Jackson Bradley C, Medina Robert T, Clines Stephanie H, Cavallario Julie M, Hoch Matthew C
J Sport Rehabil. 2019 Feb 1;28(2):205-210. doi: 10.1123/jsr.2017-0166. Epub 2018 Sep 13.
Clinical Scenario: History of acute ankle sprains can result in chronic ankle instability (CAI). Arthrokinematic changes resulting from CAI may restrict range of motion and contribute to postural control deficits. Mulligan or fibular reposition taping (FRT) has been suggested as a means to realign fibular positional faults and may be an effective way to improve postural control and balance in patients with CAI. Clinical Question: Is there evidence to suggest that FRT will improve postural control for patients with CAI in the affected limb compared with no taping? Summary of Key Findings: Three of the 4 included studies found no significant difference in postural control in patients receiving FRT compared with sham or no tape. Clinical Bottom Line: There is moderate evidence refuting the use of FRT to improve postural control in patients with CAI. Strength of Recommendation: There is grade B evidence to support that FRT does not improve postural control in people with CAI.
急性踝关节扭伤病史可导致慢性踝关节不稳定(CAI)。CAI引起的关节运动学变化可能会限制活动范围,并导致姿势控制缺陷。有人提出采用穆利根手法或腓骨复位贴扎(FRT)来纠正腓骨位置错误,这可能是改善CAI患者姿势控制和平衡的有效方法。临床问题:是否有证据表明,与不进行贴扎相比,FRT能改善CAI患者患侧肢体的姿势控制?主要研究结果总结:纳入的4项研究中有3项发现,接受FRT治疗的患者与接受假贴扎或不贴扎的患者在姿势控制方面无显著差异。临床结论:有中等证据反驳使用FRT改善CAI患者姿势控制的观点。推荐强度:有B级证据支持FRT不能改善CAI患者的姿势控制。