The Immediate Effect of Protective Knee Brace application on the Ground Reaction Forces of People with Genu Valgum During Landing

Document Type : Original Article

Authors

1 Department of Sports Biomechanics, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran

2 Department of Sports Physiology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.

3 Doctoral student in Sports Physiology, Islamic Azad University of Sari, Iran

4 Department of Physical Education and Sports Sciences, Faculty of Educational Sciences and Psychology, Mohaghegh Ardabili University, Ardabil, Iran.

Abstract

Purpose:
Genu valgum is one of the most important lower limb abnormalities that puts athletes at risk of injury due to weight imbalance in the inner and outer parts of the knee. The aim of the present study was to evaluate the immediate effect of protective knee braces on the ground reaction forces of people with genu valgum during landing.
Methods:
The present study was a semi-experimental laboratory study. In this study, 10 boys with genu valgum (with an average age (years): 21.71 ± 2.28, height (m): 1.89 ± 0.07, weight (kg): 74.69 ± 10.56, and body mass index (kg/m2): 23.64 ± 0.85) in the experimental group and 10 healthy (with average age (years): 23.14 ± 2.96, height (m): 1.82 ± 0.06, weight (kg): 75.14 ± 9.89 and body mass index (kg/m2): 24.77 ± 1.98) boys who did not have any lower limb disorders were selected as the control group. A three-axis force plate device Bertec (Corporation, Columbus, OH) was used to record ground reaction force information. For statistical analysis, SPSS V21 software and analysis of variance with repeated measures were used at a significant level of 0.05.
Results:
Between group results showed that the peak of the vertical component (p=0.002) and the time to reach the peak of the vertical component (p=0.004) of the ground reaction force had a significant difference in the control and genu valgum groups. The inter-group results showed that the peak of the vertical component (p<0.001) and the time to reach the peak of the vertical component (p<0.001) of the ground reaction force in the genu valgum group in the post-test compared to the pre-test had a significant decrease of 44.3 and 34.9%, respectively.
Conclusion:
According to the research results, it can be concluded that the use of knee brace in these people has been able to increase the protective efficiency in the knee joint and cause force absorption during landing. Therefore, perhaps the long-term application of this type of protective brace can improve other components of the ground reaction force.

