Fazeli Sayyed Hamed, Amiri Ali, Jamshidi Ali Ashraf, Sanjari Mohammad Ali, Bagheri Rasool, Rahimi Fereydoun, Akbari Mahmood
Department of Physical Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Rehabilitation Research Center, School of Rehabilitation Sciences, Department of Rehabilitation Basic Sciences, Iran University of Medical Sciences, Tehran, Iran.
J Back Musculoskelet Rehabil. 2018;31(5):881-887. doi: 10.3233/BMR-171067.
The aim of this study was to examine the effect of Mulligan ankle taping on center of pressure (COP) parameters during performance of a functional upper limb task in patients with chronic ankle instability (CAI).
A clinical controlled trial study designed between 4 ankle conditions: untaped and taped, CAI and healthy subjects. Fifteen subjects with CAI and 15 healthy controls were asked to grasp an object at their waist level and release it above shoulder level in an oblique pattern during performance of single-leg stance balance test. All the subjects performed 3 trials of single-leg stance with eyes opened before and after Mulligan taping on a force plate during performance of functional upper limb task. The mean displacement (mdCOP), range of COP excursion (rangeCOP) and average speed of COP (velCOP) in anteroposterior (AP) and mediolateral (ML) directions were analysed for differences between groups.
mdCOP and rangeCOP in AP direction were significantly increased (P= 0.04 and 0.03, respectively) in the CAI group. Mulligan taping significantly reduced velCOP in AP and ML directions (P= 0.02).
In CAI patients Mulligan ankle taping can improve postural control by decreasing velCOP, therefore Mulligan taping can have immediate positive effects on postural parameters and maintenance of dynamic postural control.
本研究旨在探讨 Mulligan 踝关节贴扎对慢性踝关节不稳（CAI）患者在进行上肢功能任务时压力中心（COP）参数的影响。
一项临床对照试验研究，设计了 4 种踝关节状况：未贴扎和贴扎、CAI 患者及健康受试者。15 名 CAI 患者和 15 名健康对照者被要求在单腿站立平衡测试过程中，以倾斜模式在腰部高度抓住一个物体并在肩部上方释放。所有受试者在进行上肢功能任务时，在 Mulligan 贴扎前后，于测力平台上进行 3 次睁眼单腿站立试验。分析前后（AP）和内外侧（ML）方向上 COP 的平均位移（mdCOP）、COP 偏移范围（rangeCOP）和平均速度（velCOP）在组间的差异。
CAI 组 AP 方向的 mdCOP 和 rangeCOP 显著增加（分别为 P = 0.04 和 0.03）。Mulligan 贴扎显著降低了 AP 和 ML 方向的 velCOP（P = 0.02）。
在 CAI 患者中，Mulligan 踝关节贴扎可通过降低 velCOP 改善姿势控制，因此 Mulligan 贴扎可对姿势参数和动态姿势控制的维持产生即时积极影响。
