Orthopedics and Orthopedic Oncology, Department of Surgery, Oncology and Gastroenterology (DiSCOG), University of Padova, 35128 Padova, Italy.
Department of Neurosciences, Institute of Human Anatomy, University of Padova, 35128 Padova, Italy.
Medicina (Kaunas). 2022 Apr 29;58(5):620. doi: 10.3390/medicina58050620.
Ankle injuries are the most common type of injury in healthy active individuals. If not treated properly, recurrent sprains can lead to a condition of chronic ankle instability (CAI). The aim of the present review is to evaluate the effects of Kinesio Taping (or KT) on sports performances and ankle functions in athletes with CAI. This systematic review with meta-analysis was carried out following the criteria of the Prisma Statement system (registered on Open Science Framework, number: 10.17605/OSF.IO/D8QN5). For the selection of the studies, PubMed, Scopus and Web of Science were used as databases in which the following string was used: ("kinesiology tape" OR "tape" OR "taping" OR "elastic taping" OR "kinesio taping" OR "neuro taping") AND (unstable OR instability) AND (ankle OR (ankle OR "ankle sprain" OR "injured ankle" OR "ankle injury")). The Downs and Black Scale was used for the quality analysis. The outcomes considered were gait functions, ROM, muscle activation, postural sway, dynamic balance, lateral landing from a monopodalic drop and agility. Effect sizes (ESs) were synthesised as standardized mean differences between the control and intervention groups. Calculation of the 95% confidence interval (CI) for each ES was conducted according to Hedges and Olkin. In total, 1448 articles were identified and 8 studies were included, with a total of 270 athletes. The application of the tape had a significant effect size on gait functions, ROM, muscle activation and postural sway. The meta-analysis showed a significant improvement in gait functions (step velocity, step and stride length and reduction in the base of support in dynamics), reduction in the joint ROM in inversion and eversion, decrease in the muscle activation of the long peroneus and decrease in the postural sway in movement in the mid-lateral direction. It is possible to conclude that KT provides a moderate stabilising effect on the ankles of the athletes of most popular contact sports with CAI.
踝关节损伤是健康活跃个体中最常见的损伤类型。如果治疗不当，反复扭伤可导致慢性踝关节不稳定（CAI）。本综述的目的是评估肌内效贴（KT）对 CAI 运动员运动表现和踝关节功能的影响。 本系统评价和荟萃分析按照 Prisma 声明系统的标准进行（在 Open Science Framework 上注册，编号：10.17605/OSF.IO/D8QN5）。为了选择研究，使用 PubMed、Scopus 和 Web of Science 作为数据库，在这些数据库中使用了以下字符串：（“运动贴布”或“贴布”或“贴布”或“弹性贴布”或“肌内效贴布”或“神经贴布”）和（不稳定或不稳定）和（踝关节或（踝关节或“踝关节扭伤”或“受伤的踝关节”或“踝关节损伤”）。采用唐斯和布莱克量表进行质量分析。考虑的结果是步态功能、ROM、肌肉激活、姿势摆动、动态平衡、单腿下降的侧向着陆和敏捷性。使用 Hedges 和 Olkin 计算每个 ES 的 95%置信区间（CI）。 共确定了 1448 篇文章，纳入了 8 项研究，共 270 名运动员。贴扎带的应用对步态功能、ROM、肌肉激活和姿势摆动有显著的效应量。荟萃分析显示步态功能（步速、步长和步幅，动态支撑基础减小）、踝关节内翻和外翻 ROM 减小、长腓骨肌肌肉激活减小、中侧运动时姿势摆动减小有显著改善。可以得出结论，KT 对患有 CAI 的大多数流行接触运动的运动员的踝关节提供了适度的稳定作用。
