Heß Tobias, Milani Thomas L, Kilper Anica, Mitschke Christian
Department of Human Locomotion, Chemnitz University of Technology, 09126 Chemnitz, Germany.
Medical Center of Chemnitz, Department of Orthopaedics, Trauma and Hand Surgery, 09116 Chemnitz, Germany.
Life (Basel). 2024 Jun 26;14(7):810. doi: 10.3390/life14070810.
Ankle sprains are the most frequently occurring musculoskeletal injuries among recreational athletes. Ankle support through bandages following the initial orthotic treatment might be beneficial for rehabilitation purposes. However, the literature is sparse regarding the use of an ankle support directly after the acute phase of an ankle sprain. Therefore, this study investigates the hypothesis that wearing an ankle bandage immediately after an acute ankle sprain improves motor performance, stability and reduces pain. In total, 70 subjects with acute unilateral supination trauma were tested. Subjects were tested five weeks post-injury to assess immediate effects of the ankle bandage. On the testing day, subjects completed rating questionnaires and underwent comprehensive biomechanical assessments. Biomechanical investigations included fine coordination and proprioception tests, single leg stances, the Y-Balance test, and gait analysis. All biomechanical investigations were conducted for the subject's injured leg with and without a bandage (MalleoTrain Bauerfeind AG, Zeulenroda-Triebes, Germany) and the healthy leg. Results indicated moderate to strong improvements in ankle stability and pain relief while wearing the bandage. Wearing the bandage significantly normalized single leg stance performance ( < 0.001), stance phase duration ( < 0.001), and vertical ground reaction forces during walking ( < 0.05). However, the bandage did not have a clear effect on fine coordination and proprioception. The findings of our study suggest that ankle bandages may play a crucial role in early-stage rehabilitation by enhancing motor performance and reducing pain.
踝关节扭伤是业余运动员中最常见的肌肉骨骼损伤。在最初的矫形治疗后通过绷带进行踝关节支撑可能有助于康复。然而,关于在踝关节扭伤急性期后直接使用踝关节支撑的文献较少。因此,本研究调查了以下假设:急性踝关节扭伤后立即佩戴踝关节绷带可改善运动表现、稳定性并减轻疼痛。总共对70名急性单侧旋后创伤患者进行了测试。在受伤后五周对受试者进行测试,以评估踝关节绷带的即时效果。在测试当天,受试者完成评分问卷并接受全面的生物力学评估。生物力学研究包括精细协调和本体感觉测试、单腿站立、Y平衡测试和步态分析。所有生物力学研究均在受试者受伤的腿上进行,分别佩戴和不佩戴绷带(德国策伦罗德-特里贝斯的鲍尔芬股份公司生产的MalleoTrain)以及健康的腿。结果表明,佩戴绷带时踝关节稳定性有中度到显著改善,疼痛减轻。佩戴绷带显著使单腿站立表现(<0.001)、站立期持续时间(<0.001)和行走时的垂直地面反作用力(<0.05)恢复正常。然而,绷带对精细协调和本体感觉没有明显影响。我们的研究结果表明,踝关节绷带可能通过提高运动表现和减轻疼痛在早期康复中发挥关键作用。