External supports improve knee performance in anterior cruciate ligament reconstructed individuals with higher kinesiophobia levels

Knee. 2016 Oct;23(5):807-12. doi: 10.1016/j.knee.2016.05.008. Epub 2016 Jul 25.


Background: The objectives of this study were to investigate the effects of knee brace (KB) and kinesiotaping (KT) on functional performance and self-reported function in individuals six months post-ACLR who desired to return to their pre-injury activity levels but felt unable to do so due to kinesiophobia.

Methods: This was a cross-sectional study involving 30 individuals six months post-ACLR with Tampa Kinesiophobia Scores >37. Individuals were tested under three conditions: no intervention, KB and KT in a randomized order. Isokinetic concentric quadriceps and hamstring strength tests, one leg hop test, star excursion balance test and global rating scale were assessed under the three conditions.

Results: The involved side showed that KT and KB significantly increased the hop distance (P=0.01, P=0.04) and improved balance (P=0.01, P=0.04), respectively, but only KB was found to increase the quadriceps and hamstring peak torques compared to no intervention (P<0.05). Individuals reported having better knee function with KB when compared to no intervention (P<0.001) and KT (P=0.03).

Conclusions: Both KB and KT have positive effects in individuals post-ACLR which may assist in reducing kinesiophobia when returning to their pre-injury activity levels, with the KB appearing to offer the participants better knee function compared to KT.

Keywords: ACL; Brace; Kinesiophobia; Kinesiotaping.

MeSH terms

  • Adolescent
  • Adult
  • Anterior Cruciate Ligament Injuries* / psychology
  • Anterior Cruciate Ligament Injuries* / rehabilitation
  • Anterior Cruciate Ligament Injuries* / surgery
  • Anterior Cruciate Ligament Reconstruction / psychology*
  • Anterior Cruciate Ligament Reconstruction / rehabilitation
  • Athletic Performance / psychology*
  • Athletic Tape*
  • Braces*
  • Cross-Sectional Studies
  • Humans
  • Knee Joint / surgery
  • Phobic Disorders
  • Return to Sport / psychology*
  • Young Adult