When to Transition from a Lace-Up to a Hinged Ankle Brace

Ankle injuries are one of the most common issues faced by athletes, and the right ankle brace can make all the difference in ankle injury prevention, performance, and when needed, recovery. Many athletes opt for lace-up ankle braces because they’ve been around forever, they’re affordable, easy to find, and fit well in most sports shoes. However, while lace-up braces offer some level of support, they also come with limitations that can negatively impact both your performance and long-term ankle health.

At Ultra Ankle, we aim to help athletes make informed decisions about their ankle support. In this blog, we’ll explore when it’s time to move on from a lace-up brace to a more supportive hinged ankle brace, especially if you have a history of multiple ankle injuries.

The Disadvantages of Lace-Up Ankle Braces

Lace-up ankle braces are commonly used by athletes, but they come with significant limitations. These braces work much like a reusable tape job: they offer short-term support by wrapping the ankle in the neutral position. They often include figure-8 straps to help restrict excessive ankle rolling. However, because they are made from fabric, once you start moving, the brace’s ability to provide stability decreases rapidly—often within the first 15 minutes of activity. This leaves your ankle vulnerable to injury or re-injury, especially if you’ve already suffered from multiple sprains.

For athletes who have experienced more than three ankle injuries within two years, a lace-up brace is simply not enough support. Repeated injuries can loosen the ligaments in your ankle, making them more susceptible to further damage. This creates what trainers call a “cycle of injury.” Breaking this cycle requires a brace that provides long-term support and stability—something that lace-up braces cannot offer.

The Impact of Lace-Up Braces on Performance

Several studies have demonstrated that lace-up ankle braces can hinder athletic performance. Below are key findings from scientific research that highlight how lace-up braces negatively affect various aspects of athleticism:

  • Kovaleski JE, University of South Alabama (2016): In a study of 12 collegiate male athletes, wearing a lace-up brace significantly reduced range of motion (ROM) in the ankle and decreased muscle torque, work, and power. In layman’s terms, lace-up braces restrict ankle movement and weaken muscle function, making it harder to perform at your peak.
  • Burks RT, American Journal of Sports Medicine (1991): This study found that lace-up braces reduced performance metrics, including a 4.6% decrease in vertical jump, a 3.6% decrease in shuttle run times, and a 3.2% reduction in sprint speed. Wearing no brace at all was better for performance than using a lace-up brace.
  • MacKean LC, Journal of Orthopedic and Sports Physical Therapy (1995): In a group of female basketball players, lace-up braces showed the greatest negative impact on performance compared to other types of braces. These braces restrict plantar flexion—the movement necessary for pushing off when jumping or running.
  • Cordova ML, Medicine and Science in Sports and Exercise (2005): A meta-analysis confirmed that lace-up braces reduce sprint speed by about 1%, which may seem small but can make a big difference in competitive sports.

The evidence is clear: lace-up braces negatively affect agility, speed, and jumping ability because they bind the ankle in a fixed position. For athletes who need to perform at their highest level, why would you wear an ankle brace that negatively affects your performance?

When to Transition to a Hinged Ankle Brace

If you’ve had repeated ankle injuries or notice that your lace-up brace is hindering your performance, it’s time to transition to a hinged ankle brace. Hinged ankle braces, like the Ultra Zoom, offer a higher level of support without compromising mobility. The hinged design allows the brace to move with your ankle’s natural range of motion while providing superior protection and comfort throughout an entire game or practice.

Modern hinged braces are designed to prevent excessive side-to-side movement while allowing full up-and-down motion. This means they won’t limit your vertical jump or sprinting ability, unlike lace-up braces. They also provide long lasting ankle support, unlike lace-up braces which start losing their effectiveness the moment you step on the court, field, or pitch.

The Bottom Line

Lace-up ankle braces may be a popular choice due to their low cost and convenience, but they come with serious drawbacks, especially for athletes with a history of ankle injuries. They restrict ankle movement, weaken muscle function, and hinder performance in critical areas like speed and vertical jump.

If you’ve experienced multiple ankle injuries or feel that your current brace is impacting your performance, consider upgrading to a hinged ankle brace. With superior support, better mobility, and long-term injury prevention, a hinged brace like the Ultra Zoom is a smarter investment in your athletic career and ankle health.

By choosing the right ankle brace for your injury history, you can improve your performance and protect your ankles from future injuries—keeping you off the sideline and in the game for years to come.

