Immediate and six-week effects of wearing a knee sleeve following anterior cruciate ligament reconstruction on knee kinematics and kinetics: a cross-over laboratory and randomised clinical trial

BMC Musculoskeletal Disorders

Stefan Klima¹  Gisela Sole²  Niels Hammer³  Todd Pataky⁴  Peter Lamb⁵  Anupa Pathak⁶  Pierre Navarre⁷ 

[1] ;Centre for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago;Division of Macroscopic and Clinical Anatomy, Gottfried Schatz Research Center, Medical University of Graz;Graduate School of Medicine, Department of Human Health Sciences, Kyoto University;School of Physical Education, Sport and Exercise Sciences, University of Otago;School of Public Health, Faculty of Medicine and Health, University of Sydney;Southland Hospital, Invercargill, New Zealand and Clinical Senior Lecturer, University of Otago;

关键词: Anterior cruciate ligament reconstruction;    Hopping;    Kinematics;    Kinetics;    Flexion angle trajectory;    Knee sleeve;   

DOI  :  10.1186/s12891-022-05488-2

来源: DOAJ

【 摘 要 】

Abstract Background Elastic knee sleeves are often worn following anterior cruciate ligament reconstruction (ACLR) but their effects on movement patterns are unclear. Aim To determine the immediate and six-week effects of wearing a knee sleeve on biomechanics of the knee during a step-down hop task. Methods Using a cross-over design, we estimated sagittal plane knee kinematics and kinetics and stance duration during a step-down hop for 31 participants (age 26.0 [SD 6.6] years, 15 women) after ACLR (median 16 months post-surgery) with and without wearing a knee sleeve. In a subsequent randomised clinical trial, participants in the ‘Sleeve Group’ (n = 9) then wore the sleeve for 6 weeks at least 1 h daily, while a ‘Control Group’ (n = 9) did not wear the sleeve. We used statistical parametric mapping to compare (1) knee flexion/extension angle and external flexion/extension moment trajectories between three conditions at baseline (uninjured side, unsleeved injured side and sleeved injured side); (2) within-participant changes for knee flexion angles and external flexion/extension moment trajectories from baseline to follow-up between groups. We compared discrete flexion angles and moments, and stance duration between conditions and between groups. Results Without sleeves, knee flexion was lower for the injured than the uninjured sides during mid-stance phase. When wearing the sleeve on the injured side, knee flexion increased during the loading phase of the stance phase. Discrete initial and peak knee flexion angles increased by (mean difference, 95% CIs) 2.7° (1.3, 4.1) and 3.0° (1.2, 4.9), respectively, when wearing the knee sleeve. Knee external flexion moments for the unsleeved injured sides were lower than the uninjured sides for 80% of stance phase, with no change when sleeved. The groups differenced for within-group changes in knee flexion trajectories at follow-up. Knee flexion angles increased for the Control group only. Stance duration decreased by 22% for the Sleeve group from baseline to follow-up (-89 ms; -153, -24) but not for the Controls. Conclusions Application of knee sleeves following ACLR is associated with improved knee flexion angles during hop landing training. Longer term (daily) knee sleeve application may help improve hop stance duration, potentially indicating improved hop performance. Trial registration The trial was prospectively registered with the Australia New Zealand Clinical Trials Registry No: ACTRN12618001083280, 28/06/2018. ANZCTR

【 授权许可】

Unknown