De Ridder R, Willems T M, Vanrenterghem J, Roosen P
Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium.
Department of Physiotherapy and Orthopedics, Ghent University, Ghent, Belgium.
Int J Sports Med. 2015 Apr;36(4):321-6. doi: 10.1055/s-0034-1385884. Epub 2015 Feb 9.
The objective of our study was to evaluate the effect of taping on the dynamic postural stability during a jump landing protocol in subjects with chronic ankle instability (CAI). For this purpose, 28 subjects with CAI performed a sagittal and frontal plane landing task in a non-taped and taped condition. As main outcome measure, the dynamic postural stability index (DPSI) was calculated. In addition, subjective feelings of instability and perceived difficulty level were assessed. Furthermore, mechanical effectiveness of the tape on the ankle joint was determined by registering 3D kinematics. 3 subjects were excluded based on discomfort during the landing protocol. Study results indicated that the tape reduced plantar flexion and inversion at the ankle at touchdown and range of motion in the landing phase. There was, however, no effect on the DPSI or on its directional subcomponents. Subjective feelings of stability with tape improved significantly, whereas perceived difficulty did not change. In conclusion, our taping procedure did not improve postural control during a sagittal and frontal plane landing task in subjects with CAI. Perceived instability did improve and is considered an important treatment outcome, which suggests that taping could be considered as a treatment modality by clinicians.
我们研究的目的是评估贴扎对慢性踝关节不稳（CAI）患者在跳跃着陆动作中的动态姿势稳定性的影响。为此，28名CAI患者在未贴扎和贴扎状态下分别进行了矢状面和额状面的着陆任务。作为主要结局指标，计算了动态姿势稳定性指数（DPSI）。此外，还评估了不稳定的主观感受和感知到的困难程度。此外，通过记录三维运动学来确定贴扎对踝关节的力学效果。有3名受试者因着陆任务期间不适而被排除。研究结果表明，贴扎减少了着地时踝关节的跖屈和内翻以及着陆阶段的运动范围。然而，对DPSI及其方向性子成分没有影响。贴扎时的主观稳定感显著改善，而感知到的困难程度没有变化。总之，我们的贴扎程序在CAI患者的矢状面和额状面着陆任务中并未改善姿势控制。感知到的不稳定性确实有所改善，这被认为是一项重要的治疗结果，这表明贴扎可被临床医生视为一种治疗方式。
