Effectiveness of Novel Ankle Prophylactic Compared With Lace-Up Brace or Tape

Context: Conventional ankle prophylactics restrict harmful ankle inversion motions that lead to injury. But these existing prophylactics also limit other ankle motions, potentially leading to detriments in functional joint capacity. The ankle roll guard (ARG) may alleviate the prevailing issues of existing ankle prophylactics and prevent harmful ankle inversion, while allowing other joint motions. Objective: This technical report sought to compare the ARG’s ability to prevent ankle inversion, but not restrict other ankle motions with existing prophylactics. Design: Repeated-measures study. Setting: Motion capture laboratory. Participants: Thirty participants. Intervention: Each participant had dominant limb ankle kinematics recorded during 5 successful trials of a sudden inversion event and 30-cm drop landing task with each of 4 conditions (ARG, ASO ankle stabilizer [brace], closed-basket weave athletic tape [tape], and unbraced [control]). Main Outcome Measures: Peak ankle inversion angle, range of inversion motion (ROM), and time to peak inversion during the sudden inversion event, and ankle plantar- and dorsiflexion ROM during the drop landing were submitted to a 1-way repeated-measures analysis of variance to test the main effect of prophylaxis. Results: Participants exhibited greater inversion ROM with control compared with tape (P = .001), and greater plantar- and dorsiflexion ROM with ARG and control compared with brace (P = .02, P = .001) and tape (P = .02, P < .001). It took significantly longer to reach peak ankle inversion with brace and tape compared with ARG (P < .001, P = .001) and control (P = .01, P = .01). No significant difference in peak ankle inversion was observed between any condition (P > .05). Conclusion: The ARG may prevent ankle inversion angles where injury is thought to occur (reportedly >41°), but is less restrictive than existing prophylactics. The less restrictive ARG may make its use ideal during rehabilitation as it allows ankle plantar- and dorsiflexion motions, while preventing inversion related to injury.

Immediate effect of kinesiology tape on ankle stability

BackgroundLateral ankle sprain is one of the most common musculoskeletal injuries, particularly among the sporting population. Due to such prevalence, many interventions have been tried to prevent initial, or further, ankle sprains. Current research shows that the use of traditional athletic tape can reduce the incidence of sprain recurrence, but this may be at a cost to athletic performance through restriction of motion. Kinesiology tape, which has become increasingly popular, is elastic in nature, and it is proposed by the manufacturers that it can correct ligament damage. Kinesiology tape, therefore, may be able to improve stability and reduce ankle sprain occurrence while overcoming the problems of traditional tape.AimTo assess the effect of kinesiology tape on ankle stability.Methods27 healthy individuals were recruited, and electromyography (EMG) measurements were recorded from the peroneus longus and tibialis anterior muscles. Recordings were taken from the muscles of the dominant leg during induced sudden ankle inversion perturbations using a custom-made tilting platform system. This was performed with and without using kinesiology tape and shoes, creating four different test conditions: barefoot(without tape), shoe(without tape), barefoot(with tape) and shoe(with tape). For each test condition, the peak muscle activity, average muscle activity and the muscle latency were calculated.ResultsNo significant difference (p>0.05) was found by using the kinesiology tape on any of the measured variables while the wearing of shoes significantly increased all the variables.ConclusionKinesiology tape has no effect on ankle stability and is unable to nullify the detrimental effects that shoes appear to have.

Uso del vendaje neuromuscular en disfunciones orofasciales: intervención desde Fisioterapia y Fonoaudiología

En la última década, el vendaje neuromuscular se ha convertido en una técnica utilizada por fonoaudiólogos con asesoría de fisioterapia para el tratamiento de déficits de percepción oral, sensibilidad, cierre labial, succión oral, incoordinación motora para la deglución y masticación. Esta técnica ha demostrado tener un efecto significativo en el aumento de la calidad de vida de pacientes con afecciones de este tipo. Objetivo realizar un estudio de reflexión de la literatura a cerca del uso del vendaje neuromuscular utilizado por fonoaudiología y fisioterapia en alteraciones de cabeza y cuello. Método Revisión de estudios contemplados del año 2000 al 2017, que contemplara los siguientes términos DeCS: speech therapy, Sialorrhea, athletic Tape. Resultados Con los datos obtenidos en la evidencia se pudo determinar que el vendaje neuromuscular es una herramienta utilizada por el área de fonoaudiología y fisioterapia las cuales trabajan conjuntamente en la atención a pacientes con patologías como parálisis cerebral, autismo y enfermedades neuromusculares que produzcan problemas como disfonía, alteración de la deglución, hipotonía en musculatura de cuello, disfunciones orofasciales que alteren actividades de la vida diaria de la persona. Conclusión El vendaje neuromuscular es una herramienta utilizada por fonoaudiología y fisioterapia en disfunciones orofasciales, este método demuestra tener efectos en funciones motoras específicas alteradas por patologías neurológicas que alteran actividades de la vida diaria y calidad de vida de pacientes. Adicionalmente, debe hacerse énfasis en la necesidad de investigaciones con mayor población que permita medir el impacto de este tipo de intervención y sus resultados a nivel funcional

