Shin Young Jun, Lee Jung Hoon, Choe Yu Won, Kim Myoung Kwon
Department of Physical Therapy, College of Rehabilitation Sciences, Daegu University, Jillyang, Gyeongsan, Gyeongbuk, 712-714, Republic of Korea.
Department of Physical Therapy, College of Nursing and Healthcare Sciences, Dong-Eui University, 176, Eomgwang-ro, Busanjin-gu, Busan, 614-714, Republic of Korea.
J Bodyw Mov Ther. 2019 Jul;23(3):671-677. doi: 10.1016/j.jbmt.2018.06.008. Epub 2018 Jun 28.
The purpose of this study is to assess the immediate effects of applying ankle eversion taping using kinesiology tape in patients with foot drop after stroke.
Randomized cross-over trial.
In this study, fifteen subjects with stroke underwent three interventions in a random order. Subjects were randomly initially assigned to an ankle balance taping, placebo taping, and no taping each group. The ankle eversion taping was used for mechanical correction. Ankle eversion taping is involved in ankle dorsiflexion and eversion. The placebo taping began from both malleolus and was applied up to the middle point of the lower limb. Gait ability was assessed by the GAITRite System. The measured gait variables are gait velocity, step length, stride length, H-H base support, and cadence. All of the measurements were performed immediately after intervention.
Our results showed gait function in chronic stroke patients was improved after ankle eversion taping. Velocity, step length, stride length and cadence under the ankle eversion taping conditions significantly increased (p < 0.05) compared to the placebo and no taping conditions. Ankle eversion taping significantly reduced (p < 0.05) H-H base support compared to the no taping condition.
We conclude that the application of ankle eversion taping that uses kinesiology tape instantly increased the gait ability of chronic stroke patients with foot drop. However, more research is necessary to identify the long-term effects of the ankle eversion taping.
本研究旨在评估对中风后足下垂患者应用肌内效贴布进行踝关节外翻贴扎的即时效果。
随机交叉试验。
在本研究中，15名中风患者按随机顺序接受三种干预。受试者最初被随机分为三组，分别接受踝关节平衡贴扎、安慰剂贴扎和不贴扎。踝关节外翻贴扎用于机械矫正。踝关节外翻贴扎涉及踝关节背屈和外翻。安慰剂贴扎从双侧内踝开始，向上贴至下肢中点。使用GAITRite系统评估步态能力。测量的步态变量包括步态速度、步长、步幅、左右足间距和步频。所有测量均在干预后立即进行。
我们的结果显示，慢性中风患者在进行踝关节外翻贴扎后步态功能得到改善。与安慰剂贴扎和不贴扎条件相比，踝关节外翻贴扎条件下的速度、步长、步幅和步频显著增加（p<0.05）。与不贴扎条件相比，踝关节外翻贴扎显著降低了左右足间距（p<0.05）。
我们得出结论，应用肌内效贴布进行踝关节外翻贴扎可立即提高慢性中风足下垂患者的步态能力。然而，需要更多研究来确定踝关节外翻贴扎的长期效果。
