Radford Joel A, Burns Joshua, Buchbinder Rachelle, Landorf Karl B, Cook Catherine
School of Biomedical and Health Sciences, University of Western Sydney, Campbelltown, Australia.
J Orthop Sports Phys Ther. 2006 Apr;36(4):232-41. doi: 10.2519/jospt.2006.36.4.232.
A systematic review.
To determine the strength of evidence of the effect of low-Dye taping on lower limb kinematic, kinetic, and electromyographic variables.
Low-Dye taping is a foot-taping technique that aims to limit foot pronation and is commonly used to treat a number of foot disorders.
Systematic review of randomized or quasi-randomized trials examining the effect of low-Dye taping compared with no taping on kinematic, kinetic, and electromyographic variables. Trials were identified by searching CINAHL, EMBASE, MEDLINE, SPORTDiscus, and CENTRAL, and by recursive checking of bibliographies. Data were extracted from published trials and from mail contact with authors for further information as necessary. Meta-analyses were planned for all outcomes using the generic inverse variance method. Sensitivity analyses were planned by pooling data from nonrandomized trials. Statistical heterogeneity was assessed using the quantity I2.
Six trials met inclusion criteria and, of these, 5 trials reported sufficient data on kinematic and kinetic variables to be included in the analysis. Results from the 5 randomized trials were considered robust when pooled with data from 7 nonrandomized trials in a sensitivity analysis. When compared to no taping, low-Dye taping increased navicular height immediately after application (weighted mean difference [WMD], 5.90 mm; 95% confidence interval [CI], 0.41 to 11.39; P = .04) and had no effect on navicular height post exercise (WMD, 4.70 mm; 95% CI, -0.61 to 10.01; P = .08), maximum rearfoot eversion while walking (WMD, -0.59 degrees; 95% CI, -2.53 to 1.35; P = .55), and total rearfoot range of motion while walking (WMD, 2.3 degrees; 95% CI, -0.64 to 5.24; P = .13).
Low-Dye taping provides a small change in navicular height post application, although it is unclear whether this change is clinically important. There was high heterogeneity between some trials examining other variables, indicating that more research is needed to confirm the results of previous trials.
系统评价。
确定低染料贴扎法对下肢运动学、动力学和肌电图变量影响的证据强度。
低染料贴扎法是一种足部贴扎技术,旨在限制足内翻,常用于治疗多种足部疾病。
对随机或半随机试验进行系统评价,比较低染料贴扎法与不贴扎法对运动学、动力学和肌电图变量的影响。通过检索CINAHL、EMBASE、MEDLINE、SPORTDiscus和CENTRAL数据库,并对参考文献进行递归检索来识别试验。从已发表的试验中提取数据,并在必要时通过与作者邮件联系获取更多信息。计划使用通用逆方差法对所有结局进行荟萃分析。计划通过汇总非随机试验的数据进行敏感性分析。使用I²量评估统计异质性。
六项试验符合纳入标准,其中五项试验报告了关于运动学和动力学变量的充分数据,可纳入分析。在敏感性分析中,将五项随机试验的结果与七项非随机试验的数据合并后,结果被认为是可靠的。与不贴扎相比,低染料贴扎法在应用后立即增加了舟骨高度(加权平均差[WMD],5.90毫米;95%置信区间[CI],0.41至11.39;P = 0.04),但对运动后舟骨高度没有影响(WMD,4.70毫米;95% CI,-0.61至10.01;P = 0.08),对行走时最大后足外翻角度没有影响(WMD,-0.59度;95% CI,-2.53至1.35;P = 0.55),对行走时后足总活动范围没有影响(WMD,2.3度;95% CI,-0.64至5.24;P = 0.13)。
低染料贴扎法应用后舟骨高度有微小变化,但其临床重要性尚不清楚。一些研究其他变量的试验之间存在高度异质性,这表明需要更多研究来证实先前试验的结果。