貼紮與足弓襪對於足底接觸面積在運動前後的影響

A Study Comparing the Influence of the Use of Arch Socks and Kinesio Taping on Change in Arch Index Before/After Exercise

呂郁萱(Yu-Hsuan, Lu)

指導教授 ： 王淳厚

中山醫學大學/醫學科技學院/物理治療學系碩士班/碩士(2017年)

摘要

背景與介紹：足弓主要由骨頭排列及韌帶給予支撐，可以提供適度的彈性並吸收地面的反作用力達到吸震的效果。研究指出，經常執行高強度運動或跳躍活動的運動員易出現足弓較低的情形，臨床上常使用足部矯具搭配鞋子為處置方式，但鞋墊使用需鞋具的配合，運動所需的鞋具或高強度運動使用時會有所限制或不舒適，而發展出貼紮及足弓襪等方法。先前已有許多針對貼紮對於低足弓者的相關研究，但並沒有足弓襪的文獻紀載，無法提供證據指出足弓襪的影響。研究目的：比較足弓襪及貼紮對於足底接觸面積在運動前後的影響。
方法：受測者為健康成年人，每位受測者皆須參與三種介入：一般襪子組、足弓襪組以及貼紮組，貼紮方式為modified reverse6及low dye此兩種方式同時使用，每次測試採一種介入並間隔一周。每次測試皆須測量介入後的立即效果及運動10分鐘後的效果，三週完成收案，數據呈以足弓指數(Arch index)表示。
結果：18位受試者裸足測試(10女8男)，使用配對樣本T檢定(雙尾檢定)分析每組運動前後之比較及單因子變異數分析各組組間差異，各組運動前後之比較均無顯著差異，有顯著差異(P<0.05)的為運動前三組組間之差異(p<0.001)及運動後三組組間之差異(p=0.001)，使用事後分析(Post Hoc)運動前一般襪組及足弓襪組 (p<0.001)、一般襪組及貼紮組 (p=0.007)以及運動後一般襪組及足弓襪組 (p=0.001)、一般襪組及貼紮組 (p=0.023)。
討論與結論：介入後不管是立即效果或者是在運動後，足弓襪及貼紮皆與一般襪均有顯著差異，且此效果可維持至運動後，以此研究結果來看，臨床上可以建議有足弓問題的患者若有運動需求可考慮使用足弓襪，使用上較貼紮方便且可維持較佳效果，未來可增加受測者數量來提供證據證明

關鍵字

足弓支撐矯具 ； 足弓 ； 黏性貼布 ； 扁平足

並列摘要

Background: Foot arch is composed of bone, ligament and muscles, can provide moderate elasticity to absorb the ground reaction force. Athletes who frequently take up high-intensity exercise or jumping activities tend to experience lower arches. The frequently used insert combined with shoe, but athletes may feel limited or uncomfortable during exercise and thus further develop others, such as taping and arch socks. While past studies have investigated the influence of taping with lower arches, no study has looked into the use of arch socks and the influence on arch index. Aim: To compare the influence before/after exercise from a change of the arch index using different methods, such as general socks, arch socks, and kinesio taping.
Method: The subjects are healthy adults; subject received three tests, including one test of general socks, one test of arch socks, and one test of kinesio taping. This study randomized the order of the tests, and the subjects received each test at an interval of one week. During each test, the subjects stood on Zebris FDM-S with one foot to measure their plantar contact area. Afterwards, the subjects ran on a treadmill of their own choice at a comfortable speed for 10 minutes, and then their plantar contact area was measured immediately, compared the differences and changes in the arch index.
Results: A total of 18 subjects (10 female and 8 male) participated in this study. This study performed a paired sample t-test and one way ANOVA, there was no significant difference between before and after exercise, with results showing that there was a statistically significant difference in the arch index between groups before exercise(p<0.001), between groups after exercise (p=0.001), among subjects wearing general socks versus arch socks before exercise (p<0.001), wearing general socks versus kinesio taping before exercise (p=0.007), wearing general socks versus arch socks after exercise (p=0.001) and wearing general socks versus kinesio taping after exercise (p=0.023).
Discussion & Conclusion: Compared to general socks, arch socks and kinesio taping both reduced the arch index before/after exercise, suggesting that improved of the arch. In this study, the effect of arch socks was better than those of general socks and kinesio taping. Clinically, subjects with lower arches are advised to consider wearing arch socks for exercise. Future studies may increase the sample size to provide more clinical evidence

並列關鍵字

foot arch supports ； foot arch ； adhesive taping ； flat foot

參考文獻

Chang, Y. W., Hung, W., Wu, H. W., & Hsu, H. C. (2010). Measurements of foot arch in standing, level walking, vertical jump and sprint start. international journal of sport and exercise science, 2(2), 31-38.

Bok, S. K., Kim, B. O., Lim, J. H., & Ahn, S. Y. (2014). Effects of custom-made rigid foot orthosis on pes planusin children over 6 years old. Annals of Rehabilitation Medicine, 38(3), 369-375.

Bordelon, R. L. (1980). Correction of hypermobile flatfoot in children by molded insert. Foot & Ankle, 1(3), 143-150.

Cavanagh, P. R., & Rodgers, M. M. (1987). The arch index: A useful measure from footprints. Journal of Biomechanics, 20(5), 547-551

Chang, J. H., Wang, S. H., Kuo, C. L., Shen, H. C., Hong, Y. W., & Lin, L. C. (2010). Prevalence of flexible flatfoot in Taiwanese school-aged children in relation to obesity, gender and age. European Journal of Pediatrics, 169(4), 447-452.