/kg [P = .011], respectively). Conclusion: The hinged ankle brace significantly reduced ankle inversion compared with the no-brace condition and reduced ankle and knee joint forces compared with the lace-up brace in a female basketball population during a cutting task. Compared with the lace-up brace, the hinged brace may be a better choice of prophylactic ankle support for female basketball players from a biomechanical perspective. However, both braces increased knee internal rotation and knee abduction angles, which may be problematic for a population that already has a high prevalence of knee injuries.
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spelling curtin-20.500.11937-449982017-09-13T14:15:45Z Effect of external ankle support on ankle and knee biomechanics during the cutting maneuver in basketball players Klem, B. Wild, C. Williams, S. Ng, Leo Background: Despite the high prevalence of lower extremity injuries in female basketball players as well as a high proportion of athletes who wear ankle braces, there is a paucity of research pertaining to the effects of ankle bracing on ankle and knee biomechanics during basketball-specific tasks. Purpose: To compare the effects of a lace-up brace (ASO), a hinged brace (Active T2), and no ankle bracing (control) on ankle and knee joint kinematics and joint reaction forces in female basketball athletes during a cutting maneuver. Study Design: Controlled laboratory study. Methods: Twenty healthy, semi-elite female basketball players performed a cutting task under both ankle brace conditions (lace-up ankle brace and hinged ankle brace) and a no-brace condition. The 3-dimensional kinematics of the ankle and knee during the cutting maneuver were measured with an 18-camera motion analysis system (250 Hz), and ground-reaction force data were collected by use of a multichannel force plate (2000 Hz) to quantify ankle and knee joint reaction forces. Conditions were randomized using a block randomization method. Results: Compared with the control condition, the hinged ankle brace significantly restricted peak ankle inversion (mean difference, 1.7°; P = .023). No significant difference was found between the lace-up brace and the control condition (P = .865). Compared with the lace-up brace, the hinged brace significantly reduced ankle and knee joint compressive forces at the time of peak ankle dorsiflexion (mean difference, 1.5 N/kg [P = .018] and 1.4 N/kg [P = .013], respectively). Additionally, the hinged ankle brace significantly reduced knee anterior shear forces compared with the lace-up brace both during the deceleration phase and at peak ankle dorsiflexion (mean difference, 0.8 N/kg [P = .018] and 0.9 N/kg [P = .011], respectively). Conclusion: The hinged ankle brace significantly reduced ankle inversion compared with the no-brace condition and reduced ankle and knee joint forces compared with the lace-up brace in a female basketball population during a cutting task. Compared with the lace-up brace, the hinged brace may be a better choice of prophylactic ankle support for female basketball players from a biomechanical perspective. However, both braces increased knee internal rotation and knee abduction angles, which may be problematic for a population that already has a high prevalence of knee injuries. 2016 Journal Article http://hdl.handle.net/20.500.11937/44998 10.1177/0363546516673988 Sage Publications Inc restricted
spellingShingle Klem, B.
Wild, C.
Williams, S.
Ng, Leo
Effect of external ankle support on ankle and knee biomechanics during the cutting maneuver in basketball players
title Effect of external ankle support on ankle and knee biomechanics during the cutting maneuver in basketball players
title_full Effect of external ankle support on ankle and knee biomechanics during the cutting maneuver in basketball players
title_fullStr Effect of external ankle support on ankle and knee biomechanics during the cutting maneuver in basketball players
title_full_unstemmed Effect of external ankle support on ankle and knee biomechanics during the cutting maneuver in basketball players
title_short Effect of external ankle support on ankle and knee biomechanics during the cutting maneuver in basketball players
title_sort effect of external ankle support on ankle and knee biomechanics during the cutting maneuver in basketball players
url http://hdl.handle.net/20.500.11937/44998