High ankle sprains, also known as syndesmotic ankle sprains, are distinct from the more common low ankle sprains. They involve injury to the ligaments that connect the tibia and fibula, particularly the anterior inferior tibiofibular ligament, posterior inferior tibiofibular ligament, and the interosseous membrane. These injuries are often caused by an external rotation and/or dorsiflexion trauma, common in high-impact sports like football, soccer, and basketball. (1) (2)

how a high ankle sprain works

 

Symptoms and Diagnosis

The symptoms of a high ankle sprain can be subtle compared to a regular ankle sprain. They typically include pain radiating up the leg, especially when bearing weight or pivoting on the foot, and some swelling. However, high ankle sprains do not usually cause significant bruising or swelling, which can make them difficult to diagnose without proper medical assessment. (1) (2)

To diagnose a high ankle sprain, a physician will perform a physical exam that may include the syndesmosis squeeze test, where the tibia and fibula are compressed together to elicit pain. Imaging tests like X-rays, MRI, or CT scans may also be necessary to rule out fractures or other injuries. (3)

Treatment Options

The treatment of high ankle sprains generally follows the RICE protocol: Rest, Ice, Compression, and Elevation. Rest involves avoiding weight-bearing activities to allow the ligaments to heal. Ice should be applied for 15-20 minutes several times a day to reduce swelling. Compression with an elastic bandage helps control swelling, and elevating the leg above the heart reduces pain and inflammation. (1) (3)

In addition to these initial treatments, physical therapy plays a crucial role in recovery, focusing on regaining strength, range of motion, and proprioceptive training. In severe cases, surgery may be necessary to repair torn ligaments and restore stability to the ankle. (2)

 

The Role of Ultra Ankle® Braces

Ultra CTS® and Ultra Zoom® ankle braces can significantly aid in the treatment, recovery, and further prevention of high ankle sprains. These braces provide the necessary support and stabilization to the ankle and lower leg, reducing the risk of further injury and allowing for pain free weight-bearing activities as the healing progresses. Here are the specific features of each brace:

 

Ultra CTS® Ankle Brace:

Dynamic Hinged-Cuff Technology: Specifically designed to help prevent external ankle rotation which causes syndesmotic (High) ankle sprains. The Ultra CTS aids in healing by supporting soft tissue recovery. Will help to alleviate weight-bearing pain, encouraging early activity and aiding in quicker rehabilitation post-injury.

Flexible Soft Shell: Made from Performathane®, the Ultra CTS forms a custom-fit to your ankle, providing a comfortable, snug, and secure fit.

PerformaFit® Technology: Transition from the Ultra CTS acute injury ankle brace to a low-profile Ultra CTS activity ankle brace by detaching the PerformaFit upper cuff section. Reattach the PerformaFit cuff section anytime additional ankle support is needed.

The Ultra CTS® is best when used after a walking boot or immediately after injury to help reduce weight bearing pain and provide maximum ankle support and stabilization to aid the healing process and prevent further ankle injury.

Ultra CTS Ankle Brace for rotational stability

Ultra Zoom® Ankle Brace:

Hinged-Cuff Design: Allows for natural up and down ankle movement (dorsiflexion & plantarflexion) while offering excellent support to not only help prevent low “turning” ankle injuries, but also to help prevent rotation “twisting” of the lower leg which can lead to high ankle injuries.

Flexible Soft Shell: Made from Performathane®, the Ultra Zoom forms a custom-fit to your ankle, providing a comfortable, snug, and secure fit.

Durability: Exceptional durability to last multiple seasons. A full ONE YEAR warranty on every component.

The Ultra Zoom® is best when used after the high ankle injury is mostly healed and the athlete is released to return to partial or full activity.

Ultra Zoom ankle brace product features

These features make the Ultra Zoom and Ultra CTS ankle braces highly effective in aiding recovery from high ankle sprains, ensuring that patients can return to their daily activities or sports with confidence. (1) (2)

Conclusion

High ankle sprains are complex injuries that require careful diagnosis and treatment. By following proper medical guidance and utilizing supportive devices like the Ultra Zoom and Ultra CTS ankle braces, individuals can effectively manage their recovery and reduce the risk of future injuries. If you have further questions about either the Ultra CTS or Ultra Zoom ankle braces, or, would like to communicate with one of our Certified Athletic Trainers, please reach out to us here.