脛前肌肌內效貼布張力對姿勢平衡與肌力之影響

Effects of Kinesio Taping Tensions of the Tibialis Anterior Muscle on Posture Balance and Muscle Strength

周庭瑞(Ting-Rui Zhou) ； 曾國維(Kwo-Wei Tseng) ； 陳哲修(Che-Hsiu Chen) ； 陳永盛(Yung-Sheng Chen)

《大專體育學刊》 20卷1期 (2018/03) Pp. 75-86

https://doi.org/10.5297/ser.201803_20(1).0007

摘要

肌內效貼布已被廣泛地應用在臨床與復健醫學上，然而肌內效貼布實施的張力對於本體感覺功能、站立平衡表現與最大肌力的影響尚未被探討。本研究的主要目的在於探討不同張力的肌內效貼布，對脛前肌關節背屈位置覺的影響、靜態平衡、動態平衡、及背屈最大肌力的影響。本研究召募15名健康的男性大專學生（21.6 ± 2.1歲），貼布張力條件為無貼布、0%、50%、100%貼布張力四種，以I型貼法貼於慣用腳脛前肌上。以Biodex等速肌力測試系統測量踝關節位置感覺，測試方式包含主動和被動踝關節活動，測量角度為背屈5°、10°、15°。靜態平衡測試條件為開眼與閉眼分別站立在平穩與不平穩表面，動態平衡採用從30與50公分平臺的下垂跳後單腳平衡穩定來檢測。肌力測試使用Biodex等速肌力測試系統測量背屈最大肌力。研究結果顯示：使用50%張力對於主動測試關節位置覺有較小的絕對誤差值。在動、靜態中使用肌內效貼布對於不穩定平面下平衡能力皆優於未使用貼布。不同貼布張力對於肌力沒有明顯的影響。本研究結論為50%肌內效貼布張力作用於脛前肌對於主動關節位置覺、靜態平衡及下垂跳之動態平衡測試有最佳的效益，但貼布張力對脛前肌最大肌力則沒有影響。

關鍵字

貼布張力 ； 關節位置覺 ； 動態平衡 ； 本體感覺功能 ； 最大肌力

並列摘要

Kinesio taping (KT) has been extensively used in clinical and sports medicine. However, the effects of tape tension on proprioception, upright balance control, and maximal muscle strength in young adults were unclear. This study aimed to investigate the difference of KT tensions on position sense of the ankle joint, static balance, dynamic balance, and maximal voluntary contraction (MVC) of the dorsiflexion (DF). Fifteen male university students (age 21.6 ± 2.1 years) were participated and performed joint position sense test on the Biodex isokinetic system. The tape tensions, included non-taping, 0%, 50%, and 100% of KT tensions. The I-shape technique of KT was applied to the tibialis anterior of the dominate side. Then, participants performed active and passive ankle joint sense tests in the target angles of 5°, 10°, and 15° of DF. Static balance test was bipedal upright stance on stable/unstable surfaces with eye open and eye closed positions, respectively. Single-leg landing after drop jump from the 30 and 50 cm height positions was used for dynamic balance test. Biodex isokinetic system was used to measure the DF MVC. The results showed that 50% taping tension of KT application produced a smaller absolute value of ankle joint position sense test. Furthermore, static balance during bipedal stance on stable and unstable surfaces with eye closed positions was significantly smaller than that on stable surface with eye open position in all KT conditions. For the dynamic balance test, balance capacity of 30 cm test was significantly greater than that of 50 cm in all KT conditions. However, muscle strength in all KT conditions was not significantly different. This study concluded that 50% tension of KT application to the tibialis anterior could improve ankle joint position sense and posture balance rather than DF MVC in young adults.

並列關鍵字

taping extension ； joint position sense ； dynamic balance ； proprioception ； maximal muscle strength

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