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肌内效贴布、非弹性贴布和支具对健康受试者及慢性踝关节不稳受试者落地时足部节段性运动学的影响。

Effect of kinesiotaping, non-elastic taping and bracing on segmental foot kinematics during drop landing in healthy subjects and subjects with chronic ankle instability.

作者信息

Kuni B, Mussler J, Kalkum E, Schmitt H, Wolf S I

机构信息

Clinic for Orthopaedics and Trauma Surgery, Centre for Orthopaedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Heidelberg, Germany.

Clinic for Orthopaedics and Trauma Surgery, Centre for Orthopaedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Heidelberg, Germany.

出版信息

Physiotherapy. 2016 Sep;102(3):287-93. doi: 10.1016/j.physio.2015.07.004. Epub 2015 Sep 3.

Abstract

OBJECTIVE

To evaluate the effects of kinesiotape, non-elastic tape, and soft brace on segmental foot kinematics during drop landing in subjects with chronic ankle instability and healthy subjects.

DESIGN

Controlled study with repeated measurements.

SETTING

Three-dimensional motion analysis laboratory.

PARTICIPANTS

Twenty participants with chronic ankle instability and 20 healthy subjects.

INTERVENTIONS

The subjects performed drop landings with 17 retroreflective markers on the foot and lower leg in four conditions: barefoot, with kinesiotape, with non-elastic tape and with a soft brace.

MAIN OUTCOME MEASURES

Ranges of motion of foot segments using a foot measurement method.

RESULTS

In participants with chronic ankle instability, midfoot movement in the frontal plane (inclination of the medial arch) was reduced significantly by non-elastic taping, but kinesiotaping and bracing had no effect. In healthy subjects, both non-elastic taping and bracing reduced that movement. In both groups, non-elastic taping and bracing reduced rearfoot excursion in inversion/eversion significantly, which indicates a stabilisation effect. No such effect was found with kinesiotaping. All three methods reduced maximum plantar flexion significantly.

CONCLUSIONS

Non-elastic taping stabilised the midfoot best in patients with chronic ankle instability, while kinesiotaping did not influence foot kinematics other than to stabilise the rearfoot in the sagittal plane.

CLINICAL TRIAL REGISTRATION NUMBER

ClinicalTrials.gov NCT01810471.

摘要

目的

评估肌内效贴布、非弹性绷带和软支具对慢性踝关节不稳患者及健康受试者在下落着地时足部节段运动学的影响。

设计

重复测量的对照研究。

地点

三维运动分析实验室。

参与者

20名慢性踝关节不稳患者和20名健康受试者。

干预措施

受试者在四种情况下进行下落着地动作,足部和小腿上贴有17个反光标记:赤脚、使用肌内效贴布、使用非弹性绷带和使用软支具。

主要观察指标

采用足部测量方法测量足部各节段的运动范围。

结果

在慢性踝关节不稳患者中,非弹性绷带显著减少了中足在额状面的运动(内侧足弓倾斜度),但肌内效贴布和支具没有效果。在健康受试者中,非弹性绷带和支具都减少了该运动。在两组中,非弹性绷带和支具都显著减少了后足内翻/外翻时的偏移,这表明有稳定作用。肌内效贴布未发现此效果。所有三种方法都显著减少了最大跖屈。

结论

在慢性踝关节不稳患者中,非弹性绷带对中足的稳定效果最佳,而肌内效贴布除了在矢状面稳定后足外,对足部运动学没有影响。

临床试验注册号

ClinicalTrials.gov NCT01810471。

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