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Anterior Cruciate Ligament Functional Brace Use in Sports

MedSport and the Section of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan

Sandip U. Kothari

MedSport and the Section of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan

Laura J. Huston, MS

MedSport and the Section of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan

The routine use of functional knee braces in the ante rior cruciate ligament-deficient, injured, or recon structed knee, lacks biomechanical support. Although subjective reports favoring bracing are plentiful, objec tive proof of significant control of tibial translation is not. This in vivo study was designed to assess the effect of six popular braces on anterior tibial translation, isoki netic performance, and neuromuscular function in five chronically unstable anterior cruciate ligament-defi cient knees. A knee stress test was performed on a specially designed device that allowed free tibial move ment while monitoring anterior tibial translation and muscle function in the quadriceps, hamstring, and gas trocnemius muscles. Results show that braces can decrease anterior tibial translation between 28.8% and 39.1% without the stabilizing contractions of the ham string, quadriceps, and gastrocnemius muscles. With lower extremity muscle activation and bracing, anterior tibial translation was decreased between 69.8% and 84.9%. Some improvement in spinal level muscle re action times was seen with brace use, especially in the quadriceps muscle. Unfortunately, most braces appear to consistently slow hamstring muscle reaction times at the voluntary level.

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