Deschamps Kevin, Dingenen Bart, Pans Femke, Van Bavel Isabelle, Matricali Giovanni Arnoldo, Staes Filip
KU Leuven, Department of Rehabilitation Sciences, Musculoskeletal Rehabilitation Research Group, Belgium; KU Leuven, Laboratory for Clinical Motion Analysis, University Hospital Pellenberg, Belgium; Parnasse-ISEI, Bruxelles, Belgium.
KU Leuven, Department of Rehabilitation Sciences, Musculoskeletal Rehabilitation Research Group, Belgium.
J Sci Med Sport. 2016 Jul;19(7):541-6. doi: 10.1016/j.jsams.2015.07.015. Epub 2015 Jul 26.
To investigate differences in rigid-foot and multi-segmental foot kinematics between healthy (control) and chronic ankle instability (CAI) participants during running and to evaluate the effect of low-Dye (LD) and high-Dye (HD) taping on foot kinematics of CAI subjects.
Cross-sectional, comparative study.
Kinematic data of 12 controls and 15 CAI participants were collected by a 3D motion analysis system during running. CAI participants performed barefoot (CAI_BF) running trials as well as trials with taping. A rigid Plug-in gait Model and the Rizzoli 3D Multi-Segment Foot Model were used. Groups were compared using one-dimensional statistical parametric mapping.
An increased inversion, a decreased dorsiflexion between the foot and tibia and a decreased external foot progression angle were found during terminal swing and early stance in the CAI_BF group. With respect to the taped conditions, post-hoc SPM{t} calculations highlighted a more dorsiflexed rearfoot (38-46% running cycle) in the CAI_HD compared to the CAI_LD, and a more inverted Mid-Met angle (6-24% running cycle) in the CAI_LD compared to the CAI_BF condition.
This study revealed significant differences in rigid foot and multi-segmental foot kinematics between all groups. As high-dye taping embraces shank-rearfoot and forefoot, it seems to have better therapeutic features with respect to low-dye taping as the latter created a more inverted forefoot which may not be recommended in this population.
研究健康(对照)组和慢性踝关节不稳(CAI)组参与者在跑步过程中硬足和多节段足部运动学的差异,并评估低染料(LD)和高染料(HD)贴扎对CAI受试者足部运动学的影响。
横断面比较研究。
通过3D运动分析系统在跑步过程中收集12名对照组和15名CAI参与者的运动学数据。CAI参与者进行了赤脚(CAI_BF)跑步试验以及贴扎试验。使用了刚性插入式步态模型和里佐利3D多节段足部模型。采用一维统计参数映射对各组进行比较。
在CAI_BF组的末期摆动和早期站立阶段,发现内翻增加、足与胫骨之间的背屈减少以及足部外侧前进角度减小。关于贴扎情况,事后SPM{t}计算结果显示,与CAI_LD相比,CAI_HD组后足在38%-46%跑步周期内背屈更多;与CAI_BF情况相比,CAI_LD组中足在6%-24%跑步周期内内翻更多。
本研究揭示了所有组之间在硬足和多节段足部运动学方面存在显著差异。由于高染料贴扎覆盖了小腿-后足和前足,相对于低染料贴扎似乎具有更好的治疗效果,因为低染料贴扎会导致前足内翻增加,而在该人群中可能不推荐这种情况。