Vaes P, Duquet W, Handelberg F, Casteleyn P P, Van Tiggelen R, Opdecam P
Physical Therapy Dept., Akademisch Ziekenhuis, Vrije Universiteit Brussel, Laarbeeklaan, Brussels.
Acta Orthop Belg. 1998 Jun;64(2):201-9.
The stabilizing effect of external support (taping and nine different ankle braces) was tested in a total of 220 functionally unstable ankles. A standard surface EMG controlled stress Roentgen test protocol was used, measuring talar tilt (TT) without support and with tape bandage or brace. Different levels of TT restraining by external support could be identified. Tape bandage and two braces had a highly significant influence on the talar tilt. The mean TT without support was decreased by using from 13.4 degrees to 4.9 degrees, by using one brace to 4.8 degrees and by using another brace to 5.9 degrees. These two braces are effective for protection during functional treatment. A classification into three grades of effectiveness is proposed. It is concluded that the stabilizing influence offered by bandages and braces should be measured before using the external support as a treatment device for acute ankle sprain and as a reliable protection against sprain injuries in daily living and sports.
在总共220个功能不稳定的踝关节中测试了外部支撑（贴扎和九种不同的踝关节支具）的稳定效果。使用标准的表面肌电图控制应力X线检查方案，测量无支撑以及使用胶带绷带或支具时的距骨倾斜（TT）。可以确定外部支撑对TT的不同程度的抑制作用。胶带绷带和两种支具对距骨倾斜有非常显著的影响。无支撑时的平均TT，使用胶带绷带可从13.4度降至4.9度，使用一种支具降至4.8度，使用另一种支具降至5.9度。这两种支具在功能治疗期间具有有效的保护作用。提出了分为三个有效性等级的分类方法。得出的结论是，在将绷带和支具作为急性踝关节扭伤的治疗装置以及日常生活和运动中预防扭伤损伤的可靠保护措施使用之前，应测量其提供的稳定影响。
