Tuesday, 2 June 2009

Taping & Braces

photo credit: euthman


What is your go-to solution when you hurt yourself?

Do you pop the IB and sit the next session out? Seek medical attention ASAP? OR, are you one of those that straps on a brace, determined not to skip a workout session and hobbles through the next sweat fest (denying the pain :)?

If you are a brace-donner, have you ever wondered what that brace was doing for you?

First, the research:

Studies testing the efficacy of functional bracing on the stress and strain of our joints have shown that even small magnitude forces placed on the bone surface cause excessive displacement of the joint surfaces despite the brace. Furthermore, a study conducted on college American football athletes showed that the rate of occurrence of injury was unaffected by the athletes wearing the protective braces.

Second, my spiel:

Braces are designed to act as a 'crutch' to help you achieve the things that you may feel less inclined to accomplish without the added support. This is an okay mechanism for reinforcement in the short term because it acts to give individuals a small sense of security and protection.

Braces, much like athletic taping serve as a reminder for us to prevent our joints from moving in orientations that can be hurtful or to continue to activate muscles which we need to function efficiently. However, this too, has it's limitations. The more we use these things, the less effective they are for us, because the level of stimulation it provides to the brain is dampened over time, therefore the protective mechanism they once provided is lost as we fall back into habitual behaviors.

Third, the bottom line:

My personal practice with clients is to advise against the use of braces altogether. Taping is another story. With the correct method of application and reinforcing exercise, taping can provide the needed temporary support and/or stimulation to help someone re=learn movement patterns which are mechanically effective. This ensures the proper protection of the joint by the surround muscles and allows the joint to re-integrate with movement occurring throughout the body.

What about you guys? DO you use a brace? How is it helping you?

10 comments:

Cammy said...

No braces or taping here. Fortunately I haven't truly needed it. If I ever do, I'll go to an ortho/physio type person for help. (My trainer told me a couple of horror stories of incorrectly used taping strategies, and I have no desire to hear my ankle snap. :))

Dr. J said...

I have never used braces, except for one exception. (I have wrapped a sprained ankle with an ace bandage after stepping in a hole while running.) The one exception is a "band-it" that I wear on my right forearm while playing tennis. Playing tennis at a pretty good level, I got a case of "elbow" several years ago. After the appropriate treatment, and using the band-it, it cleared up. I now wear it as a preventative, and yes, I feel it works really well in this case.

It was nice to see a comment from you on my column :-)

Leah J. Utas said...

Years ago I had to wear ankle supports routinely.
I've forgotten why, but I know they helped. I don't do this anymore.

livinghealthyintherealworld said...

Who would have thought! I've never used a brace before. Generally I just stick it out and continue exercising, or else take it easy for a couple days before getting back into the hardcore stuff ;)

- Sagan

antgirl said...

I used to need to wear braces on my wrists. Not for working out. That was before I started exercising.

Now I use nothing. If I pull a muscle, I just modify exercises not to aggravate it. Like I'm still nursing some shoulder strain. The discomfort / pain tells me my limits.

I do use weight lifters gloves to keep a firm grip on my weights as I still have grip issues. That's it.

Dr. J said...

I have get-a-grip issues, but they don't make a brace for that :-)

Rupal said...

Cammy-- ouch! good to hear cammy!

Dr J-- it was so great to have it load and not give me the error this morning!! Its back to 403 now, but hopefully soon I'll be back on!-- and your hilarious by the way :)

Leah-- you must be stronger and better balanced around your ankles now!

Sagan-- that is usually the best medicine huh?

antgirl-- pain/discomfort is the best measurement!

~rupal

Spring Girl said...

I probably wouldn't have even thought of a brace if I got injured! There you go. So no, I never have, although I have had my feet strapped before to support my arches. A physio did it and was it tight or what!?!

Lance said...

So, no I've never really worn a brace. My wife wore one after a meniscus strain while skiing, and my daughter is using one now on her ankle during basketball, softball, and soccer games. Hmmm...now I'm wondering if taping might be a better option. I'll have to look into that...

Fat Lazy Guy said...

I usually just get myself to a doctor and ask for physio. But I've only really had two real problems (might have a third soon, though :D).