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Effects of spiral taping on proprioception in subjects with unilateral functional ankle instability

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Young-Sook Bae
Young-Sook Bae
Young-Sook Bae
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Abstract and Figures

[Purpose] The Purpose of this study was to investigate the effects of spiral taping on proprioception in functional ankle instability. [Subjects and Methods] Thirty-five participants in this study had discomfort in only one ankle and Cumberland ankle instability score of ≤23. ST was applied to the unstable ankle, and proprioception was measured baseline and 30 min later. Proprioception was measured using the active joint angle reproduction test. [Results] Plantar flexions of 10° (ES, 0.303) and 20° (ES, 1.369) and inversion 20° (ES, 0.998) showed a significant improvement. [Conclusion] Spiral taping improved on proprioception. Therefore, spiral taping may be an effective method for functional ankle instability. © 2017 The Society of Physical Therapy Science. Published by IPEC Inc.
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Eects of spiral taping on proprioception in
subjects with unilateral functional ankle
instability
        1)
1) Department of Physical Therapy, Gachon University: 191 Hambangmoe-ro, Yeonsu-gu, Icheon
406-799, Republic of Korea
Abstract.   


        



Key words:
(This article was submitted Aug. 30, 2016, and was accepted Oct. 11, 2016)
INTRODUCTION

sprain1)
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
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)11))
)

SUBJECTS AND METHODS

14)

J. Phys. Ther. Sci. 2 9: 106–108, 2017


               
   

The Journal of Physical Therapy Science The Journal of Physical Therapy Science
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
     
      
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             


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RESU LT S

  

DISCUSSION
                  

sion)
)

 17)
)
Fig. 1.

Tab le 1. 
 
 
 
 
 
 

Tab le 2 .
   
  * 
  * 
    
  * 

J. Phys. Ther. Sci. Vol. 29, No. 1, 2017
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

  




REFERENCES
            
          
          
   
                             
      
                         
            
         
        
             
             
      
        
        
          
  
        
  
         
               
      
             
    
                  
      
              
           
                         
