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Biomechanical Trade-offs in Knee Brace Stiffness: Dynamic Stability during Single-leg Lateral Landings in Young Males
Ningbo University, Faculty of Sports Science, Ningbo, China.
Ningbo University, Faculty of Sports Science, Ningbo, China, 315211; Hong Kong Polytechnic University, Department of Biomedical Engineering, Faculty of Engineering, Hong Kong, China.
Ningbo No. 2 Hospital, Zhejiang Engineering Research Center for New Technologies and Applications of Helium-19 Free Magnetic Resonance Imaging, Ningbo, China.
Ningbo University, Faculty of Sports Science, Ningbo, China.
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2026 (English)In: IEEE transactions on neural systems and rehabilitation engineering, ISSN 1534-4320, E-ISSN 1558-0210, Vol. 34, p. 626-637Article in journal (Refereed) Published
Abstract [en]

This study investigated the effects of knee braces with differing stiffness on in vivo knee kinematics and neuromuscular control during single-leg lateral landings. 14 healthy males performed landings under three conditions: no brace (Control), low-stiffness (Type-1), and high-stiffness (Type-2). Kinematics were quantified via dual fluoroscopic imaging, and sEMG recorded seven lower-limb muscles. Brace mechanics were assessed via three-point bending. Statistical analysis used repeated-measures ANOVA (α = 0.05). Kinematically, neither brace restricted knee flexion. Both significantly reduced varus angle (Type-1: 27–100% stance, p=0.043 ; Type-2: 60–100% stance, p=0.033 ), and Type-2 also lowered peak sagittal flexion acceleration (5.0 rad/s2, p=0.013 ). Neuromuscularly, Type-1 enhanced multiplanar control, advancing rectus femoris (154.7 ms vs. Type-2, p=0.005 ) and vastus lateralis (35.6 ms vs. Control, p=0.046 ) activation without increasing rotational instability. Conversely, Type-2 demonstrated a trade-off: despite earlier vastus medialis activation (43.6 ms vs. Control, p=0.011 ), it significantly delayed gluteus medius activation (23.9 ms vs. Type-1, p=0.037 ) and, critically, exacerbated compensatory internal-rotation acceleration (3.3 rad/s2 vs. Type-1, p=0.006 ) at peak flexion. The low-stiffness brace leveraged neuromuscular coordination for multiplanar stability, whereas the high-stiffness brace improved frontal-plane protection at the cost of rotational instability. These findings provide biomechanical evidence for the synergistic optimization of mechanical support and neuromuscular adaptation in knee brace design for populations with similar characteristics to the young male athletes studied herein.

Place, publisher, year, edition, pages
Institute of Electrical and Electronics Engineers (IEEE) , 2026. Vol. 34, p. 626-637
Keywords [en]
dual-plane fluoroscopy, dynamic stability, in vivo kinematics, knee brace stiffness, muscle activation timing
National Category
Sport and Fitness Sciences Orthopaedics
Identifiers
URN: urn:nbn:se:kth:diva-376421DOI: 10.1109/TNSRE.2026.3653016ISI: 001669242300001PubMedID: 41525553Scopus ID: 2-s2.0-105028659646OAI: oai:DiVA.org:kth-376421DiVA, id: diva2:2036220
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QC 20260206

Available from: 2026-02-06 Created: 2026-02-06 Last updated: 2026-02-06Bibliographically approved

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Xiang, Liangliang

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