Hinged ankle braces do not alter knee mechanics during sidestep cutting.

Abstract

Lateral ankle sprains are common injuries in quick, dynamic movements and are caused by rapid ankle inversion. Ankle braces are used to reduce ankle inversion, while allowing normal plantar and dorsiflexion ranges of motion. Knee injuries, such as anterior cruciate ligament injuries, are also common in dynamic movements. It is important to understand how ankle braces affect injury risk at other proximal joints. There is limited and conflicting results on how ankle braces affect knee mechanics during these types of movements. Additionally, it is unknown if sex differences exist when using an ankle brace. Therefore, the purpose of this study was to determine the effects of a hinged ankle brace and sex during a 45° cutting movement. Three-dimensional kinematics and ground reaction forces were collected using a motion capture system and force plate on ten men and eight women during cutting trials. 2\u202f×\u202f2 repeated measures ANOVAs were used to detect differences in ground reaction forces, as well as knee and ankle kinematics between brace conditions and sex (p\u202f<\u202f0.05). The brace condition exhibited greater initial contact ankle dorsiflexion (p\u202f=\u202f0.011), decreased peak ankle inversion (p\u202f<\u202f0.01), and increased vertical loading rate (p\u202f=\u202f0.040). Females performed the cutting movement with less initial contact (p\u202f=\u202f0.019) and peak knee flexion (p\u202f=\u202f0.023) compared to males. Ankle bracing had no impact on the observed sex differences. Females exhibited decreased knee flexion compared to males, which has been well documented in the literature. The use of an ankle braces reduced ankle injury risk variables while not adversely impacting knee mechanics during a 45° sidecutting movement.