Lipman Grant S, Ellis Mark A, Lewis Erica J, Waite Brandee L, Lissoway John, Chan Garrett K, Krabak Brian J
Department of Surgery, Division of Emergency Medicine, Stanford University School of Medicine (Drs Lipman and Lissoway).
Department of Emergency Medicine, Spartanburg Regional Healthcare, Spartanburg, SC (Dr Ellis).
Wilderness Environ Med. 2014 Dec;25(4):457-61. doi: 10.1016/j.wem.2014.06.013. Epub 2014 Oct 31.
Friction foot blisters are a common injury occurring in up to 39% of marathoners, the most common injury in adventure racing, and represent more than 70% of medical visits in multi-stage ultramarathons. The goal of the study was to determine whether paper tape could prevent foot blisters in ultramarathon runners.
This prospective randomized trial was undertaken during RacingThePlanet 155-mile (250-km), 7-day self-supported ultramarathons in China, Australia, Egypt, Chile, and Nepal in 2010 and 2011. Paper tape was applied prerace to one randomly selected foot, with the untreated foot acting as the own control. The study end point was development of a hot spot or blister on any location of either foot.
One hundred thirty-six participants were enrolled with 90 (66%) having completed data for analysis. There were 36% women, with a mean age of 40 ± 9.4 years (range, 25-40 years) and pack weight of 11 ± 1.8 kg (range, 8-16 kg). All participants developed blisters, with 89% occurring by day 2 and 59% located on the toes. No protective effect was observed by the intervention (47 versus 35; 52% versus 39%; P = .22), with fewer blisters occurring around the tape on the experimental foot than under the tape (23 vs 31; 25.6% versus 34.4%), yet 84% of study participants when queried would choose paper tape for blister prevention in the future.
Although paper tape was not found to be significantly protective against blisters, the intervention was well tolerated with high user satisfaction.
摩擦性足部水泡是一种常见损伤，在高达39%的马拉松运动员中出现，是冒险赛跑中最常见的损伤，并且在多阶段超级马拉松中占医疗就诊的70%以上。本研究的目的是确定纸胶带是否能预防超级马拉松运动员的足部水泡。
这项前瞻性随机试验于2010年和2011年在中国、澳大利亚、埃及、智利和尼泊尔举行的“挑战巅峰155英里（250公里）、7天自助超级马拉松”期间进行。在比赛前将纸胶带应用于一只随机选择的脚，未处理的脚作为自身对照。研究终点是任一只脚的任何部位出现热点或水泡。
招募了136名参与者，其中90名（66%）完成了数据分析。女性占36%，平均年龄为40±9.4岁（范围25 - 40岁），背包重量为11±1.8千克（范围8 - 16千克）。所有参与者都出现了水泡，89%在第2天出现，59%位于脚趾。未观察到干预措施的保护作用（47比35；52%比39%；P = 0.22），试验脚胶带周围出现的水泡比胶带下方少（23比31；25.6%比34.4%），然而84%的研究参与者在被询问时表示未来会选择纸胶带预防水泡。
虽然未发现纸胶带对水泡有显著保护作用，但该干预措施耐受性良好，用户满意度高。
