Masters Ashleigh, Netto Kevin J, Brooker Susi, Hopper Diana, Liew Bernard
School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia.
School of Sports, Exercise, and Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom of Great Britain and Northern Ireland.
Int J Sports Med. 2018 Dec;39(14):1068-1074. doi: 10.1055/a-0741-7075. Epub 2018 Nov 7.
Greater functional knee valgus (FKV) is thought to contribute to a greater risk of sustaining overuse running injuries. The hip is commonly implicated in greater functional knee valgus, but no studies have investigated the effects of hip taping on running kinematics. The present study investigated whether or not hip taping altered hip and knee kinematics compared to sham and no taping in female runners demonstrating excessive functional knee valgus. Lower limb stance-phase kinematics were collected from 23 female runners using three-dimensional motion capture. Participants performed over ground running at 3.5 m/s and 5.0 m/s. Three taping conditions (no tape; sham tape; hip tape) were tested. Statistical inference was performed using Statistical Parametric Mapping Hotelling's paired t-tests, with post-hoc paired t-tests. Hip taping significantly decreased hip adduction and internal rotation angles throughout stance phase by up to 7°, compared to sham and no taping. Hip taping significantly increased knee adduction, internal rotation, flexion, and reduced peak knee flexion angles, compared to no tape. Hip taping reduced excessive hip motion by clinically meaningful magnitudes, and also benefited knee frontal and transverse plane kinematics at the slower running speed. Hip taping may provide an immediate solution in correcting FKV in running.
更大的功能性膝外翻（FKV）被认为会增加过度使用导致跑步损伤的风险。髋关节通常与更大的功能性膝外翻有关，但尚无研究调查髋部贴扎对跑步运动学的影响。本研究调查了在表现出过度功能性膝外翻的女性跑步者中，与假贴扎和不贴扎相比，髋部贴扎是否会改变髋部和膝部的运动学。使用三维运动捕捉技术收集了23名女性跑步者下肢站立期的运动学数据。参与者以3.5米/秒和5.0米/秒的速度进行地面跑步。测试了三种贴扎情况（不贴扎；假贴扎；髋部贴扎）。使用统计参数映射Hotelling配对t检验和事后配对t检验进行统计推断。与假贴扎和不贴扎相比，髋部贴扎在整个站立期显著降低了髋部内收和内旋角度，降幅高达7°。与不贴扎相比，髋部贴扎显著增加了膝部内收、内旋、屈曲，并降低了膝部最大屈曲角度。髋部贴扎在临床上显著降低了过度的髋部运动，并且在较慢的跑步速度下也有利于膝部额状面和横断面的运动学。髋部贴扎可能为纠正跑步中的功能性膝外翻提供一种即时解决方案。
