The Effect of Fibular Reposition Taping on Postural Control in Individuals With Chronic Ankle Instability: A Critically Appraised Topic
The Effect of Fibular Reposition Taping on Postural Control in Individuals With Chronic Ankle Instability: A Critically Appraised Topic
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DOI：
10.1123/jsr.2017-0166
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发表时间：
2019-02-01
影响因子：
1.7
通讯作者：
Hoch, Matthew C.
中科院分区：
文献类型：
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作者：
Jackson, Bradley C.;Medina, Robert T.;Hoch, Matthew C.
临床情况：急性踝关节扭伤史可导致慢性踝关节不稳定（CAI）。由CAI引起的关节运动改变可能限制活动范围并导致姿势控制缺陷。Mulligan或fibular reposition胶带（FRT）被认为是一种重新调整腓骨位置错误的方法，可能是改善CAI患者姿势控制和平衡的有效方法。临床问题：是否有证据表明，与不贴膜相比，FRT可以改善患肢CAI患者的姿势控制？主要发现总结：4项纳入的研究中有3项发现，接受FRT的患者与假手术或无手术的患者相比，姿势控制没有显著差异。临床结论：有适度的证据反驳使用FRT来改善CAI患者的姿势控制。推荐强度：有B级证据支持FRT不能改善CAI患者的姿势控制。
Clinical Scenario: History of acute ankle sprains can result in chronic ankle instability (CAI). Arthrokinematic changes resulting from CAI may restrict range of motion and contribute to postural control deficits. Mulligan or fibular reposition taping (FRT) has been suggested as a means to realign fibular positional faults and may be an effective way to improve postural control and balance in patients with CAI. Clinical Question: Is there evidence to suggest that FRT will improve postural control for patients with CAI in the affected limb compared with no taping? Summary of Key Findings: Three of the 4 included studies found no significant difference in postural control in patients receiving FRT compared with sham or no tape. Clinical Bottom Line: There is moderate evidence refuting the use of FRT to improve postural control in patients with CAI. Strength of Recommendation: There is grade B evidence to support that FRT does not improve postural control in people with CAI.