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踝关节贴扎对局部肌肉疲劳后关节位置觉的影响:一项随机对照试验。

The effect of ankle tape on joint position sense after local muscle fatigue: a randomized controlled trial.

作者信息

Jahjah Akram, Seidenspinner Dietmar, Schüttler Karl, Klasan Antonio, Heyse Thomas J, Malcherczyk Dominik, El-Zayat Bilal Farouk

机构信息

Center of Orthopedics and Traumatology, University Hospital Marburg, Baldingerstrasse, 35033, Marburg, Germany.

出版信息

BMC Musculoskelet Disord. 2018 Jan 9;19(1):8. doi: 10.1186/s12891-017-1909-2.

Abstract

BACKGROUND

Ankle tape is widely used by athletes to prevent ankle sprain. Although there is growing evidence that ankle tape improve joint position sense, but yet it is not clear even if tape improve joint position sense after muscle fatigue, because fatigue impair joint position sense and raise the risk of ankle sprain. The aim of this study is to examine the effect of ankle tape on joint position sense after local muscle fatigue.

METHOD

This trial is a randomized controlled trial. 34 healthy subjects participated in this trial. Subjects were randomized distributed into two groups: with tape and without tape. Active and passive absolute error and variable error mean values for two target positions of the ankle joint (15° inversions and inversion minus 5°) before and after fatigue protocol consisted of 30 consecutive maximal concentric/concentric contractions of the ankle evertors and invertors. In this trail joint position sense for all subjects was assessed using The Biodex System isokinetic dynamometer 3, this system is used also for fatigue protocol.

RESULTS

For the variable error (VE), significant mean effect was found for active joint position sense in 15° of inversion after muscle fatigue (P < 0, 05). It was a significant decrease in the work in the last third of inversion detected (P < 0, 05). There was no significant main effect found for fatigue index of eversion.

CONCLUSION

Ankle tape can improve joint position sense at the fatigue session when joint position sense becomes worse. As a result, ankle tape may be useful to prevent ankle sprain during playing sports. We suggest athletes and individuals at risk of ankle sprain to apply taping before high-load activity.

TRIAL REGISTRATION

The study was retrospectively registered on the ISRCTN registry with study ID ISRCTN30042335 on 12th December 2017.

摘要

背景

踝关节贴条被运动员广泛用于预防踝关节扭伤。尽管越来越多的证据表明踝关节贴条能改善关节位置觉,但肌肉疲劳后贴条是否能改善关节位置觉尚不清楚,因为疲劳会损害关节位置觉并增加踝关节扭伤的风险。本研究的目的是探讨踝关节贴条对局部肌肉疲劳后关节位置觉的影响。

方法

本试验为随机对照试验。34名健康受试者参与了该试验。受试者被随机分为两组:贴条组和不贴条组。在由踝关节外翻肌和内翻肌连续进行30次最大等长收缩组成的疲劳方案前后,测量踝关节两个目标位置(15°内翻和内翻减5°)的主动和被动绝对误差以及可变误差平均值。在本试验中,使用Biodex系统等速测力计3评估所有受试者的关节位置觉,该系统也用于疲劳方案。

结果

对于可变误差(VE),在肌肉疲劳后15°内翻的主动关节位置觉方面发现了显著的平均效应(P < 0.05)。在最后三分之一的内翻过程中检测到的功有显著下降(P < 0.05)。外翻疲劳指数未发现显著的主要效应。

结论

当关节位置觉变差时,踝关节贴条可在疲劳阶段改善关节位置觉。因此,踝关节贴条可能有助于预防运动过程中的踝关节扭伤。我们建议有踝关节扭伤风险的运动员和个人在高负荷活动前进行贴扎。

试验注册

该研究于2017年12月12日在ISRCTN注册中心进行回顾性注册,研究编号为ISRCTN30042335。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/839c/5759174/c39ea831fd41/12891_2017_1909_Fig1_HTML.jpg

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