      
... The systematic search identified 3959 potentially eligible studies with duplicates removed, and seven studies were finally included in the meta-analyses. 8,13,16,17,[26][27][28] Although three studies were identified from reference lists, which could be searched in PubMed, all of them were excluded because their participants were healthy people (instead of patients with CAI). For the article screening, 24 agreements were achieved from 3959 items (κ = 0.872), whereas for the article inclusion, eight agreements were achieved from 31 items (κ = 0.919), with one study excluded through discussion (for mixing both healthy and injured ankles). ...
... degrees; I 2 = 29.1%). 17,26,27 In plantar flexion, three pooled studies with 81 tested ankles showed significant improvement in JPS with external support (WMD, 1.74 degrees; 95% confidence interval, 0.45-3.03 degrees; I 2 = 70.1%). ...
... degrees; I 2 = 70.1%). 8,17,26 In both dorsiflexion and neutral positions, only one study with 26 ankles showed no statistically significant findings on the effect of external support on JPS (Fig. 2). 8 ...
Do External Supports Influence Proprioception in Patients With Chronic Ankle Instability?: A Systematic Review and Meta-analyses
Article
  • Sep 2021
Objective: Individuals with chronic ankle instability (CAI) experience recurring sprains and impaired proprioception, and the effect of external support in the proprioception of injured ankles is still inconsistent in existing studies. Therefore, this study aimed to investigate whether external support could enhance the proprioception of injured ankles in patients with CAI. Design: Systematic review and meta-analysis. Results: Eight studies from PubMed, Embase, Cochrane Library, Web of Science, SPORTDiscus, Scopus, and CINAHL were finally included after applying the exclusion criteria. Meta-analyses revealed a significantly higher joint position sense (JPS) on inversion with a weighted mean difference (WMD) of 1.25° and plantar flexion (WMD = 1.74°) and lower kinesthesia in eversion (WMD = -0.70°) with the application of external support in the injured ankles of patients with CAI. Conclusion: Applying external support has statistically significant negative effects on kinesthesia and a positive effect on the active JPS in the injured ankles of patients with CAI. However, this study did not support the restoration of proprioception deficits as a mechanism of external support in preventing reinjuries, due to its potentially negative effect on kinesthesia, clinically small changes in proprioception, and poor methodological quality of existing studies.
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... Of the 91 included studies (Table S 2), 35 were randomized controlled trials [54, 55, 57, 60, 62, 67, 74-78, 80, 82, 83, 85, 100-119], 29 were randomized cross over design [48,51,52,56,59,61,66,81,84,90,[120][121][122][123][124][125][126][127][128][129][130][131][132][133][134][135][136][137][138], 12 were pre-test post-test quasi experimental design [53,64,[139][140][141][142][143][144][145][146][147][148], 10 were crossover trials [36,39,50,58,68,88,[149][150][151][152], two were non-randomized controlled design [65,153], one was a cross-sectional design [154], and one was a retrospective cohort study [87]. Additionally, one study presented data from two different studies in which one was a pre-test post-test quasi experimental design and a randomized controlled design [86]. ...
... The principal objective of this study was to elucidate the influence of taping on joint repositioning accuracy, the threshold to detection of passive motive, and active movement extent discrimination accuracy. However, upon further assessment of the studies, it was observed that while some of the included studies had evaluated the direct influence of taping [76,120,140,153], others had assessed the influence of the prolonged application of taping on the outcomes of joint proprioception [75,78,87,103,119,134]. As it was not the initial goal to evaluate how prolonged taping could influence joint proprioception, separate subgroup analyses to compare the effect of prolonged taping on proprioception were not conducted. ...
Influence of taping on joint proprioception: a systematic review with between and within group meta-analysis
Article
Full-text available
  • Jun 2024
  • BMC MUSCULOSKEL DIS
Taping is increasingly used to manage proprioceptive deficits, but existing reviews on its impact have shortcomings. To accurately assess the effects of taping, a separate meta-analyses for different population groups and tape types is needed. Therefore, both between- and within-group meta-analyses are needed to evaluate the influence of taping on proprioception. According to PRISMA guidelines, a literature search was conducted across seven databases (Web of Science, PEDro, Pubmed, EBSCO, Scopus, ERIC, SportDiscus, Psychinfo) and one register (CENTRAL) using the keywords “tape” and “proprioception”. Out of 1372 records, 91 studies, involving 2718 individuals, met the inclusion criteria outlined in the systematic review. The meta-analyses revealed a significant between and within-group reduction in repositioning errors with taping compared to no tape (Hedge’s g: -0.39, p < 0.001) and placebo taping (Hedge’s g: -1.20, p < 0.001). Subgroup and sensitivity analyses further confirmed the reliability of the overall between and within-group analyses. The between-group results further demonstrated that both elastic tape and rigid tape had similar efficacy to improve repositioning errors in both healthy and fatigued populations. Additional analyses on the threshold to detection of passive motion and active movement extent discrimination apparatus revealed no significant influence of taping. In conclusion, the findings highlight the potential of taping to enhance joint repositioning accuracy compared to no tape or placebo taping. Further research needs to uncover underlying mechanisms and refine the application of taping for diverse populations with proprioceptive deficits. Supplementary Information The online version contains supplementary material available at 10.1186/s12891-024-07571-2.
