Ankle bracing, fatigue, and time to stabilization in collegiate volleyball athletes

J Athl Train. 2008 Apr-Jun;43(2):164-71. doi: 10.4085/1062-6050-43.2.164.

Abstract

Context: Fatigue has been shown to disrupt dynamic stability in healthy volunteers. It is not known if wearing prophylactic ankle supports can improve dynamic stability in fatigued athletes.

Objective: To determine the type of ankle brace that may be more effective at providing dynamic stability after a jump-landing task during normal and fatigued conditions.

Design: Two separate repeated-measures analyses of variance with 2 within-subjects factors (condition and time) were performed for each dependent variable.

Setting: Research laboratory.

Patients or other participants: Ten healthy female collegiate volleyball athletes participated (age = 19.5 +/- 1.27 years, height = 179.07 +/- 7.6 cm, mass = 69.86 +/- 5.42 kg).

Intervention(s): Athletes participated in 3 separate testing sessions, applying a different bracing condition at each session: no brace (NB), Swede-O Universal lace-up ankle brace (AB), and Active Ankle brace (AA). Three trials of a jump-landing task were performed under each condition before and after induced functional fatigue. The jump-landing task consisted of a single-leg landing onto a force plate from a height equivalent to 50% of each participant's maximal jump height and from a starting position 70 cm from the center of the force plate.

Main outcome measure(s): Time to stabilization in the anterior-posterior (APTTS) and medial-lateral (MLTTS) directions.

Results: For APTTS, a condition-by-time interaction existed (F(2,18) = 5.55, P = .013). For the AA condition, Tukey post hoc testing revealed faster pretest (2.734 +/- 0.331 seconds) APTTS than posttest (3.817 +/- 0.263 seconds). Post hoc testing also revealed that the AB condition provided faster APTTS (2.492 +/- 0.271 seconds) than AA (3.817 +/- 0.263 seconds) and NB (3.341 +/- 0.339 seconds) conditions during posttesting. No statistically significant findings were associated with MLTTS.

Conclusions: Fatigue increased APTTS for the AA condition. Because the AB condition was more effective than the other 2 conditions during the posttesting, the AB appears to be the best option for providing dynamic stability in the anterior-posterior direction during a landing task.

Keywords: dynamic stability; postural control.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Ankle Injuries / etiology
  • Ankle Injuries / prevention & control*
  • Ankle Joint / pathology*
  • Braces*
  • Electromyography
  • Exercise Test
  • Fatigue / complications*
  • Female
  • Humans
  • Joint Instability / etiology
  • Joint Instability / prevention & control*
  • Male
  • Pilot Projects
  • Posture
  • Risk Factors
  • Time Factors
  • Universities*
  • Volleyball / injuries*
  • Volleyball / physiology