Hussein Hisham M, Kamel Walid M, Kamel Ehab M, Attyia Mohamed R, Acar Tolgahan, Kanwal Raheela, Ibrahim Ahmed A
Department of Physical Therapy, College of Applied Medical Sciences, University of Hail, Ha'íl 81451, Saudi Arabia.
Department of Basic Sciences for Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza 12613, Egypt.
Healthcare (Basel). 2023 Jun 14;11(12):1749. doi: 10.3390/healthcare11121749.
(1) Background: Running is one of many sports that have increased in popularity since it can be conducted at any time or anywhere. Ankle instability is a common injury that usually occurs during running and is usually associated with abnormalities in postural stability. Recently, kinesio taping has gained increasing interest as a tool that can be used in rehabilitation, to improve stability, and to help in injury prevention. This study aimed to investigate the effect of Kinesio taping on balance and dynamic stability in recreational runners with ankle instability. (2) Methods: This randomized controlled trial recruited 90 RRs with ankle instability. The participants were randomly divided into three equal groups: a KT group (KTG) who received Kinesio taping on their ankle joints; a mixed group (MG) who received Kinesio taping and exercises; and an exercise group (EG) who received exercises only. Outcome measures (balance and dynamic stability) were assessed before and after the end of an 8-week treatment program using a Biodex balance system and a star excursion balance test, respectively. (3) Results: Within-group comparisons showed statistically significant improvements in most of the outcome values when compared to baseline. Overall stability index was statistically significantly better (with a high effect size) in the MG compared to KTG or EG ( = 0.01, Cohen's = 1.6, and < 0.001, Cohen's = 1.63, respectively). A similar finding was evident in the anteroposterior stability index ( = 0.02, Cohen's = 0.95, and < 0.001, Cohen's = 1.22, respectively). The mediolateral stability index of the KTG was statistically significantly better with a high effect size when compared to MG or EG ( = 0.04, Cohen's = 0.6, and < 0.01, Cohen's = 0.96, respectively). The star excursion balance test values were statistically significant with high effect sizes in the posterior ( = 0.002, Cohen's = 1.2) and lateral ( < 0.02, Cohen's = 0.92) directions in the MG compared to KTG and EG. (4) Conclusions: Kinesiotape with exercises is superior to either kinesiotape alone or exercises alone in improving postural stability indices and dynamic stability in recreational runners with ankle instability. Recreational runners with ankle instability should be educated about practicing balance exercises and applying kinesiotape.
(1)背景:跑步是众多日益流行的运动之一,因为它可以在任何时间、任何地点进行。踝关节不稳定是一种常见的损伤,通常发生在跑步过程中,并且通常与姿势稳定性异常有关。最近,肌内效贴布作为一种可用于康复、改善稳定性和预防损伤的工具,越来越受到关注。本研究旨在探讨肌内效贴布对踝关节不稳定的业余跑步者平衡和动态稳定性的影响。(2)方法:这项随机对照试验招募了90名踝关节不稳定的业余跑步者。参与者被随机分为三组,每组人数相等:一组是在踝关节接受肌内效贴布的肌内效贴布组(KTG);一组是接受肌内效贴布和锻炼的混合组(MG);还有一组是只接受锻炼的锻炼组(EG)。分别使用Biodex平衡系统和星形偏移平衡测试,在为期8周的治疗计划结束前后评估结果指标(平衡和动态稳定性)。(3)结果:组内比较显示,与基线相比,大多数结果值在统计学上有显著改善。与KTG或EG相比,MG组的总体稳定性指数在统计学上显著更好(效应量高)(分别为P = 0.01,科恩d = 1.6,和P < 0.001,科恩d = 1.63)。前后稳定性指数也有类似发现(分别为P = 0.02,科恩d = 0.95,和P < 0.001,科恩d = 1.22)。与MG或EG相比,KTG组的内外侧稳定性指数在统计学上显著更好,效应量高(分别为P = 0.04,科恩d = 0.6,和P < 0.01,科恩d = 0.96)。与KTG和EG相比,MG组在星形偏移平衡测试中,后侧(P = 0.002,科恩d = 1.2)和外侧(P < 0.02,科恩d = 0.92)方向的值在统计学上有显著意义,效应量高。(4)结论:在改善踝关节不稳定的业余跑步者的姿势稳定性指标和动态稳定性方面,肌内效贴布结合锻炼优于单独使用肌内效贴布或单独锻炼。应该对踝关节不稳定的业余跑步者进行关于练习平衡锻炼和应用肌内效贴布的教育。