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... Stimulation in a diagonal pattern has been used to promote proprioception and has been shown to improve muscle strength, joint ROM and functional movement [6,7]. Previous studies applying spiral taping have reported that applying spiral taping to the sternocleidomastoid muscle promoted proprioception and improved balance [8], and applying spiral taping to the ankle promoted proprioception and improved joint ROM [9]. ...
... Stimulation in a diagonal pattern has been used to promote proprioception and has been shown to improve muscle strength, joint ROM and functional movement [6,7]. Previous studies applying spiral taping have reported that applying spiral taping to the sternocleidomastoid muscle promoted proprioception and improved balance [8], and applying spiral taping to the ankle promoted proprioception and improved joint ROM [9]. In addition, recent studies have suggested that the facilitation of proprioception may vary depending on the direction of stimulation of this spiral pattern. ...
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... People with ankle instability often feel uncomfortable when they perform functional movements and activities. Problems occurring from this condition consist of pain, swelling, muscular weakness, decreased range of motion, impaired joint position sense, and sensory impairment [6][7][8][9]. These affect postural balance related to activities of daily living [1,[10][11][12][13][14]. ...
... Ankle joint reproduction assessments using active and passive protocols are needed to identify the impairment of joint position sense in patients with CAI [6,8,39,[42][43][44]. The present study found similar results as those reported by South and George, which revealed a trend of decreasing magnitude of errors in joint position sense using a 9-trial protocol in 35 adults aged between 19 to 36 years. ...
How Many Trials are Needed to Assess Ankle Joint Proprioception in Children with Chronic Ankle Instability?
Article
Full-text available
  • Oct 2021
The assessment of ankle joint repositioning is commonly used to detect joint impairment in people with chronic ankle instability (CAI). To decrease measurement fluctuation errors, it has been suggested that an average of 10 measurements be utilized. However, learning and tiredness difficulties, particularly in children, might make this difficult. Therefore, this study aimed to compare the repeatability of 3 and 10 measures of ankle joint repositioning using an isokinetic dynamometer (Biodex) in children with CAI. Ten children with CAI with an average age of 11.21 years were recruited in the study. The ankle inversion and eversion angles for 3 and 10 trials using active and passive reproduction protocols were recorded using Biodex Multi-Joint System 4TM. The error of reproduction angle was presented by the mean, correlation, and percentage changes for both active and passive reposition angles. The means of the error for ankle joint reproduction angles revealed no significant differences between 3 and 10 trials for both active and passive protocols (p > 0.05). The ICC(3,1) revealed high correlations between 3 and 10 trials of assessments (ICC(3,1) = 0.82 - 0.91). The percentage changes of means and standard deviations showed learning effect of ankle joint proprioception measurement after the 4th and the 5th trials for inversion and eversion, respectively. Therefore, to prevent learning and fatigue effects, a 3-trial protocol would be more appropriate than a 10-trial protocol. However, a 4-trial protocol and a 5-trial protocol were suggested for inversion and eversion, respectively. The suggested protocols are recommended to use for further reliability studies of the ankle joint proprioception in children with CAI. HIGHLIGHTS Ankle joint reproduction assessments using active and passive protocols are needed to identify the impairment of joint position sense in children with chronic ankle instability To prevent fatigue effect, 3 trials are sufficient for testing of ankle joint position sense in children with chronic ankle instability In research setting, a 4-trial protocol for ankle joint inversion and a 5-trial protocol for ankle joint eversion are more appropriate than a 10-trial protocol
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... According to Bae et al., improving the joint's positional sense accuracy is possible by performing nonelastic taping that restricts plantarflexion and inversion of the ankle. 47 In contrast, Shields found no postural control improvements after applying Kinesio taping. 48 Stretching, isokinetic training, and exercises on unstable surfaces improve proprioceptive sense and dynamic and static balance, resulting in a promising treatment strategy. ...
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... The visual analog score (VAS), American Orthopedic Foot and Ankle Society scoring system (AOFAS), Karlsson Ankle Functional Score (KAFS) scoring system and Anterior Talar Translation (ATT) were administered to assess ankle function and therapeutic efficacy. Ankle proprioception was assessed using the Active Joint Position Sense (AJPS) [20]. The realization of AJPS: with the patients seated on a height-adjustable table, the affected lower limb was placed at a 90° angle from the hip, knee, and ankle, respectively. ...
