A Reasonable Question
Braces and tape often feel immediately helpful, and that feeling is real. The more useful question is whether they change outcomes such as re-injury, pain over weeks, or recovery of function, and whether they do so through the mechanisms commonly assumed, such as mechanical restriction or improved joint position sense. The answer differs by joint and by purpose.
The Ankle: The Strongest Case
The ankle has the most supportive evidence. A systematic review of trials in elite and recreational players found that both ankle braces and ankle tape reduced the frequency of ankle sprains among athletes with a previous sprain, with no type of support shown to be superior to another, although the included trials were of moderate quality (Dizon & Reyes, 2010). For acute sprains, a review comparing braces with other functional treatments such as tape or elastic bandages found that the brace showed a better result only for functional outcome, with the authors noting a need for further research (Kemler et al., 2011).
The way these supports work is less clear than the fact that they may. A meta-analysis of studies in people with ankle instability found that taping or bracing made no significant difference to proprioceptive acuity (Raymond et al., 2012), which weakens the common explanation that they retrain the sense of joint position. Mechanical restriction, a changed sense of security, or both may be involved, and the evidence summarised here cannot separate them.
The Knee: Weaker Evidence for Patellar Taping
Patellar taping is widely used for patellofemoral pain, and people often report an immediate improvement when it is applied. A Cochrane review that excluded studies testing only the immediate effect found five small, heterogeneous trials at high risk of bias. Pooled data from four trials showed no statistically or clinically significant difference in pain at the end of the treatment programme between taping and no taping, and the authors judged the evidence to be low quality and insufficient to draw conclusions (Callaghan & Selfe, 2012). That does not show that taping is useless, only that its benefit beyond the immediate effect has not been established.
A Practical Way to Think About Them
Supports can be a reasonable short-term aid, for example when returning to sport after an ankle sprain or when pain limits the ability to do rehabilitation. They are usually considered an addition to, not a replacement for, progressive strengthening and balance work, because the underlying capacity of the tissue is what a support cannot provide. Whether a brace or tape suits a particular person, and for how long, depends on the injury and the activity, and is best decided after an assessment.
References & Further Reading
- Dizon JM, Reyes JJ. A systematic review on the effectiveness of external ankle supports in the prevention of inversion ankle sprains among elite and recreational players. J Sci Med Sport. 2010;13(3):309-317.
- Kemler E, van de Port I, Backx F, van Dijk CN. A systematic review on the treatment of acute ankle sprain: brace versus other functional treatment types. Sports Med. 2011;41(3):185-197.
- Raymond J, Nicholson LL, Hiller CE, Refshauge KM. The effect of ankle taping or bracing on proprioception in functional ankle instability: a systematic review and meta-analysis. J Sci Med Sport. 2012;15(5):386-392.
- Callaghan MJ, Selfe J. Patellar taping for patellofemoral pain syndrome in adults. Cochrane Database Syst Rev. 2012;(4):CD006717.