動態貼布和肌內效貼布對於慢性足踝不穩定患者平衡與功能性表現之效果比較

Comparison the Effects of Dynamic Tape and Kinesio Tape to Balance and Functional Performance in Patients With Chronic Ankle Instability

張堯舜(Yao-Shun Chang) ； 王乾勇(Chien-Yung Wang)

《物理治療》 46卷2期 (2021/06) Pp. 51-60

https://doi.org/10.6215/FJPT.202106_46(2).0001

摘要

背景與目的：慢性足踝不穩定（chronic ankle instability, CAI）患者因反覆性扭傷而影響運動表現甚至引起更多的運動傷害。目前足踝貼紮被廣泛運用於CAI患者以預防受傷及提升運動表現，但足踝貼紮的種類繁多，在臨床上的效果也仍受到爭議。本研究目的為探討CAI腳與健側腳在平衡及功能性表現上的差異，並比較動態貼布與肌內效貼布對CAI之效果。方法：本研究為隨機控制試驗，先對所有受試者分別進行CAI腳與健側腳的評估，評估內容包含靜態平衡－姿勢穩定測試、動態平衡－極限穩定測試和功能性表現－側跳測試。再將受試者隨機分派至動態貼布組和肌內效貼布組，接受一次性的貼紮後，再進行後測評估。結果：比較受試者CAI腳與健側腳的結果顯示，CAI腳動態平衡和功能性表現都顯著較差。比較動態貼布及肌內效貼布對CAI腳測試結果顯示，動態貼布在動態平衡及功能性表現都比肌內效貼布更有顯著的效果。結論：CAI會嚴重的影響動態平衡與功能性表現，而動態貼布相較於肌內效貼布應用於CAI足踝貼紮有更好的效果。

關鍵字

慢性足踝不穩定 ； 動態貼布 ； 肌內效貼布

並列摘要

Background and Purpose: Patients with chronic ankle instability (CAI) often suffer from repeated ankle sprain, affecting exercise performance and placing them at risk for further sport injuries. Various ankle taping methods have been used to prevent ankle injury and increase exercise performance in individuals with CAI. However, differences in their clinical effectiveness are still topics of discussion. The present study aims to evaluate the difference between the affected (CAI) and sound leg regarding balance and functional performance, and evaluate the effectiveness of dynamic and kinesio taping in patients with CAI. Methods: This is a randomized controlled trial in which static and dynamic balances were evaluated respectively by postural stability index and limit of stability, and functional performance evaluated by side hop test in both the CAI leg and normal leg in all participants. The subjects were then randomly assigned to either the dynamic or kinesio taping group. The CAI leg was reassessed after a single taping intervention to compare the effects of the two kinds of taping methods. Results: The CAI leg showed significant deficiency in balance and functional performance compared with the sound leg. Dynamic taping resulted in better balance and functional performance compared with kinesio taping in individuals with CAI. Conclusion: Dynamic balance and functional performance were significantly decreased in patients with CAI and dynamic taping was more effective than kinesio taping in improving said deficits.

並列關鍵字

Chronic ankle instability ； Dynamic tape ； Kinesio tape