Effect of taping on multi-segmental foot kinematic patterns during walking in persons with chronic ankle instability
Effect of taping on multi-segmental foot kinematic patterns during walking in persons with chronic ankle instability
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DOI：
10.1016/j.jsams.2017.04.004
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发表时间：
2017-09-01
影响因子：
4
通讯作者：
Matricali, Giovanni A.
中科院分区：
文献类型：
--
作者：
Dingenen, Bart;Deschamps, Kevin;Matricali, Giovanni A.
目的：评价慢性踝关节不稳定(CAI)患者步行时的多节段足部运动学模式，并探讨高、低染料捆扎对这些运动学模式的影响。设计：横断面研究。方法：应用三维运动分析系统对12名非损伤对照组和15名CAI患者赤足行走时的运动学数据进行测量。此外，计算机辅助教学的参与者还进行了高染和低染的录像。使用刚性插入式步态模型和Rizzoli 3D多节段足部模型测量多节段足部运动学模式。结果：与对照组相比，计算机辅助训练组在负重反应时踝关节背屈减小(p=0.025)，在初始摆动阶段跟骨相对于小腿的内翻程度更高(p=0.024)。在几乎整个站立阶段中，在低染料胶带后，可以观察到较多的跖骨相对于足中的倒置位置(p=0.017)。结论：CAI患者在踝关节和后足的运动学模式上存在显著差异，而在中足和前足的运动模式上差异不显著。Low-Dye绷带的应用使前足内翻的位置明显增加，这对于脑梗塞患者来说是不理想的效果。高染料和低染料胶带对运动学模式的其他影响没有被揭示。(三)2017澳大利亚运动医学。爱思唯尔有限公司出版。保留所有权利。
Objectives: To evaluate multi-segmental foot kinematic patterns in chronic ankle instability (CAI) participants during walking, and to investigate the influence of high-Dye and low-Dye taping on these kinematic patterns.Design: Cross-sectional study.Methods: Kinematic data of 12 non-injured controls and 15 CAI participants were measured with a three-dimensional motion analysis system during barefoot walking. In addition, the CAI participants walked with high-Dye and low-Dye taping. A rigid Plug-in gait model and the Rizzoli 3D Multi-Segment Foot Model were used to measure multi-segmental foot kinematic patterns. One-dimensional statistical parametric mapping was used to compare barefoot walking of the control and CAI group, and to evaluate differences between walking barefoot and walking with high-Dye and low-Dye taping within the CAI group.Results: Compared to the control group, CAI participants showed a decreased ankle dorsiflexion during loading response (p = 0.025) and a more inverted calcaneus in relation to the shank during the initial swing phase (p= 0.024). A more inverted position of the metatarsus in relation to the midfoot was observed after low-Dye taping during almost the entire stance phase (p = 0.017). No significant differences were found for high-Dye taping.Conclusions: Significant differences in kinematic patterns were found in the ankle joint and rearfoot, but not in the mid- and forefoot in CAI participants. The application of low-Dye taping resulted in a significantly increased inverted position of the forefoot, which can be considered as a less desirable effect for patients with CAI. No other effects of high-Dye and low-Dye taping on kinematic patterns were revealed. (C) 2017 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.