1.Kinematics and Comfortability Analysis of Orthosis for Patients Associated With Anterior Cruciate Ligament Injury: Hinge Versus Sleeve
Siti Nur Shakiroh Shafie ; Muhammad Hanif Ramlee ; Aizreena Azaman ; Gan Hong Seng
Malaysian Journal of Medicine and Health Sciences 2021;17(No.4):251-255
Introduction: Every month, Sports National Institute (ISN) in Malaysia received around 3 to 4 cases associated with
anterior cruciate ligament (ACL) injury involving athletes in hockey, kick volleyball and netball. Knee orthosis is one
of treatment method and has been shown to support lower limb joint mechanics, which may protect the ACL injury
for becoming worst. In this paper, an investigation was conducted to evaluate the performance of existing knee orthosis for treating ACL injury. Methods: Ten participants which have been grouped into two; six ACL patients (Group
1) and four healthy subjects (Group 2), where they took part in two bracing conditions; 1) with hinge (Brace 1) and
2) sleeve with bilateral hinges (Brace 2). A non-braced condition was included as a baseline measure. Three-dimensional kinematics data were used to calculate knee joint motions. Results: From the findings of ACL subjects, the
knee flexion in non-braced condition (49.9°) has high value than others two braces, in which Brace 1 (40.9°) is less
value than Brace 2 (44.6°). This shows the Brace 2 have higher degree of freedom than Brace 1. Other than that, the
comfortability assessment found that Brace 2 is the most favourable options by participants in terms of less slippage
and comfortless condition. Conclusion: In conclusion, the Brace 2 give best performance during dynamic balance
activity in individuals who benefit from high degree of freedom and less slippage issue.

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