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慢性踝关节不稳患者的肌内效贴布长度与动态平衡控制

Kinesiology taping length and dynamic balance control in individuals with chronic ankle instability.

作者信息

Yu Ruoni, Shi Xiaojian, Yang Zonghan, El-Ansary Doa, Adams Roger, Waddington Gordon, Lyu Jie, Han Jia

机构信息

School of Medicine, Jinhua university of vocational technology, Jinhua, China.

School of Health and Biomedical Sciences, Royal Melbourne Institute of Technology University, Melbourne, Australia.

出版信息

Sci Rep. 2025 Apr 1;15(1):11030. doi: 10.1038/s41598-025-91357-6.

DOI:10.1038/s41598-025-91357-6
PMID:40164636
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11958758/
Abstract

To explore the effect of different lengths of kinesiology taping (KT) on dynamic balance control in individuals with and without chronic ankle instability (CAI). Thirty-one participants (16 CAI, 15 non-CAI) volunteered, and all of them were tested for dynamic balance with KT taping of varied strip lengths, in a random sequence, with taping conditions being: above-ankle taping (short taping), below-knee taping (mid taping), and above-knee taping (long taping). Dynamic balance was measured by the Y-Balance test (YBT) with three reaching directions; anterior (YBT-A), posteromedial (YBT-PM), posterolateral (YBT-PL), untaped at enrolment and immediately after each taping condition. Non-CAI participants consistently outperformed CAI all YBT measures made in the untaped condition (all p<0.05). Linear mixed model (LMM) analysis suggested there were significant KT-Group interactions reflecting reducing inter-group difference as tape length increased for YBT-C (F = 5.599, p = 0.016, ES = 0.104), YBT-PM (F  = 3.53, p = 0.018, ES = 0.102) and YBT-PL (F  = 2.72, p = 0.049, ES = 0.008), but not YBT-A (F  = 1.44, p = 0.236). Paired t-tests suggested that in the CAI group, compared to the untaped condition, YBT-PM scores increased in all taping conditions, with mean difference (MD) from 3.5 to 7.0% (t = 2.17-5.17, p = 0.00-0.046, 95%CI = -9.83, -0.07), whereas YBT-C (MD = 4.2%, t = 1.03, p = 0.001, 95%CI = -6.36, -1.97) and YBT-PL scores (MD = 5.3%, t = 3.9, p = 0.001, 95%CI = -8.18, -2.41) increased only in the long-taping condition. KT taping can improve dynamic balance for individuals with CAI to a level of those without CAI. Longer KT taping seems to show superior effects. However, individuals without CAI may not benefit from KT taping when performing a dynamic balance task.

摘要

为探究不同长度的肌内效贴布(KT)对有无慢性踝关节不稳(CAI)个体动态平衡控制的影响。31名参与者(16名CAI患者,15名非CAI患者)自愿参与,所有人均以随机顺序接受不同条带长度的KT贴扎测试动态平衡,贴扎条件分别为:踝关节上方贴扎(短贴扎)、膝关节下方贴扎(中贴扎)和膝关节上方贴扎(长贴扎)。通过Y平衡测试(YBT)在三个伸展方向测量动态平衡,即前向(YBT-A)、后内侧(YBT-PM)、后外侧(YBT-PL),在入组时未贴扎以及每种贴扎条件后立即进行测量。在未贴扎条件下进行的所有YBT测量中,非CAI参与者的表现始终优于CAI参与者(所有p<0.05)。线性混合模型(LMM)分析表明,存在显著的KT-组交互作用,反映出随着贴布长度增加,YBT-C(F = 5.599,p = 0.016,ES = 0.104)、YBT-PM(F = 3.53,p = 0.018,ES = 0.102)和YBT-PL(F = 2.72,p = 0.049,ES = 0.008)的组间差异减小,但YBT-A(F = 1.44,p = 0.236)不存在这种情况。配对t检验表明,在CAI组中,与未贴扎条件相比,所有贴扎条件下YBT-PM得分均增加,平均差异(MD)为3.5%至7.0%(t = 2.17 - 5.17,p = 0.00 - 0.046,95%CI = -9.83,-0.07),而YBT-C(MD = 4.2%,t = 1.03,p = 0.001,95%CI = -6.36,-1.97)和YBT-PL得分(MD = 5.3%,t = 3.9,p = 0.001,95%CI = -8.18,-2.41)仅在长贴扎条件下增加。KT贴扎可将CAI个体的动态平衡改善至非CAI个体的水平。较长的KT贴扎似乎显示出更好的效果。然而,非CAI个体在执行动态平衡任务时可能无法从KT贴扎中获益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e41/11958758/f36427ef3e9f/41598_2025_91357_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e41/11958758/79d5c6952116/41598_2025_91357_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e41/11958758/3fd2986e7de7/41598_2025_91357_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e41/11958758/ebe36e07fa6e/41598_2025_91357_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e41/11958758/f36427ef3e9f/41598_2025_91357_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e41/11958758/79d5c6952116/41598_2025_91357_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e41/11958758/3fd2986e7de7/41598_2025_91357_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e41/11958758/ebe36e07fa6e/41598_2025_91357_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e41/11958758/f36427ef3e9f/41598_2025_91357_Fig4_HTML.jpg

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本文引用的文献

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Acute effects of kinesiology tape on dynamic balance control in chronic ankle instability: An exploratory study.肌内效贴布对慢性踝关节不稳患者动态平衡控制的急性影响:一项探索性研究。
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