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Effect of taping on actual and perceived dynamic postural stability in persons with chronic ankle instability

DELAHUNT E; MCGRATH BE; DORAN N; COUGHLAN GF
ARCH PHYS MED REHABIL , 2010, vol. 91, n° 9, p. 1383-1389
Doc n°: 148270
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2010.06.023
Descripteurs : DF11 - POSTURE. STATION DEBOUT, DE75 - PATHOLOGIE - CHEVILLE
Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To investigate whether 2 different mechanisms of ankle joint taping
([1] lateral subtalar sling or [2] fibular repositioning) can enhance actual and
perceived dynamic postural stability in participants with chronic ankle
instability (CAI). DESIGN: Laboratory-based repeated-measures study. SETTING:
University biomechanics laboratory. PARTICIPANTS: Participants (n=16) with CAI.
INTERVENTIONS: Participants performed the Star Excursion Balance Test (SEBT)
under 3 different conditions: (1) no tape, (2) lateral subtalar sling taping and
(3) fibular repositioning taping. MAIN OUTCOME MEASURES: Reach distances in the
anterior, posteromedial, and posterolateral directions on the SEBT. Participants'
perceptions of stability, confidence, and reassurance when performing the SEBT
under 2 different taping conditions. RESULTS: Taping did not improve reach
distance on the SEBT (P>.05). Feelings of confidence increased for 56% of
participants (P=.002) under both tape conditions. Feelings of stability increased
for 87.5% of participants (P<.001) using condition 2 (lateral subtalar sling
taping) and 75% of participants (P=.001) using condition 3 (fibular repositioning
taping). Feelings of reassurance increased for 68.75% of participants (P=.001)
using condition 2 (lateral subtalar sling taping) and 50% of participants
(P=.005) using condition 3 (fibular repositioning taping). CONCLUSIONS: No
significant change in dynamic postural stability was observed after application
of either taping mechanism; however, participants' perceptions of confidence,
stability, and reassurance were significantly improved. Further research is
necessary to fully elucidate the exact mechanisms by which taping may help reduce
the incidence of repeated injury in subjects with CAI.

Langue : ANGLAIS

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