Functional outcomes of all-inside arthroscopic anterior talofibular ligament repair with loop suture versus free-edge suture
Article
Full-text available
  • Nov 2022
  • J Orthop Surg Res
Background Anatomic repair of anterior talofibular ligament (ATFL) is used to manage chronic lateral ankle instability (CLAI). However, the optimal suture configuration used to repair the ATFL is not yet determined. It remains unclear whether suture configuration affects clinical outcomes in such patients. Purpose To compare the functional outcomes of all-inside arthroscopic ATFL repair using either a loop suture and or a free-edge suture configuration in CLAI patients. Study Design Cohort study; Level of evidence, 3. Methods This retrospective cohort study included 71 patients with CLAI who had undergone an all-inside arthroscopic ATFL repair procedure with either loop suture ( n = 36) or free-edge suture ( n = 35) from February 2016 to July 2018. Comparable pre-operatively, the Visual analogy score (VAS), American Orthopedic Foot and Ankle Society scoring system (AOFAS), Karlsson Ankle Functional Score (KAFS) scoring system, Anterior Talar Translation (ATT) and Active Joint Position Sense (AJPS) were used to evaluate postoperative ankle function. Results There were no postoperative wound complications, implant reactions, or neurological or vascular injuries. Postoperative hospitalization, VAS, AOFAS, KAFS, AJPS and the time of return to sport were similar between the loop suture group and free-edge suture group. Requiring a longer procedure time, patients with loop suture configuration achieved better ATT. Conclusion All-inside arthroscopic ATFL repair procedure for CLAI treatment provides better ATT and comparable functional outcomes when a loop suture configuration is used instead of a free-edge suture configuration. A statistical difference in ATT was observed. Given the relatively short follow-up, it is questionable whether this will have any clinical relevance.
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... The VAS, AOFAS, KAFS, and return to sports were evaluated to assess ankle function. The Active Joint Position Sense (AJPS) using the active joint angle reproduction test was evaluated to assess ankle proprioception [17]. The patients were seated on a height-adjustable table with the affected foot placed at a 90° angle from the hip, knee, and ankle. ...
Limited medial osteochondral lesions of the talus associated with chronic ankle instability do not impact the results of endoscopic modified Broström ligament repair
Article
Full-text available
  • Feb 2022
  • J Orthop Surg Res
Background The arthroscopic modified Broström procedure, with repair of the anterior talofibular ligament and extensor retinaculum, produces good functional outcomes in patients with chronic lateral ankle instability (CLAI). CLAI can be associated with osteochondral lesions of the talus (OLTs). It remains unclear whether associated limited OLTs affect clinical outcomes in such patients. Methods This retrospective cohort study included 92 CLAI patients with and without OLTs undergoing an all-inside arthroscopic modified Broström procedure from June 2016 to May 2019. The patients were divided into non-lesion group (n = 32) and lesion group (n = 60) according to whether CLAI was associated or not with OLTs. All the osteochondral lesions less than 15 mm in diameter were managed with bone marrow stimulation techniques (arthroscopic microfracture) at the time of the arthroscopic modified Broström procedure. The Visual Analogue Scale (VAS) scores, American Orthopedic Foot and Ankle Society (AOFAS) scores, Karlsson Ankle Function Score (KAFS), Anterior Talar Translation (ATT), Active Joint Position Sense (AJPS), and the rate of return to sports were compared in both groups. Results Increase in all the functional scores (VAS, AOFAS, KAFS, ATT, and AJPS) in both groups was, respectively, recorded 1 year and 2 years after surgery. At the 1-year and 2-year follow-up, there was no significant difference in the VAS, AOFAS, KAFS, ATT, and AJPS scores between the non-lesion and lesion groups. Conclusion In patients with CLAI who underwent an arthroscopic modified Broström procedure, the presence of limited OLTs (less than 15 mm in diameter), which required arthroscopic microfracture, did not exert any influence on outcome. Level of Evidence Level III, a retrospective comparative study.
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... The KAFS consists of eight parts: pain (20 points), swelling (10 points), subjective instability (25 points), stiffness (5 points), stair climbing (10 points), running (10 points), work activities (15 points), and support (5 points) [9]. Ankle proprioception was assessed using the Active Joint Position Sense (AJPS) [1] using the active joint angle reproduction test. The patients were seated on a height-adjustable table with the affected foot placed at a 90° angle from the hip, knee, and ankle. ...
All-inside arthroscopic modified Broström-Gould procedure for chronic lateral ankle instability with and without anterior talofibular ligament remnant repair produced similar functional results
Article
Full-text available
  • Nov 2020
