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踝关节贴扎可以改善健康志愿者的本体感觉。

Ankle taping can improve proprioception in healthy volunteers.

机构信息

Rovira i Virgili University, Medicine and Surgery Dept, C/ Sant Llorenç 21, REUS, Tarragona 43201, Spain.

出版信息

Foot Ankle Int. 2010 Dec;31(12):1099-106. doi: 10.3113/FAI.2010.1099.

Abstract

BACKGROUND

Taping is a common technique to treat inversion ankle sprains, but the effects of tape on proprioception are still not clear. The purpose of this study was to establish whether proprioception would be modified by the use of ankle tape. To do so we studied joint position sense (JPS) in healthy volunteers using three-dimensional (3D) movement analysis systems.

MATERIAL AND METHODS

Forty healthy volunteers (mean age and SD = 23.2 ± 4.2) were asked to actively reproduce four different ankle positions: 10 degrees of dorsiflexion, neutral, 10 degrees and 20 degrees of plantarflexion. The absolute difference between the estimated angle and the target angle was used to assess JPS. This difference was named Error. Subjects were randomly assigned to the control (n = 21) or the intervention (n = 19) groups. Members of the intervention group received ankle tape for a lateral ligament sprain in the non-dominant leg. A t-test was used to evaluate the results.

RESULTS

Tape significantly improved JPS for the dorsiflexion position (p = 0.038). Neutral was the most accurately reproduced position, and the remaining positions were overestimated for both groups.

CONCLUSION

Taping improved proprioception in healthy volunteers, and 3D movement analysis was a useful method to accurately quantify joint position sense.

CLINICAL RELEVANCE

Because ankle proprioception is critical to the functional success of surgical and rehabilitation treatments, these results regarding proprioception are of particular importance because ankle taping is often used in preventing ankle sprains and it is a common treatment after ankle injuries.

摘要

背景

贴扎是治疗足踝内翻扭伤的常用技术,但贴扎对本体感觉的影响仍不清楚。本研究旨在通过三维(3D)运动分析系统研究健康志愿者的关节位置觉(JPS),以确定贴扎是否会改变本体感觉。

材料和方法

40 名健康志愿者(平均年龄和标准差=23.2±4.2)被要求主动复制四个不同的踝关节位置:背屈 10 度、中立位、跖屈 10 度和 20 度。用估计角度与目标角度的绝对差值来评估 JPS。该差值命名为 Error。受试者被随机分配到对照组(n=21)或干预组(n=19)。干预组的成员在非优势腿上接受了用于外侧韧带扭伤的踝贴扎。采用 t 检验评估结果。

结果

贴扎显著改善了背屈位置的 JPS(p=0.038)。中立位是最准确复制的位置,两组对其余位置的估计都偏高。

结论

贴扎改善了健康志愿者的本体感觉,3D 运动分析是一种准确量化关节位置觉的有用方法。

临床相关性

因为足踝本体感觉对手术和康复治疗的功能成功至关重要,所以这些关于本体感觉的结果尤为重要,因为踝贴扎常用于预防足踝扭伤,也是足踝受伤后的常见治疗方法。

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