踝关节弹性贴带对慢性踝关节不稳定患者静态和动态姿势控制的影响

Jin-seok Lim, Seo-hyun Kim, Il-young Moon, C. Yi
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引用次数: 3

摘要

背景:姿势控制障碍是慢性踝关节不稳定(CAI)患者的主要特征。弹性脚踝绑带通常用于辅助CAI患者的姿势控制以及防止外侧踝关节扭伤复发。然而,关于弹性踝关节绑扎对姿势控制的影响,证据并不明确。目的:本研究旨在评价踝关节弹性贴片采用运动贴敷(KT)和动态贴敷(DT)对CAI患者静态和动态姿势控制的影响。方法:选取15例CAI患者作为研究对象。参与者在三种条件下(赤脚、KT和DT)进行测试。静态姿势控制采用单腿站立测试(OLST),动态姿势控制采用改良的星偏移平衡测试(mSEBT)。采用单因素重复测量方差分析比较三种情况下压力中心(CoP)数据和归一化mSEBT到达距离(α = 0.05)。结果:与赤脚相比,施加KT和DT时OLST的CoP参数(路径长度、椭圆面积和平均速度)显著降低。与对照组相比,DT组mSEBT前内侧(AM)、内侧(M)和后内侧(PM)方向的归一化到达距离显著增加。此外,与控制条件相比,在mSEBT的M和PM方向上获得了更高的KT到达距离。在两种不同的胶带应用中,没有发现任何OLST和SEBT参数的显著差异。结论:与对照组相比,KT和DT改善了OLST时的静态姿势控制。此外,与对照组相比,这些胶带在mSEBT期间改善了动态姿势控制。因此,弹性踝带是预防和治疗CAI患者踝关节扭伤的有效预防装置。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effects of Elastic Ankle Taping on Static and Dynamic Postural Control in Individuals With Chronic Ankle Instability
Background: Postural control deficit is a major characteristic in patients with chronic ankle instability (CAI). Elastic ankle tapings are commonly used to facilitate postural control in patients with CAI as well as prevent relapse of a lateral ankle sprain. However, equivocal evidence exists concerning the effect of elastic ankle taping on postural control. Objects: This study aimed to evaluate the effects of elastic ankle tapings using kinesio taping (KT) and dynamic taping (DT) on static and dynamic postural control in patients with CAI. Methods: Fifteen subjects with CAI were participated in this study. The participants performed tests under three conditions (barefoot, KT, and DT). Static postural control was evaluated using the one-leg standing test (OLST) and dynamic postural control using the modified Star Excursion Balance Test (mSEBT). One-way repeated-measures analysis of variance was used to compare center of pressure (CoP) data and normalized mSEBT reach distances among the three conditions (with α = 0.05). Results: The CoP parameters (path length, ellipse area, and mean velocity) of the OLST significantly decreased on applying KT and DT compared with those when barefoot. The normalized reach distances in the anteromedial (AM), medial (M), and posteromedial (PM) directions of the mSEBT significantly increased with DT compared to that in the control condition. Further, the higher reach distances with KT compared with those in the control condition were obtained in the M and PM directions of the mSEBT. No significant differences were identified in any of the OLST and SEBT parameters between the two different taping applications. Conclusion: KT and DT improved static postural control during the OLST compared with the control condition. Moreover, these tapes improved dynamic postural control during the mSEBT compared to the control. Therefore, elastic ankle tapings are useful prophylactic devices for the prevention and treatment of ankle sprain in people with CAI.
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