Purpose The Broström-Gould procedure, with the repair of the anterior talofibular ligament (ATFL) combined with the transfer of the extensor retinaculum, is considered the gold standard procedure for the management of chronic lateral ankle instability (CLAI). Lateral ligament reconstruction is considered if the ATFL remnant quality is poor or the ATFL has been damaged beyond the ability to suture it. It remains unclear whether not repairing the ATFL remnant produces comparable functional outcomes to the classical Broström-Gould procedure. Methods This retrospective cohort study included 84 patients with CLAI undergoing either repair or non-repair of the ATFL remnant using an all-inside arthroscopic Broström-Gould procedure from 2015 to 2018. The Visual Analogue Scale (VAS) scores, American Orthopedic Foot and Ankle Society (AOFAS) scores, Karlsson Ankle Functional Score (KAFS), Anterior Talar Translation (ATT), Active Joint Position Sense (AJPS), and the rate of return to sports were compared in both groups. Results All the functional scores (VAS, AOFAS, KAFS, ATT, AJPS) significantly improved in both groups at 1 and 2 years after surgery. At all the follow-up time points, the VAS, AOFAS, KAFS, ATT, AJPS, and the rate of return to sport scores were comparable between the repair and non-repair group. Conclusion There are no statistically significant differences in postoperative outcomes between ATFL remnant repair and non-repair for the management of CLAI using the all-inside arthroscopic Broström-Gould procedure. From the clinical viewpoint, the present study shows that the potential differences in clinical outcomes between ATFL remnant repair and non-repair are likely not relevant when performing an all-inside arthroscopic Broström-Gould procedure for CLAI. Level of evidence III.
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... We used the AJPS to assess ankle proprioceptive recovery in both groups. The AJPS is the most commonly used index for proprioceptive recovery evaluation 29,30 . The postoperative AJPS between the two groups was comparable at the 1-and 2-year follow-ups. ...
Functional Comparison of Horizontal Mattress Suture Versus Free‐Edge Suture in the All‐Inside Arthroscopic Broström–Gould Procedure for Chronic Lateral Ankle Instability
Article
Full-text available
  • Oct 2020
Objective To compare the clinical outcomes of horizontal mattress suture vs free‐edge suture in the all‐inside arthroscopic Broström–Gould procedure. Methods This retrospective cohort study included 68 chronic lateral ankle instability (CLAI) patients who underwent either a horizontal mattress suture or a free‐edge suture all‐inside arthroscopic Broström–Gould procedure from January 2014 to January 2017. Patients were divided into two groups based on the suture fashion during the all‐inside arthroscopic Broström–Gould procedure. In the horizontal mattress suture group (n = 31), anchor sutures were used to suture the ATFL, capsule, and inferior extensor retinaculum in horizontal mattress suture fashion. In the free‐edge suture group (n = 37), anchor sutures were used to suture the ATFL, capsule, and inferior extensor retinaculum in free‐edge suture fashion. The Visual Analogue Scale (VAS) score, the American Orthopaedic Foot and Ankle Society (AOFAS) score, Karlsson Ankle Functional Score (KAFS), Anterior Talar Translation (ATT), the rate of return to sports, and ankle proprioceptive recovery were compared in both groups. Results The operative times and duration of hospitalization between the two groups were comparable (all P > 0.05). The VAS, AOFAS, ATT, the rate of return to sports, and ankle proprioceptive recovery were comparable between the horizontal mattress suture and free‐edge suture groups at 1 and 2 years after surgery. Patients of the free‐edge suture group achieved better KAFS 1 and 2 years after the surgery compared with those of the horizontal mattress suture group. In both groups, incisions were healed by first intention, and complications such as infection, implant reactions, tendon injury, and nervous or vascular injuries were not observed. The ankle proprioceptive recovery in horizontal mattress suture and free‐edge suture groups showed no significant differences at 1 and 2 years after surgery. The mean time of the return to full activity for patients in the horizontal mattress suture group was 10.38 ± 2.02 (range 8 to 12) weeks vs 8.63 ± 2.31 (range 8 to 12) weeks for those in the free‐edge suture group (P = 0.001, power = 0.907). The exercise participation rates were comparable between groups (P > 0.05). At the 2‐year follow‐up, all patients regained normal activities and ankle stability, and no recurrence of CLAI or revision surgery was recorded. Conclusion All‐inside arthroscopic Broström–Gould surgery for the treatment of CLAI ensures a better functional effect (KAFS) and better recovery time when free‐edge suture is used instead of horizontal mattress suture.
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Arthroscopic Remnant-Preserving Anterior Talofibular Ligament Reconstruction does not Improve Mid-term Function in Chronic Ankle Instability
Article
  • May 2020
  • INJURY
Background Anterior talofibular ligament (ATFL) reconstruction is routinely undertaken to manage chronic lateral ankle instability (CLAI). This study evaluated the effects on clinical outcome of preserving or not preserving the ATFL remnant when reconstructing the ATFL. Methods From January 2015 to July 2017, 53 CLAI patients with ATFL injury were randomized to undergo either a remnant-preserving (preservation of ATFL) or a non-preserving (no preservation of ATFL) anatomic reconstruction of the ATFL using an ipsilateral free semitendinosus tendon autograft. The Visual Analogue Scale (VAS) score, the American Orthopedic Foot and Ankle Society (AOFAS) score, Karlsson Ankle Functional Score (KAFS), Anterior Talar Translation (ATT), and ankle proprioceptive recovery in both groups were compared. Results All patients were followed up for at least 2 years, VAS, AOFAS, KAFS, ATT and ankle proprioception between two the groups were not statistically significant different. Conclusion There are no differences at 2.5 years in postoperative ankle function, stability and proprioceptive recovery when an ipsilateral free semitendinosus tendon autograft is used to manage CLAI regardless of preservation of the remnant ATFL.