Keywords


  1. Martín-Rodríguez A, Gostian-Ropotin LA, Beltrán-Velasco AI, Belando-Pedreño N, et al. Sporting Mind: The Interplay of Physical Activity and Psychological Health. Sports 2024; 12(1): 37.
  2. Peña J, Gil-Puga B, Piedra A, Altarriba-Bartés A, et al. Epidemiology and Risk Factors in Young Female Athletes: Basketball, Football, and Volleyball. Apunts Educació Física i Esports 2023; (152): 1-12.
  3. Ishida T, Yamanaka M, Takeda N, Aoki Y. Knee rotation associated with dynamic knee valgus and toe direction. Knee 2014; 21(2): 563-566.
  4. Brown TB. Development of an Orthopedic Brace for Treatment of Genu Varum: Mercer University; 2024.
  5. Piussi R, Simonson R, Zsidai B, Grassi A, et al. Better Safe Than Sorry? A Systematic Review with Meta-analysis on Time to Return to Sport After ACL Reconstruction as a Risk Factor for Second ACL Injury. J Orthop Sports Phys Ther 2024; 54(3): 161-175.
  6. Stojanović MD, Andrić N, Mikić M, Vukosav N, et al. Effects of Eccentric-Oriented Strength Training on Return to Sport Criteria in Late-Stage Anterior Cruciate Ligament (ACL)-Reconstructed Professional Team Sport Players. Medicina 2023; 59(6): 1111.
  7. Yavarikia A, Ghorbani Amjad G, Khansari Varkaneh M. The study of prophylactic knee braces efficacy on strain reduction on the medial collateral ligament in football players. Avicenna Journal of Clinical Medicine 2009; 16(1): 38-42.
  8. Jafarnezhadgero A, Eghbali Meydani M, Khodabakhsh Dizag R, Noorian E. Effect of 8-Week Use of Knee Braces on the Electrical Activity Frequency of Lower Limb Muscles in Men With Genu Varus While Walking. Scientific J Rehabil Med 2023; 12(4): 692-701.
  9. Barghamadi M, Ghadimi KheshtMasjedi A, Piri E. Comparison of the Effect between Traband and Brace on People with Genu Varum and Genu Valgum Deformities: A Systematic Review. J Sport Biomech 2024; 9(4): 352-368.  
  10. Shim JW, Lee S-S, Ko KR. Contributions of the Distal Femur and Proximal Tibia to Idiopathic Genu Varum and Genu Valgum in Adolescents. Clinics in Orthopedic Surgery 2024; 16(6): 1010.
  11. Ghorbanloo F, Jafarnezhadgero A. The Effect of Corrective Exercises Using Thera-Band on Components of Ground Reaction Force in Boy Students with Genu Valgum during Running: A Clinical Trial Study. J Rafsanjan University of Med Sci 2020; 19(7): 661-676.
  12. Barghadi M, Shahbazioghli K, Piri E, Allahverdidost H, Nosrati Hashi A. Short-term effect of protective knee brace on ankle and knee joint co-contractions in people with genu valgum during jumping and landing. Studies in Medical Sciences 2023; 34(2): 58-67.
  13. Bukish S, Alisha-tu-Zahra SM, Amjad F, Tanveer F. Frequency of Genu Valgum and Genu Varum and its Association with Age, Gender, BMI andKnee Angular Deformities in Young Adults. Int J Health Professions 2024: 14-19.
  14. Pollo FE, Otis JC, Backus SI, Warren RF, Wickiewicz TL. Reduction of medial compartment loads with valgus bracing of the osteoarthritic knee. Am J Sports Med 2002; 30(3): 414-421.
  15. Jafarnezhadgero A, Meydani ME, Dizag RK, Noorian E. Research Paper Effect of 8-Week Use of Knee Braces on the Electrical Activity Frequency of Lower Limb Muscles in Men With Genu Varus While Walking. The Scientific Journal of Rehabilitation Medicine 2022; 12(4): 692-701
  16. Jafarnezhadgero AA, Oliveira AS, Mousavi SH, Madadi-Shad M. Combining valgus knee brace and lateral foot wedges reduces external forces and moments in osteoarthritis patients. Gait Posture 2018; 59: 104-110.
  17. Jafarnezhadgero AA, Shad MM, Majlesi M, Granacher U. A comparison of running kinetics in children with and without genu varus: A cross sectional study. PloS one. 2017; 12(9): e0185057.
  18. Kaspiris A, Zaphiropoulou C, Vasiliadis E. Range of variation of genu valgum and association with anthropometric characteristics and physical activity: Comparison between children aged 3-9 years. Journal of Pediatric Orthopaedics B. 2013; 22(4): 296-305.
  19. Buck P, Morrey B, Chao E. The optimum position of arthrodesis of the ankle. A gait study of the knee and ankle. JBJS 1987; 69(7): 1052-1062.
  20. Jafarnezhadgero AA, Majlesi M, Azadian E. Gait ground reaction force characteristics in deaf and hearing children. Gait & posture 2017; 53: 236-240.
  21. Association WM. " Ethical principles for medical research involving human subjects," Declaration of Helsinki. http://www wma net/e/policy/b3 htm. 2004.
  22. Jafarnezhadgero A, Abadi AMM, Yadegar A, Ghorbanloo F, Orang AV. The effect of graded knee brace at two angles of 60 and 30 degrees on the frequency spectrum of ground reaction forces in individuals with genu valgum during landing. Medical Journal of Tabriz University of Medical Sciences 2021; 43(2): 220-229.
  23. Valizadehorang A, Ghorbanlou F, Jafarnezhadgero AA. Effect of using graded knee brace at two angles of 60 and 30 degrees on the ground reaction forces components in individuals with genu valgum during landing. Journal of Gorgan University of Medical Sciences 2020; 22(2): 1-8.
  24. Dehghani M, Mokhtari Malek Abadi A, Jafarnezhadgero AA. Effect of Knee Brace on the Electric Activity of Selected Lower Limb Muscles during Walking in Older Adults. The Scientific Journal of Rehabilitation Medicine. 2022; 11(1): 14-27.
  25. Desai SS, Shetty GM, Song H-R, Lee SH, Kim TY, Hur CYJTK. Effect of foot deformity on conventional mechanical axis deviation and ground mechanical axis deviation during single leg stance and two leg stance in genu varum. Knee 2007; 14(6): 452-457.
  26. Anker LC, Weerdesteyn V, van Nes IJ, Nienhuis B, Straatman H, Geurts ACJG, et al. The relation between postural stability and weight distribution in healthy subjects. Gait Posture, 2008; 27(3): 471-477.
  27. Jankowicz-Szymanska A, Mikolajczyk E. Genu valgum and flat feet in children with healthy and excessive body weight. Pediatric Phys Ther 2016; 28(2): 200-206.
  28. Ribeiro F, Oliveira J. Effect of physical exercise and age on knee joint position sense. Archives of gerontology and geriatrics. Arch Gerontol Geriatr 2010; 51(1): 64-67.
  29. Namavarian N, Rezasoltani A, Rekabizadeh MJMR. A study on the function of the knee muscles in genu varum and genu valgum. MRJ 2014, 8(3): 1-9
  30. McNair PJ, Prapavessis H, Callender KJBJoSM. Decreasing landing forces: effect of instruction. Br J Sports Med 2000; 34(4): 293-296.
  31. Devita P, Skelly WAJ. Effect of landing stiffness on joint kinetics and energetics in the lower extremity. Med Sci Sports Exerc 1992; 24(1): 108-115.
  32. Rabiei M, Jafarnejhad-Gre T, Binabaji H, Hosseininejad E, Anbarian M. Assessment of postural response after sudden perturbation in subjects with genu valgum. Journal of Shahrekord University of Medical Sciences 2012; 14(2): 90-100.
  33. Hau R, Csongvay S, Bartlett J. Driving reaction time after right knee arthroscopy. Knee surgery, sports traumatology, arthroscopy. Knee surg Sports Traumatol Arthrosc 2000; 8(2): 89-92.
  34. Gustavsson A, Neeter C, Thomeé P, Silbernagel KG, et al. A test battery for evaluating hop performance in patients with an ACL injury and patients who have undergone ACL reconstruction. Knee surgery, sports traumatology, arthroscopy. Knee surg Sports Traumatol Arthrosc 2006; 14(8): 778-788.
  35. Dammerer D, Giesinger JM, Biedermann R, Haid C, Krismer M, Liebensteiner M. Effect of knee brace type on braking response time during automobile driving. Arthroscopy 2015; 31(3): 404-409.
  36. Valizadeorang A, Ghorbanlou F, Jafarnezhadgero A, Alipoor Sarinasilou M. Effect of knee brace on frequency spectrum of ground reaction forces during landing from two heights of 30 and 50 cm in athletes with anterior cruciate ligament injury. The Scientific Journal of Rehabilitation Medicine 2019; 8(2): 159-168.