Sydney School of Health Sciences, Discipline of Physiotherapy, University of Sydney, Australia.
Sydney School of Health Sciences, Discipline of Physiotherapy, University of Sydney, Australia.
J Sci Med Sport. 2022 Jul;25(7):615-630. doi: 10.1016/j.jsams.2022.02.008. Epub 2022 Mar 1.
To systematically review the literature on the effects of ankle supports on lower extremity biomechanics during functional tasks.
Systematic review with meta-analysis.
Eight electronic databases were searched from inception to July 2019. Studies of biomechanical outcomes during functional tasks that used a within-participant (repeated measures) design were included. Two independent reviewers screened studies, extracted data, assessed the methodological quality of the included studies and rated the quality of evidence. Meta-analysis was performed and reported as standardised mean differences and 95% confidence intervals.
A total of 8350 studies were identified in the electronic search and 42 studies involving a total of 761 participants were included in the review (21 studies included for qualitative reporting and 21 studies in the meta-analysis). Most individual studies and the meta-analyses demonstrated no effect of ankle supports on ground reaction force or ankle inversion angle. However, there was high quality evidence that ankle taping decreased plantarflexion angle at initial contact during landing from a height (P = 0.0009, standerdised mean differences = 0.72, 95% confidence intervals = 1.15, 0.03, I = 3%). The effect of ankle supports on transverse plane ankle biomechanics has not been adequately investigated.
Ankle taping only decreased plantarflexion angle at initial contact during landing from a jump. Ankle supports did not affect inversion angle or forces in linear and multiplanar tasks. There was insufficient evidence on the effect of ankle supports on ankle transverse plane biomechanics.
系统评价踝关节支具在功能性任务中对下肢生物力学的影响的文献。
系统综述和荟萃分析。
从建库至 2019 年 7 月，检索了 8 个电子数据库。纳入了采用个体内（重复测量）设计的功能性任务中生物力学结果的研究。由 2 名独立的评审员筛选研究、提取数据、评估纳入研究的方法学质量，并对证据质量进行评级。进行荟萃分析并报告标准化均数差和 95%置信区间。
电子检索共检出 8350 篇研究，纳入了 761 名参与者的 42 项研究（21 项研究用于定性报告，21 项研究用于荟萃分析）。大多数单独的研究和荟萃分析均表明，踝关节支具对地面反力或踝关节内翻角度没有影响。然而，有高质量证据表明，在从高处跳下着地时，踝关节贴扎术可降低初始接触时的跖屈角度（P=0.0009，标准化均数差=0.72，95%置信区间=1.15，0.03，I²=3%）。踝关节支具对横断面上踝关节生物力学的影响尚未得到充分研究。
仅在从高处跳下着地时，踝关节贴扎术可降低初始接触时的跖屈角度。踝关节支具不影响直线和多平面任务中的内翻角度或力。关于踝关节支具对踝关节横断面上生物力学的影响，证据不足。