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Trigger Point Dry Needling and Proprioceptive Exercises for the Management of Chronic Ankle Instability: A Randomized Clinical Trial
Article
Full-text available
  • Apr 2015
  • EVID-BASED COMPL ALT
Objective. To compare the effects of combined trigger point dry needling (TrP-DN) and proprioceptive/strengthening exercises to proprioceptive/strengthening exercises on pain and function in ankle instability. Methods. Twenty-seven (44% female, mean age: years) individuals with unilateral ankle instability were randomly assigned to an experimental group who received proprioceptive/strengthening exercises combined with TrP-DN into the lateral peroneus muscle and a comparison group receiving the same proprioceptive/strengthening exercise program alone. Outcome included function assessed with the Foot and Ankle Ability Measure (FAAM) and ankle pain intensity assessed with a numerical pain rate scale (NPRS). They were captured at baseline and 1-month follow-up after the intervention. Results. The ANOVAs found significant Group Time Interactions for both subscales of the FAAM (ADL: ; ; SPORTS: ; ) and for pain (; ): patients receiving TrP-DN plus proprioceptive/strengthening exercises experienced greater improvements in function and pain than those receiving the exercise program alone. Between-groups effect sizes were large in all outcomes (SMD > 2.1) in favor of the TrP-DN group. Conclusions. This study provides evidence that the inclusion of TrP-DN within the lateral peroneus muscle into a proprioceptive/strengthening exercise program resulted in better outcomes in pain and function 1 month after the therapy in ankle instability.
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Effects of spiral taping applied to the neck and ankle on the body balance index
Article
Full-text available
  • Jan 2015
[Purpose] This study was performed to investigate the changes in the body balance index when spiral taping is applied to the neck and ankle. The findings are expected to serve as evidence of the usefulness of taping the neck instead of the ankle when ankle taping is not feasible in clinical practice. [Subjects and Methods] Twenty healthy male students at A university were enrolled in this study. Balance measurements were made under three conditions: no intervention, ankle intervention and neck intervention. Static balance was measured with subjects' eyes open and closed, and dynamic balance was measured with subjects' eyes closed. [Results] There were significant differences in dynamic balance assessed by the Overall Balance Index (OBI), and the Anteroposterior Balance Index (ABI) with subjects' eyes open when ankle or neck taping was applied compared to no intervention. The static balance (OBI) of subjects with eyes open showed significant differences from the no intervention condition in both the ankle and neck intervention. The static balance (OBI) with subjects' eyes closed also showed significant differences in both the ankle and neck interventions compared to the no intervention condition. [Conclusion] Our results indicate that neck taping stimulates the somatic senses around the neck and increase proprioception, resulting in balance improvement similar to that elicited by ankle taping. Further studies with larger sample sizes various experimental conditions should be performed to more systematically and objectively elucidate the effects of neck taping.
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The Effects of Spiral Taping Treatment on Low Back Pain
Article
Full-text available
  • Feb 2006
Objective : The purpose of this study is to estimate the effects of spiral taping treatment on low back pain. Methods : 420 low back pain patients were treated with spiral taping or spiral taping plus herbal medicine, and no other treatments such as acupuncture, herbal acupuncture, and chiropractic therapy were added. We evaluated the improvement by physical examination and pain. Results : 364 patients felt no pain or inconvenience of daily life and 43 patients showed improvement of pain or symptom after 1 month of treatment. 13 patients showed same pain with before treatment. Conclusions : These results suggest spiral taping treatments contribute to the improvement of low back pain. Further study is needed for the confirmation of this effect of spiral taping treatments on low back pain.
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The Effect of the Kinesio Taping and Spiral Taping on Menstrual Pain and Premenstrual Syndrome
Article
Full-text available
  • Jul 2013
[Purpose] The purpose of this study was to compare the effects of Kinesio taping and spiral taping on menstrual pain and premenstrual syndrome, to investigate the efficacy of the two types of taping as methods for alleviating menstrual pain and premenstrual syndrome. [Subjects and Methods] The subjects of this study were 34 unmarried women. The subjects were randomly divided into a Kinesio taping group, a spiral taping group and a control group. Subjects with a regular menstrual cycle underwent taping a total of six times; twice a week for about three weeks, starting from 14 days before menstruation and continuing until its end. Degrees of menstrual pain and premenstrual syndrome were measured before the application of taping. [Results] The results revealed that Kinesio taping had significant effects on menstrual pain, while spiral taping was effective at alleviating both menstrual pain and premenstrual syndrome. [Conclusion] Both taping methods before menstruation brought significant relief to menstrual pain, which suggests that spiral taping is an effective method of alleviating premenstrual symptoms.
