Lace-Up vs. Stirrup Ankle Brace

When to Use An Ankle Brace: Support, Stability, and Recovery

Ankle injuries are among the most common musculoskeletal issues seen in sports physiotherapy. Whether you’re recovering from a sprain, managing chronic instability, or returning to sport, a Stirrup Ankle Brace can play a critical role in your recovery plan. But when exactly should you use one and how does it compare to other forms of ankle support?

We look to explore the purpose, design, clinical uses, of stirrup ankle braces and how they compare with lace-up braces.

What Is a Stirrup Ankle Brace?

A stirrup ankle brace is a semi-rigid support device designed to stabilize the ankle joint while allowing for limited movement. It typically consists of two contoured plastic shells (or “stirrups”) that run along the sides of the ankle, connected by a heel strap and cushioned with foam or gel liners.

Stirrup braces are designed to limit excessive inversion and eversion. The side-to-side rolling motions of the ankle. The very motions which are common mechanisms of ankle sprains.

When Should You Use a Stirrup Ankle Brace?

Stirrup braces are commonly used in the following clinical scenarios:

• Grade I–II lateral ankle sprains: Especially in the acute phase, to help control swelling and protect the injured ligaments.
• Post-injury support: After the initial swelling and pain subside, the brace can assist with gradual return to activity whilst protecting the healing ligaments.
• Chronic ankle instability: For individuals who experience repeated ankle sprains or “giving way” of the ankle.
• Post-operative care: To provide structured support after surgical repair of ligaments, tendons or bone.
• Sports participation: As preventative support for athletes with a history of ankle injuries.

In general, stirrup braces are most beneficial when structured support is needed without full immobilization.

The Research

Multiple studies have confirmed the effectiveness of stirrup ankle braces in both injury recovery and prevention:

• A randomized controlled trial by Cordova et al. (2009) found that stirrup braces significantly reduced inversion and eversion range of motion during walking and running key for preventing reinjury^[1].
• Another study published in the Journal of Orthopaedic & Sports Physical Therapy showed that ankle bracing in athletes reduced the incidence of recurrent sprains by up to 69%^[2].
• The American Academy of Orthopaedic Surgeons recommends stirrup braces as part of the conservative treatment protocol for Grade I and II ankle sprains^[3].

Lace-Up vs. Stirrup Ankle Brace: When to Choose Each

Both lace-up and stirrup ankle braces are commonly used in rehabilitation and sports medicine, each offering distinct advantages depending on the injury stage and activity level.

Feature	Stirrup Brace	Lace-Up Brace
Stability	High (especially against inversion/eversion)	Moderate
Flexibility	Low–Moderate	Moderate–High
Best Use	Acute injuries, post-surgery, high-grade sprains	Sport participation, mild sprains, long-term use
Fit Inside Footwear	May be bulky	More comfortable in athletic shoes
Compression	Minimal	Good

Stirrup braces are ideal for acute care and high-grade injuries that require maximum restriction of side-to-side motion. In contrast, lace-up braces provide moderate support with better flexibility, making them well-suited for athletes returning to sport or individuals who need long-term support with minimal bulk.

When to Avoid a Stirrup Ankle Brace

While beneficial, stirrup braces are not ideal in every situation. Avoid use if:

• There is an open wound or skin irritation under the brace area.
• The injury requires complete immobilization (e.g., Grade III sprain or fracture).
• The brace causes increased pain or discomfort during use.

Always consult your local physiotherapist or podiatrist for individual guidance.

A Stirrup Ankle Brace is a highly effective tool for managing ankle sprains, instability, and recovery. With the right use and clinical supervision, it can protect healing ligaments, prevent re-injury, and support a safe return to movement and sport. When choosing between stirrup and lace-up braces, consider the phase of healing, your activity level, and your specific needs for support vs. flexibility.

If you’re unsure whether a stirrup brace is right for you, speak with us at Sydney Physio Clinic. Early intervention and structured support can make all the difference in your recovery.

References

1. Cordova, M. L., et al. (2009). Effects of Ankle Bracing on Joint Kinematics During Functional Tasks. Journal of Athletic Training, 44(1), 34–40.
2. Olmsted, L. C., et al. (2004). Efficacy of prophylactic ankle stabilizers for prevention of ankle injuries. JOSPT, 34(1), 10–18.
3. American Academy of Orthopaedic Surgeons (AAOS). Ankle Sprain Clinical Practice Guidelines.