From the Physical Therapy, Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran (RM); Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran (MAK, MT); and Department of Occupational Therapy, College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania (NG).
Am J Phys Med Rehabil. 2019 Sep;98(9):830-834. doi: 10.1097/PHM.0000000000001191.
Impairments in ankle joint position sense along with muscle weakness greatly affect the recovery of balance among stroke survivors. Elastic therapeutic taping has been studied in musculoskeletal conditions of the ankle to improve joint position sense and its effects in stroke are not known. The aims of the study were to investigate the differences in joint position sense between paretic and nonparetic ankles and to examine the effects of elastic therapeutic taping on joint position sense of the paretic ankle in stroke survivors. Sixteen chronic stroke survivors participated in a 2-day protocol of ankle elastic therapeutic taping on the paretic side. Active and passive joint position sense at the ankle was measured by Biodex Isokinetic III system on both the paretic and nonparetic sides before elastic therapeutic taping and only the paretic side after elastic therapeutic taping. The active and passive ankle joint position sense values were significantly (P < 0.001) lower on the paretic side than the nonparetic side before intervention. Joint position sense significantly (P < 0.001) improved for the paretic ankle after elastic therapeutic taping. Chronic stroke survivors were deficient in ankle joint position sense on the paretic side. Elastic therapeutic taping was effective in the short term to improve active and passive joint position sense.
踝关节位置觉障碍伴肌无力极大地影响脑卒中幸存者的平衡恢复。弹性治疗贴扎已在踝关节的肌肉骨骼疾病中进行了研究，以改善关节位置觉，但其在脑卒中中的作用尚不清楚。本研究的目的是调查患侧和非患侧踝关节位置觉的差异，并研究弹性治疗贴扎对脑卒中幸存者患侧踝关节位置觉的影响。16 名慢性脑卒中幸存者参与了为期 2 天的患侧踝关节弹性治疗贴扎方案。在弹性治疗贴扎前，使用 Biodex Isokinetic III 系统分别测量患侧和非患侧踝关节的主动和被动关节位置觉，仅在弹性治疗贴扎后测量患侧踝关节的主动和被动关节位置觉。干预前，患侧的主动和被动踝关节位置觉值明显（P<0.001）低于非患侧。弹性治疗贴扎后，患侧踝关节位置觉明显（P<0.001）改善。慢性脑卒中幸存者患侧踝关节位置觉减退。弹性治疗贴扎在短期内可有效改善主动和被动关节位置觉。