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Effects of Kinesio Tape Compared With Nonelastic Sports Tape and the Untaped Ankle During a Sudden Inversion Perturbation in Male Athletes
Article
Full-text available
  • May 2011
Controlled laboratory study. To examine the effect of 2 adhesive tape conditions compared to a no-tape condition on muscle activity of the fibularis longus during a sudden inversion perturbation in male athletes (soccer, team handball, basketball). Ankle sprains are common in sports, and the fibularis muscles play a role in providing functional stability of the ankle. Prophylactic ankle taping with nonelastic sports tape has been used to restrict ankle inversion. Kinesio Tape, an elastic sports tape, has not been studied for that purpose. Fifty-one male premier-league athletes were tested for functional stability of both ankles with the Star Excursion Balance Test. Based on the results, those with the 15 highest and those with the 15 lowest stability scores were selected for further testing. Muscle activity of the fibularis longus was recorded with surface electromyography during a sudden inversion perturbation. Each participant was tested under 3 conditions: ankle taped with nonelastic white sports tape, ankle taped with Kinesio Tape, and no ankle taping. Differences in mean muscle activity were evaluated with a 3-way mixed-model analysis of variance (ANOVA) for the 3 conditions, across four 500-millisecond time frames, and between the 2 groups of stable versus unstable participants. Differences in peak muscle activity and in the time to peak muscle activity were evaluated with a 2-way mixed-model ANOVA. Significantly greater mean muscle activity was found when ankles were taped with nonelastic tape compared to no tape, while Kinesio Tape had no significant effect on mean or maximum muscle activity compared to the no-tape condition. Neither stability level nor taping condition had a significant effect on the amount of time from perturbation to maximum activity of the fibularis longus muscle. Nonelastic sports tape may enhance dynamic muscle support of the ankle. The efficacy of Kinesio Tape in preventing ankle sprains via the same mechanism is unlikely, as it had no effect on muscle activation of the fibularis longus.
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Extended Use of Kinesiology Tape and Balance in Participants With Chronic Ankle Instability
Article
  • Jan 2016
  • J ATHL TRAINING
Context: Participants with chronic ankle instability (CAI) have been shown to have balance deficits related to decreased proprioception and neuromuscular control. Kinesiology tape (KT) has been proposed to have many benefits, including increased proprioception. Objective: To determine if KT can help with balance deficits associated with CAI. Design: Cohort study. Setting: Research laboratory. Patients or other participants: Thirty participants with CAI were recruited for this study. Intervention(s): Balance was assessed using the Balance Error Scoring System (BESS). Participants were pretested and then randomly assigned to either the control or KT group. The participants in the KT group had 4 strips applied to the foot and lower leg and were instructed to leave the tape on until they returned for testing. All participants returned 48 hours later for another BESS assessment. The tape was then removed, and all participants returned 72 hours later to complete the final BESS assessment. Main outcome measure(s): Total BESS errors. Results: Differences between the groups occurred at 48 hours post-application of the tape (mean difference = 4.7 ± 1.4 errors, P < .01; 95% confidence interval = 2.0, 7.5) and at 72 hours post-removal of the tape (mean difference = 2.3 ± 1.1 errors, P = .04; 95% confidence interval = 0.1, 4.6). Conclusions: The KT improved balance after it had been applied for 48 hours when compared with the pretest and with the control group. One of the most clinically important findings is that balance improvements were retained even after the tape had been removed for 72 hours.
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Postural taping applied to the low back influences kinematics and EMG activity during patient transfer in physical therapists with chronic low back pain
Article
  • Mar 2013
We examined the influence of the application of postural taping on the kinematics of the lumbo-pelvic-hip complex, electromyographic (EMG) activity of back extensor muscles, and the rating of perceived exertion (RPE) in the low back during patient transfer. In total, 19 male physical therapists with chronic low back pain performed patient transfers with and without the application of postural taping on the low back. The kinematics of the lumbo-pelvic-hip complex and EMG activity of the erector spinae were recorded using a synchronized 3-D motion capture system and surface EMG. RPE was measured using Borg's CR-10 scale. Differences in kinematic data, EMG activity, and RPE between the two conditions were analyzed using a paired t-test. Peak angle and range of motion (ROM) of lumbar flexion, EMG activity of the erector spinae, and RPE decreased significantly, while peak angle and ROM of pelvic anterior tilt and hip flexion increased significantly during patient transfer under the postural taping condition versus no taping (p<0.05). These findings suggest that postural taping can change back extensor muscle activity and RPE as well as the kinematics of the lumbo-pelvic-hip complex in physical therapists with chronic low back pain during patient transfer.
