运动机能学胶带对急性踝关节损伤患者下楼梯时关节稳定性的影响。

IF 2.8 3区 医学 Q1 REHABILITATION
Ye Wei, Datao Xu, Zhifeng Zhou, Xiuye Qu, Julien S Baker, Liangliang Xiang, Yaodong Gu
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引用次数: 0

摘要

背景:急性踝关节损伤在运动和日常活动中很常见。运动机能学胶带可增强此类患者下楼梯活动时的下肢运动模式、关节稳定性和平衡。本研究的目的是比较分析KT组和ST组对急性踝关节损伤患者下楼梯时下肢的生物力学影响。方法:该研究包括27名急性踝关节损伤患者,在KT和ST条件下进行生物力学评估。利用集成的Vicon运动捕捉系统、AMTI力平台和肌电(EMG)传感器综合评估生物力学性能。参与者在每种情况下完成20次下楼梯试验,关节刚度、质心(COM)和骨位移被确定为评估稳定性的关键指标。采用统计分析,包括配对t检验和统计参数映射(SPM1D),以确定两种情况之间的显著生物力学差异。结果:研究显示,与ST相比,运动机学胶带可显著降低内翻角和外翻角(p结论:研究表明,急性踝关节损伤患者在下楼梯时面临着诸如明显的内翻角和外翻角、踝关节僵硬度降低和持续关节不稳定等问题。运动机能学胶带可以通过减少关节角度、增加刚度和平衡力矩来解决这些问题。KT还能稳定重心,降低摔倒的风险。这表明运动机能学胶带有效地提高了下楼梯时的稳定性,并有助于防止复发性损伤。建议作为急性踝关节损伤后的保护措施。试验注册:ClinicalTrials.gov NCT06936033,于2025年4月19日注册(回顾性注册)。
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 kinesiology taping on joint stability during descending stairs in patients with acute ankle injuries.

Background: Acute ankle injuries are common in sports and daily activities. Kinesiology taping enhances lower limb motion patterns, joint stability, and balance during descending stair activity in such patients. The objective of this study was to conduct a comparative analysis of the biomechanical impacts exerted by a KT group and an ST group on the lower limbs of patients with acute ankle injuries while descending stairs.

Methods: The study included 27 participants with acute ankle injuries, who underwent biomechanical assessment under both KT and ST conditions. An integrated Vicon motion capture system, AMTI force platform, and electromyography (EMG) sensors were utilized to comprehensively evaluate biomechanical performance. Participants completed 20 descending stair trials under each condition, with joint stiffness, center of mass (COM), and bone displacement identified as key metrics for assessing stability. Statistical analyses, including paired t-tests and statistical parametric mapping (SPM1D), were employed to identify significant biomechanical differences between the two conditions.

Results: The study revealed that compared to ST, kinesiology taping significantly reduced inversion and eversion angles (p < 0.001). Electromyography (EMG) analysis of the KT group revealed a remarkable enhancement in the activation levels of the calf muscle group (p < 0.001). In stark contrast to the ST group, the KT group demonstrated a substantial increase in ankle joint stiffness. Moreover, the KT group also achieved elevation in the activation of the hip muscles, with all these differences being highly significant (p < 0.001).

Conclusion: Research shows that individuals with acute ankle joint injuries face issues such as significant inversion and eversion angles, reduced ankle joint stiffness, and persistent joint instability when descending stairs. Kinesiology taping can address these issues by reducing joint angles, increasing stiffness, and balancing moments. KT also stabilizes the center of mass and diminishes fall risks. This demonstrates that kinesiology taping effectively enhances stability during descending stairs and helps prevent recurrent injures. It is recommended as a protective measure following acute ankle injuries.

Trial registration: ClinicalTrials.gov NCT06936033, registered on April 19, 2025 (Retrospectively registered).

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来源期刊
BMC Sports Science Medicine and Rehabilitation
BMC Sports Science Medicine and Rehabilitation Medicine-Orthopedics and Sports Medicine
CiteScore
3.00
自引率
5.30%
发文量
196
审稿时长
26 weeks
期刊介绍: BMC Sports Science, Medicine and Rehabilitation is an open access, peer reviewed journal that considers articles on all aspects of sports medicine and the exercise sciences, including rehabilitation, traumatology, cardiology, physiology, and nutrition.
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