O'Sullivan Kieran, Kennedy Norelee, O'Neill Emer, Ni Mhainin Una
Physiotherapy Department, University of Limerick, Ireland.
BMC Musculoskelet Disord. 2008 Aug 18;9:111. doi: 10.1186/1471-2474-9-111.
Low-dye (LD) taping is commonly used to reduce rearfoot pronation. No studies have previously investigated the effectiveness of LD taping using both plantar pressure distribution (F-Scan) and 3-D (CODA) analysis of rearfoot motion.
20 healthy subjects with a navicular drop test exceeding 10 mm participated in the study. T tests were used to determine whether significant (p < 0.05) differences in plantar pressure and rearfoot motion occurred with LD taping.
LD taping resulted in statistically significant increases in peak plantar pressure in the lateral midfoot (p = 0.000), along with significant decreases in pressure in the medial forefoot (p = 0.014), and the medial (p = 0.000) and lateral hindfoot (p = 0.007). No significant changes occurred in the medial midfoot (p = 0.794) or lateral forefoot (p = 0.654). When assessed using motion analysis, taping resulted in a statistically significant decrease in rearfoot pronation (p = 0.006), supination (p = 0.025) and total rearfoot range of motion (p = 0.000). The mean rearfoot position during stance was not significantly different however (p = 0.188).
LD taping is associated with alterations in peak plantar pressure in the midfoot and forefoot that indicate reduced pronation with LD taping. However, LD taping appears to reduce both pronation and supination in the rearfoot, rather than simply reducing pronation, when assessed using 3D motion analysis. Therefore, it would appear that LD taping does indeed reduce pronation, by restricting rearfoot motion in general, rather than pronation specifically. The degree of change observed with LD taping was however very small, and further research is needed to clarify the clinical significance of these initial findings.
低染料(LD)贴扎常用于减少后足内旋。此前尚无研究使用足底压力分布(F-Scan)和后足运动的三维(CODA)分析来调查LD贴扎的有效性。
20名舟骨下降试验超过10毫米的健康受试者参与了该研究。采用t检验来确定LD贴扎时足底压力和后足运动是否存在显著(p<0.05)差异。
LD贴扎导致足中外侧峰值足底压力有统计学意义的增加(p = 0.000),同时足前内侧(p = 0.014)、足内侧(p = 0.000)和足外侧后段(p = 0.007)的压力显著降低。足中内侧(p = 0.794)或足外侧前段(p = 0.654)无显著变化。在使用运动分析进行评估时,贴扎导致后足内旋(p = 0.006)、外旋(p = 0.025)和后足总运动范围(p = 0.000)有统计学意义的降低。然而,站立期间后足的平均位置没有显著差异(p = 0.188)。
LD贴扎与中足和前足峰值足底压力的改变有关,这表明LD贴扎可减少内旋。然而,当使用三维运动分析进行评估时,LD贴扎似乎减少了后足的内旋和外旋,而不是简单地减少内旋。因此,LD贴扎似乎确实通过总体上限制后足运动而非特定地限制内旋来减少内旋。然而,LD贴扎观察到的变化程度非常小,需要进一步研究来阐明这些初步发现的临床意义。