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A systematic review to determine the reliability of knee joint position sense assessment measures
Article
  • Jul 2012
Background: The assessment of joint position sense (JPS) is the most widely used measurement of knee proprioceptive capability within the literature. However, it remains unclear what the most reliable method is to assess this. The purpose of this study was to determine the intra- and inter-rater reliability of the various methods used to assess knee JPS. Methods: A systematic review of published and unpublished literature sources was conducted up to June 2012. All studies principally assessing the reliability (intra- or inter-rater) or reproducibility of a JPS of the knee were included. The methodological quality of each study was reviewed using the Critical Appraisal Skills Programme tool. Results: A total of 18 studies were eligible, assessing the reliability of JPS with 456 knees. The reliability of four methods of JPS has been recorded: position replication using a model, image recorded angulation, electrogoniometry and dynamometry/angular motion chair. Intra-rater reliability was good for the assessment of JPS using photographs and digital images, and replicating knee position using a paper model, this was good but variable when electrogoniometry was used, and moderate but variable when assessed using dynamometry/angle motion chairs. The assessment of JPS by image recorded angulation, electrogoniometry and dynamometry/angular motion chair has demonstrated good inter-rater reliability. Conclusions: Whilst JPS methods appear to have variable reliability, the four assessment methods should be further assessed with pathological populations such as those following patellar dislocation or anterior cruciate ligament rupture. This will better facilitate the generalisability of JPS assessment methods to inform clinical practice.
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Ankle Instability Is Associated with Balance Impairments: A Meta-Analysis
Article
  • Apr 2009
  • MED SCI SPORT EXER
Our primary purpose was to determine whether balance impairments were associated with functional ankle instability (FAI). Our literature search consisted of four parts: 1) an electronic search of PubMed, CINAHL, pre-CINAHL, and SPORTDiscus; 2) a forward search of articles selected from the electronic search using the Science Citation Index; 3) a hand search of the previously selected articles; and 4) a direct contact with corresponding authors of the previously selected articles. We initially identified 145 articles and narrowed these to 23 for inclusion in the meta-analysis. Identified outcomes were categorized by measurement units and balance task type (i.e., dynamic or static). Each study was coded based on whether inclusion or exclusion criteria were identified. Our statistical analysis included fixed, random, or mixed effect analyses based on the presence of within study heterogeneity and whether categories were being compared. FAI was associated with poorer balance (standard difference of the mean [SDM] = 0.455, 95% confidence interval = 0.334-0.577, Z = 7.34, P < 0.001), but no difference existed between dynamic and static measure categories (Q = 3.44, P = 0.063). However, there was a significant difference between the dynamic measures (Q = 6.22, P = 0.013) with both time to stabilization and the Star Excursion Balance Test producing significant SDM and between static measures (Q = 13.00, P = 0.012) with the linear, time, velocity, and other measurement categories (but not area) producing significant SDM. Examination of individual outcomes revealed that time in balance and foot lifts produced very large SDM (3.3 and 4.8, respectively). FAI is associated with impaired balance. Due to the relatively large effect sizes and simplicity of use of time in balance and foot lifts, we recommend that further research should establish their clinical validity and clinical cutoff scores.
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Prophylactic Ankle Taping: Elastic Versus Inelastic Taping
Article
  • Apr 2009
The ankle is frequently injured in sporting activities, and therefore it is frequently protected with prophylactic ankle taping. This study aimed first, to compare the mechanical fatigue of two types of prophylactic ankle taping after 30 minutes of intense exercise, one made with elastic tape (ET) and the other with inelastic tape (IT), and second, to investigate the subjects' perception on the tape restriction and comfort. Twenty-seven active women (mean age, 20.6 +/- 4.1 years), without previous ankle injuries volunteered for the study. The participants were tested on three different conditions: with elastic ankle taping, with inelastic taping, and without taping, before and after 30 minutes of intense exercise. The ankle passive ranges of movement (ROMs) were measured before and after exercise, and a subjective scale on taping comfort and restriction was completed by the subjects. Both types of ankle taping showed less ROM restriction after 30 minutes of exercise in inversion (IT = 27% and ET = 21%), and plantarflexion (IT = 8% and ET = 6%). The IT showed more loss of restriction than the ET, with significant differences in inversion (p < 0.05). The participants perceived the ET as more comfortable and less restrictive. We would recommend the use of ET as the first choice for prophylactic ankle taping because it produces the same restriction in the ROM as the IT with less taping fatigue, and is perceived as more comfortable and less restrictive by the users.
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