Wilkerson Gary B, Kovaleski John E, Meyer Mark, Stawiz Christopher
Graduate Athletic Training Program, University of Tennessee at Chattanooga, 615 McCallie Avenue, Department 6606, Chattanooga, TN 37403-2598, USA.
Foot Ankle Int. 2005 Mar;26(3):239-46. doi: 10.1177/107110070502600310.
The findings of research on the effectiveness of ankle taping for protection against ligament injury have been inconsistent, and the topic remains controversial. The precise orientation of the force vectors created by tension within the various tape strip components of an ankle taping procedure may be a critical factor influencing the degree of motion restraint that is provided. We hypothesized that the addition of the subtalar sling component to the widely recognized standard (Gibney) ankle taping procedure would enhance restraint of ankle motion. This was a controlled laboratory study, with fully repeated measures (subjects served as their own controls).
An ankle arthrometer was used to quantify anteroposterior (AP) translation and frontal plane inversion-eversion (I-E) tilt of the talocrural-subtalar joints under untaped and taped conditions in normal subjects. A 15-minute exercise session was conducted to loosen the tape before measurement of its effect on motion restraint.
The ankle taping procedure that incorporated the subtalar sling provided significantly greater restriction of postexercise AP translation (p < 0.001, eta(2) = 0.63) and postexercise I-E tilt (p < 0.001, eta(2) = 0.66).
The subtalar sling ankle taping procedure provides greater restriction of motions associated with ankle instability than the more widely used Gibney procedure.
关于踝关节贴扎预防韧带损伤有效性的研究结果并不一致,该话题仍存在争议。踝关节贴扎过程中不同胶带条组件内张力产生的力矢量的精确方向可能是影响所提供运动限制程度的关键因素。我们假设在广泛认可的标准(吉布尼)踝关节贴扎程序中增加距下吊带组件会增强对踝关节运动的限制。这是一项对照实验室研究,采用完全重复测量(受试者自身作为对照)。
使用踝关节测角仪在正常受试者未贴扎和贴扎状态下,对胫距 - 距下关节的前后(AP)平移和额状面内翻 - 外翻(I - E)倾斜进行量化。在测量贴扎对运动限制的影响之前,进行15分钟的锻炼以松开胶带。
包含距下吊带的踝关节贴扎程序在运动后对AP平移(p < 0.001,η² = 0.63)和运动后I - E倾斜(p < 0.001,η² = 0.66)的限制明显更大。
与更广泛使用的吉布尼程序相比,距下吊带踝关节贴扎程序对与踝关节不稳定相关的运动限制更大。