Knee Brace Case Study

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There are four types of knee braces;
• Rehabilitative: worn in the first week weeks post-surgery to help protect the ligament from further injury and to help early range of motion. Chew, Lew, Date, & Fredericson (2007).
• Functional: worn by people who have already injured their ligaments. These are worn when returning to sport (in this case skiing) post ACL surgery and they provide support for the ACL during return to sport and help to limit rotation after ACL injury and surgery. Chew, Lew, Date, & Fredericson (2007).
• Prophylactic: these are used mainly to prevent and reduce the seriousness of injuries to the ligaments in the knee. This is mainly used in contact sports like football or basketball where contact to the knee resulting in injury
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(Kokmeyer, Wahoff, & Mymern 2012) suggested the importance of rehabilitative bracing. The brace protects the graft and reduces further post-operative complications like swelling, pain and loss of extension. The brace is often locked into extension to prevent a loss of extension of the hamstrings, (see case study in supplement 2 for her loss of hamstring extension after surgery). Bracing also helps to aid stability and reduce excess stress on the ligament and allows it to heal quicker. Both strapping and bracing, as well as having protective functions for the knee have proprioceptive benefits during retraining the walking gait and rehabilitation exercises, Kokmeyer, Wahoff, & Mymern (2012). Bracing is a controversial rehab method and some suggest bracing shouldn’t be used and other say it should. (Risberg, Holm, Steen, Eriksson & Ekeland, 1999) suggested that bracing is optimal in the early stages of rehab but not for continuous usage, their study saw a much better quadricep strength in patients who used the brace for 3-8months post-surgery compared to those who used the brace for 1-2 years post-surgery.
Sterett, Briggs, Farley, Steadman, (2006) out of 257 skiers who wore braces and 563 skiers who didn’t, they found that the injury rate for skiers who wore braces was 4% which was significantly less than the 9% injury rate in those who didn’t wear braces. The rate of injury
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They created the DonJoy armour skier edition. This is specifically designed for skiers. The ski specific one has a shorted length, to avoid it clashing with the top of the ski boot and being uncomfortable, as well as this it also has a medial ski deflector- this run son the inner side of the knee brace and prevents it catching on the opposite knee or a knee brace on the opposite leg. See picture below for a standard functional knee brace and then on the right the DonJoy standard armour brace compared with the ski specific

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