Choukou Mohamed-Amine, Hijazi Samia
University of Reims Champagne-Ardenne, Reims, France.
Foot Ankle Spec. 2013 Oct;6(5):352-5. doi: 10.1177/1938640013501547. Epub 2013 Aug 21.
Prescriptions for functional ankle instability are generally oriented to taping, which need to be validated as an efficient treatment. Therefore, the aim of this study was to investigate the effectiveness of ankle taping on the subject's foot pressure and gait pattern, including mediolateral analysis, according to tape application side. A sample of 20 right-handed healthy subjects volunteered to participate in this study, which was composed of 3 taping conditions: "with taping of the right ankle," "with taping of both ankles," and "with taping of the left ankle." Participants were asked to perform a walk on the walkway to get 2 footprints repeated 6 times. The variables measured were step length, step duration, double stance, and swing. The results clearly showed significant change in step duration and double phase when tape was applied to the left ankle, F(2, 54) = 12.03; P < .05. Significant changes were also observed for step length and swing when tape was applied to the both ankles, F(2, 54) = 10.71; P < .05]. This study showed that double stance and swing phase duration increases, and that the pressure is equalized on both feet when taping the unstable ankle. Taping a functionally unstable ankle is more likely to improve its stability.
Therapeutic Level II: Prospective comparative trial.
功能性踝关节不稳定的治疗方案通常侧重于贴扎,而这一治疗方法的有效性尚需验证。因此,本研究旨在根据贴扎部位,探究踝关节贴扎对受试者足部压力及步态模式(包括内外侧分析)的影响。20名右利手健康受试者自愿参与本研究,研究包括3种贴扎条件:“右踝关节贴扎”、“双踝关节贴扎”和“左踝关节贴扎”。要求参与者在步道上行走,重复6次以获取2个脚印。测量的变量包括步长、步幅、双支撑期和摆动期。结果清楚地显示,当对左踝关节进行贴扎时,步幅和双支撑期有显著变化,F(2, 54) = 12.03;P < .05。当对双踝关节进行贴扎时,步长和摆动期也观察到显著变化,F(2, 54) = 10.71;P < .05]。本研究表明,对不稳定踝关节进行贴扎时,双支撑期和摆动期持续时间增加,且双足压力均衡。贴扎功能性不稳定的踝关节更有可能提高其稳定性。
治疗水平II:前瞻性对比试验。