Quadriceps function after exercise in patients with anterior cruciate ligament-reconstructed knees wearing knee braces.

Knee braces and neoprene sleeves are commonly worn by people with anterior cruciate ligament reconstructions (ACLRs) during athletic activity. How knee braces and sleeves affect muscle activation in people with ACLRs is unclear. To determine the effects of knee braces and neoprene knee sleeves on the quadriceps central activation ratio (CAR) before and after aerobic exercise in people with ACLRs. Crossover study. Fourteen people with a history of ACLR (9 women, 5 men: age = 23.61 ± 4.44 years, height = 174.09 ± 9.82 cm, mass = 75.35 ± 17.48 kg, months since ACLR = 40.62 ± 20.41). During each of 3 sessions, participants performed a standardized aerobic exercise protocol on a treadmill. The independent variables were condition (brace, sleeve, or control) and time (baseline, pre-exercise with brace, postexercise with brace, postexercise without brace). Normalized torque measured during a maximal voluntary isometric contraction (T(MVIC)) and CAR were measured by a blinded assessor using the superimposed burst technique. The CAR was expressed as a percentage of full muscle activation. The quadriceps CAR and T(MVIC) were measured 4 times during each session: baseline, pre-exercise with brace, postexercise with brace, and postexercise without brace. Immediately after the application of the knee brace, T(MVIC) decreased (P = .01), but no differences between bracing conditions were observed. We noted reduced T(MVIC) and CAR (P < .001) after exercise, both with and without the brace. No differences were seen between bracing conditions after aerobic exercise. The decrease in T(MVIC) immediately after brace application was not accompanied by differences between bracing conditions. Wearing a knee brace or neoprene sleeve did not seem to affect the deterioration of quadriceps function after aerobic exercise.