Physical Therapy Department, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Physical Therapy Department, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Foot (Edinb). 2023 Sep;56:102032. doi: 10.1016/j.foot.2023.102032. Epub 2023 Mar 31.
Flexible flatfoot is common in young adults. One of its causes is the failure of dynamic stabilizers, which play an important role in the medial longitudinal arch support, and their appropriate function is necessary for the integrity of the lower extremity and the spine.
The study aimed to determine Kinesio taping on which extrinsic foot muscle provides greater benefit regarding enhancement of foot posture, dynamic balance, and biomechanical parameters in functional tasks immediately.
Thirty women were recruited for the study. They were randomly divided into groups (A = 15, B = 15). In group A, Kinesio taping was applied on the tibialis posterior (TP), and in group B, Kinesio taping was applied on the peroneus longus (PL) and remained for 30 min. Outcome measures were the navicular drop test (NDT), foot posture index (FPI), Y-balance test, and biomechanical parameters in functional tasks. Before/After within-group and between-group comparisons of outcome measures were performed.
NDT and FPI decreased in both groups (p < 0.05) with no significant difference between groups. In group A, maximum total force of the stance phase (MaxTFSP) during running increased, and some temporal parameters were changed. (p < 0.05). In group B, Y-balance test improved in all directions, and the width of the gait line during walking increased. There were no significant differences in the postural stability parameters in the within-group comparison, except for mean center of pressure displacement in group B (p = 0.04).
Kinesio taping of both muscles could improve foot posture. TP Kinesio taping can increase the MaxTFSP during running and alter some temporal parameters during walking and running tasks. PL Kinesio taping could lead to better dynamic stability and coordination during dynamic tasks. Each muscle can be considered a therapeutic target for a specific purpose.
柔性平足在年轻人中很常见。其原因之一是动态稳定器的失效，动态稳定器在维持内侧纵弓支撑方面起着重要作用，其适当的功能对于下肢和脊柱的完整性是必要的。
本研究旨在确定贴扎技术对外部足部肌肉的影响，即在即刻增强足弓姿势、动态平衡和生物力学参数方面，哪种方法更有优势。
共招募 30 名女性参与研究。她们被随机分为两组（A 组=15，B 组=15）。在 A 组中，在后胫肌（TP）上应用 Kinesio taping，在 B 组中，在外展肌（PL）上应用 Kinesio taping，并保持 30 分钟。测量指标包括足纵弓下降测试（NDT）、足弓指数（FPI）、Y 平衡测试和功能任务中的生物力学参数。对组内和组间的测量指标进行了前后比较。
两组的 NDT 和 FPI 均降低（p<0.05），但两组之间无显著差异。在 A 组中，跑步时的支撑相最大总力（MaxTFSP）增加，一些时间参数发生变化（p<0.05）。在 B 组中，所有方向的 Y 平衡测试都有所改善，步行时的步态线宽度增加。组内比较中，除了 B 组的平均中心压力位移（p=0.04）外，其他姿势稳定性参数均无显著差异。
两种肌肉的 Kinesio taping 都可以改善足弓姿势。TP Kinesio taping 可以增加跑步时的 MaxTFSP，并改变步行和跑步任务中的一些时间参数。PL Kinesio taping 可以在动态任务中提高动态稳定性和协调性。每种肌肉都可以被视为针对特定目的的治疗靶点。