EFFECTS OF ATHLETIC TAPING ON PERFORMANCE OF BASKETBALL ATHLETES WITH CHRONIC ANKLE INSTABILITY

ABSTRACT Introduction: Ankle sprains are recurrent injuries in basketball, hence more and more athletes are taping their ankles to promote joint stability, aiming at improving dynamic balance and, consequently, functional performance. Objective: To verify the effects of elastic and rigid athletic taping on the functional performance and level of comfort of basketball players with chronic ankle instability. Methods: Twenty-one athletes aged between 18 and 30 years (mean age 23.7 ± 3.2) with chronic ankle instability (CAI), verified using the Cumberland Ankle Instability Tool, were selected to take part in this study. The Star Excursion Balance Test (SEBT) and the Figure-of-8 hop test (F8) were applied unilaterally to assess functional performance, considering the ankle of greater instability in three situations: without athletic taping, with rigid athletic taping and with elastic athletic taping. A draw was held to determine the order in which the tests (held over a number of days) would be applied. A questionnaire was conducted to assess comfort on the same day the athletic tapes were applied. Results: There was no significant difference between the tests in any direction of the SEBT, but there was a significant difference in F8 between the rigid athletic taping x control and elastic athletic taping x control situations. In addition, the elastic athletic tape was considered significantly more comfortable than the rigid athletic tape. Conclusion: Athletic taping appears to effectively improve the dynamic balance and functional performance of athletes with CAI only in activities that cause considerable joint stress, as is the case in F8. Elastic athletic tape appears to be just as effective as rigid athletic tape in these situations, in addition to being a significantly more comfortable alternative. Levef of Evidence I; High quality randomized trial with statistically significant difference or no statistically significant difference but narrow confidence intervals.

A Comparison of Kinesiology and Athletic Taping on Ankle Range of Motion

Category: Other Introduction/Purpose: A high prevalence of ankle sprains exists in athletic and non-athletic populations. White athletic tape (WAT), commonly used for prevention and treatment, provides ankle stability while limiting mobility. Athletic taping has demonstrated the ability to limit ROM in all directions, particularly ankle inversion, as inversion injuries represent a vast majority of ankle sprains. Use of kinesiology taping (KT) for the purpose of limiting mobility in the ankle has not been examined. While limiting inversion range of motion may be beneficial in prophylactic management of ankle injuries, limiting ROM in other directions may impact kinematics of other joints in the kinetic chain. To determine the effectiveness of an innovative KT technique for limiting ankle inversion ROM while allowing movement in the other movements of the ankle. Methods: Fifty-three healthy 18-25 year old college students were recruited for this study. Subjects received each of the taping conditions (traditional basket weave WAT, a novel KT method, and no tape) in a randomized order. Manual goniometer measurements were taken in non-weight bearing in the inversion, eversion, dorsiflexion and plantarflexion directions. A handheld inclinometer was used to measure weight bearing ankle dorsiflexion. Measures for each were compared across each taping condition. A repeated measures ANOVA was performed. Results: Significant decreases in ankle ROM (p <.01) were observed in all measures between WAT and no tape. KT demonstrated significant decreases in all ROM compared to no tape (p <.01), except for a minimal decrease in weight bearing ankle dorsiflexion (p>.05). WAT demonstrated significantly greater ROM restriction in all directions than did KT (p<.01), including weight-bearing ankle DF. Conclusion: These results suggest that KT allows for more ankle ROM than traditional WAT in non-weight bearing and weight bearing measures, while still providing significant motion limitation in all motions except weight bearing dorsiflexion (in comparison to no tape). Limiting excessive inversion while simultaneously allowing closer to normal ROM in all other planes may decrease the risk of negatively impacting kinetic chain kinematics associated limited mobility of the ankle.

Influência da bandagem elástica kinesio tape e da hidroterapia na dor pélvica posterior e na funcionalidade nas atividades diárias de gestantes

O presente estudo tem como objetivo verificar a influência da bandagem elástica no tratamento da dor pélvica posterior e na funcionalidade nas atividades de vida diária das gestantes. Trata-se de um estudo experimental, controlado e prospectivo com 20 gestantes, que foram divididas em dois grupos: Grupo de Estudo (bandagem elástica e hidroterapia) e Grupo Comparativo (hidroterapia). A dor foi avaliada pela Escala Visual Numérica e a funcionalidade por meio do questionário de incapacidade funcional de Rolland-Morris. Foram incluídas no projeto 20 gestantes, sendo 10 em cada grupo, com idade entre 18 e 39 anos. Não houve diferença estatística entre os dois grupos (p > 0,05), considerando-se os valores obtidos com esses dois instrumentos de avaliação. Os dois tratamentos mostraram melhora em relação à dor e à funcionalidade das atividades rotineiras das gestantes. Entretanto, o Grupo de Estudo obteve índices melhores do que o Grupo Comparativo. Conclui-se que ambos os tipos de tratamento são eficazes para o tratamento da dor pélvica posterior e para a melhoria da funcionalidade nas atividades diárias em gestantes; e a bandagem elástica pode ser usada no tratamento da dor lombar durante a gravidez de forma segura.Palavras-chave: gestação, dor lombar, athletic tape, Fisioterapia.