腓骨貼紮和傳統貼紮對於功能性腳踝不穩定患者功能性活動表現之效果：隨機控制試驗

Effects of Fibular Tape and Traditional Tape on Functional Performance in Individuals With Functional Ankle Instability: A Randomized Controlled Trial

鄭方瑜(Fang-Yu Cheng) ； 楊茗茗(Merlyn Jovita) ； 莫寒雁(Han-Yan Mok) ； 李妤萱(Yei-Shuai Lee) ； 鄭慧欣(Hui-Xin Tee) ； 王瑞瑤(Ray-Yau Wang) ； 楊雅如(Yea-Ru Yang)

《物理治療》 44卷4期 (2019/12) Pp. 221-230

https://doi.org/10.6215/FJPT.201912_44(4).0001

摘要

背景與目的：功能性腳踝不穩定為踝關節扭傷後常見的後遺症，臨床上常使用貼紮保護關節和避免再次受傷，然而同時卻可能限制其活動度，並影響活動表現，此外患者接受貼紮後的主觀感受也會影響其表現，故本研究的目的為比較腓骨貼紮和傳統貼紮對於功能性腳踝不穩定患者的功能性活動表現和主觀感受之成效。方法：本研究為隨機控制試驗，將功能性腳踝不穩定者隨機分派至傳統貼紮組和腓骨貼紮組，接受一次性的貼紮，兩組受試者在貼紮前後分別進行評估，項目包含功能性表現、自我信心問卷和主觀感覺量測等。結果：腓骨貼紮和傳統貼紮皆能改善功能性腳踝不穩定患者的功能性活動表現（8字形跳躍、外側跳躍和星形平衡測試後內側）、自我信心程度和主觀感覺，而腓骨貼紮可顯著改善患者星形平衡測試（前內側和內側）以及下樓梯測試的表現。結論：給予功能性腳踝不穩定的患者腓骨貼紮和傳統貼紮的介入，皆能在功能性活動表現、自我信心問卷以及主觀感覺量測等方面獲得改善。

關鍵字

腓骨貼紮 ； 傳統貼紮 ； 功能性表現 ； 功能性腳踝不穩定

並列摘要

Background and Purpose: Functional ankle instability is a common sequela after an ankle sprain. Taping is usually used to protect the joints and prevent re-injury. However, taping may limit the joint movement which leads to disadvantage functional performance. In addition, the subjective feelings of patients after taping may also affect their performance. The aim of this study was to investigate the effects of fibular tape and traditional tape on functional performance, self-efficacy and perceived stability, confidence and reassurance during functional tasks in participants with functional ankle instability. Methods: This was a randomized controlled trial. The participants with functional ankle instability were recruited and randomly allocated to fibular tape or traditional tape groups. Both groups were received one-time taping intervention. Outcome measures included functional performance, self-efficacy and perceived stability, confidence and reassurance during functional tasks. Results: The result showed that the two types of taping improved functional performance (eg., figure-8 hopping, lateral hopping, and star excursion balance-posterior medial side), self-efficacy and perceived stability, confidence and reassurance during functional tasks. There were significant improvements in star excursion balance such as anterior medial and medial sides after the fibular tape. Conclusions: Both fibular and traditional tapes helped improved functional performance, self-efficacy and perceived stability, confidence and reassurance during functional tasks.

並列關鍵字

Fibular tape ； Traditional tape ； Functional performance ； Functional ankle instability