Miller E A, Hergenroeder A C
Department of Pediatrics, Harvard Medical School, Cambridge, Massachusetts.
Pediatr Clin North Am. 1990 Oct;37(5):1175-85. doi: 10.1016/s0031-3955(16)36982-6.
Many choices are available to athletes seeking an ankle support. The time-honored tradition of ankle taping with adhesive tape does offer protection against ankle sprains during activity. Laced stabilizers offer an equal or possibly greater amount of support, are less costly and easier to apply, and can be retightened frequently during activity. The physician should become familiar with one of these two methods and choose one based on availability and feasibility in the community. The air stirrup may be indicated for patients with a history of ankle injury who are undergoing a graduated rehabilitation program. Nevertheless, the air stirrup has not been shown to provide significantly greater inversion restriction than taping or lace-on braces and is not recommended as a first-line method of support for individuals with no history of recent ankle sprain. High-top shoes are better when the ankle is taped, although low-top shoes are better when a laced stabilizer is worn. Elastic guards help reduce ankle edema but do not provide ankle stability.
对于寻求脚踝支撑的运动员来说，有很多选择。用胶带进行脚踝包扎这一历史悠久的传统方法确实能在活动期间为预防脚踝扭伤提供保护。系带式稳定器能提供同等或可能更多的支撑，成本更低且更容易使用，并且在活动期间可以频繁重新系紧。医生应该熟悉这两种方法中的一种，并根据社区中的可获得性和可行性来选择。对于有脚踝损伤史且正在进行逐步康复计划的患者，可能需要使用空气护踝。然而，空气护踝并没有被证明比包扎或系带式护具能提供明显更强的内翻限制，因此不建议将其作为近期无脚踝扭伤史个体的一线支撑方法。当脚踝用胶带包扎时，穿高帮鞋更好，而当佩戴系带式稳定器时，低帮鞋更好。弹性护具有助于减轻脚踝水肿，但不能提供脚踝稳定性。
