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肌内效贴布对健康跑者跑步生物力学、肌肉活动和舒适度、稳定性以及跑步表现感知变化的即时影响,以及对阔筋膜张肌综合征管理的影响。

The immediate effects of Kinesio Taping on running biomechanics, muscle activity, and perceived changes in comfort, stability and running performance in healthy runners, and the implications to the management of Iliotibial band syndrome.

机构信息

Allied Health Research Unit, University of Central Lancashire, UK; Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand.

Allied Health Research Unit, University of Central Lancashire, UK.

出版信息

Gait Posture. 2022 Jan;91:179-185. doi: 10.1016/j.gaitpost.2021.10.025. Epub 2021 Oct 26.

Abstract

BACKGROUND

Kinesio Taping is frequently used in the management of lower limb injuries, and has been shown to improve pain, function, and running performance. However, little is known about the effects of Kinesio Taping on running biomechanics, muscle activity, and perceived benefits.

RESEARCH QUESTION

This study aimed to explore the immediate effects of Kinesio Taping on lower limb kinematics, joint moments, and muscle activity, as well as perceived comfort, knee joint stability, and running performance in healthy runners.

METHODS

Twenty healthy participants ran at a self-selected pace along a 20-metre runway under three conditions; no tape (NT), Kinesio Tape with tension (KTT), and Kinesio tape without tension (KTNT). Comparisons of peak hip, knee angles and moments, and EMG were analysed during the stance phase of running.

RESULTS

KTT exhibited significant increases in peak hip flexion, peak hip abduction and hip external rotation compared to NT. Moreover, the KTT condition showed a trend towards a decrease in peak hip internal rotation and adduction angle compared to the NT condition. EMG results showed that Tensor Fascia Latae activity decreased with KTT compared with NT, and Gluteus Maximus activity reduced with KTNT when compared with NT. Ten of the 20 participants indicated important improvements in the comfort score, six participants in the knee stability score, and seven participants in the running performance score when using KTT.

SIGNIFICANCE

These results suggest that changes in running biomechanics previously associated with ITBS can be improved with the application of kinesio tape, with the greatest effect seen with the application of kinesio tape with tension. Perceived improvements were seen in comfort, stability and running performance, however these benefits were only seen in half the participants. Further work is required to explore the biomechanical effects and perceived benefits in different patient groups.

摘要

背景

肌内效贴布在下肢损伤的管理中经常被使用,并且已经证明其可以改善疼痛、功能和跑步表现。然而,对于肌内效贴布对跑步生物力学、肌肉活动和感知益处的影响知之甚少。

研究问题

本研究旨在探讨肌内效贴布对健康跑步者下肢运动学、关节力矩和肌肉活动的即时影响,以及感知舒适度、膝关节稳定性和跑步表现。

方法

20 名健康参与者在三种情况下(无贴布 NT、有张力的肌内效贴布 KTT 和无张力的肌内效贴布 KTNT)以自选择的速度在 20 米跑道上跑步。比较了跑步支撑相时的峰值髋关节、膝关节角度和力矩以及肌电图。

结果

与 NT 相比,KTT 表现出显著增加的峰值髋关节屈曲、峰值髋关节外展和髋关节外旋。此外,与 NT 相比,KTT 状态下髋关节内旋和内收角度的峰值有减小的趋势。肌电图结果显示,与 NT 相比,KTNT 时阔筋膜张肌的活动减少,而与 NT 相比,KTNT 时臀大肌的活动减少。20 名参与者中有 10 名在使用 KTT 时表示舒适度评分有显著提高,6 名表示膝关节稳定性评分有显著提高,7 名表示跑步表现评分有显著提高。

意义

这些结果表明,与 ITBS 相关的跑步生物力学变化可以通过肌内效贴布的应用得到改善,而张力肌内效贴布的应用效果最大。在舒适度、稳定性和跑步表现方面都有感知到的改善,但只有一半的参与者有这些益处。需要进一步的工作来探索不同患者群体的生物力学效果和感知益处。

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