不同踝關節貼紮對於健康年輕成人靜態與動態姿勢穩定的影響

Effect of Different Types of Ankle Taping on Static and Dynamic Postural Stability in Healthy Young Adults

10.6215/FJPT.201912_44(4).0002

楊文傑(Wen-Chieh Yang)；陳瑞琳(Rui-Lin Chen)；陳鈺隆(Yu-Lung Chen)；陳旻鴻(Min-Hong Chen)；范君蔆(Jyun-Ling Fan)；蔡宇筑(Yu-Ju Tasi)

肌內效貼紮 ； 運動貼紮 ； 姿勢穩定 ； Kinesio taping ； Athletic taping ； Postural stability

物理治療

44卷4期（2019 / 12 / 01）

231 - 240

繁體中文

背景與目的：本研究探討不同踝關節貼紮對健康年輕成人靜、動態姿勢穩定的影響。方法：13位健康年輕受試者在慣用側踝關節施以無貼紮、肌內效貼紮與運動貼紮後接受靜態與動態姿勢穩定測試。三種貼紮情境採隨機順序，並於一週內完成3次測試。踝關節蹠屈與背屈的主動、被動活動度以量角器測量。靜態姿勢穩定以張眼、閉眼下單腳站的壓力中心擺盪距離、擺盪面積與站立時間評估。動態姿勢穩定以Y字平衡測試與單腳跳測試評估。結果：在活動度上，運動貼紮下的踝關節主、被動蹠屈角度皆顯著小於無貼紮。閉眼單腳站時，運動貼紮的擺盪距離顯著小於無貼紮，而肌內效貼紮的擺盪面積顯著小於無貼紮。Y字平衡測試時，相較於無貼紮，肌內效貼紮顯著增加前向與慣用側向的伸取，而運動貼紮則顯著減少非慣用側向的伸取。單腳跳測試時，三種貼紮情境的跳躍距離無顯著差異。結論：在健康成人中，不同貼紮皆可增加視覺剝奪下靜態姿勢穩定，而僅肌內效貼紮可增加非爆發力任務中的動態姿勢穩定。

Background and Purpose: This study investigated the effect of different types of taping on the static and dynamic postural stability in healthy young adults. Methods: Thirteen healthy young adults were recruited and tested under three taping conditions, including no taping (NT), Kinesio taping (KT) and athletic taping (AT), which were applied over the dominant ankle. Three taping conditions were randomly sequenced and completed within one week. The range of active and passive ankle plantar flexion and dorsiflexion were measured by a goniometer. Static postural stability was tested using one leg standing test under eyes open and closed, measuring the center of pressure (COP) sway path, sway area and stance time. Dynamic postural stability was tested using Y balance test and single leg hop test. Results: In ankle mobility, AT significantly decreased the active and passive plantar flexion in respect of NT. In one leg standing under eyes closed, AT showed a significantly shorter COP sway path than NT, and KT showed a significantly smaller COP sway area than NT, though no difference in stance time among three taping conditions. In Y balance test, KT significantly increased the reaching distance forward and toward the dominant side in respect of NT; and AT significantly decreased the reaching distance toward the non-dominant side. In single leg hoping test, no significant difference in hoping distance among three taping conditions. Conclusions: In healthy young adults, both KT and AT improve static postural stability under deprived vision, while only KT improves dynamic postural stability under non-explosive task.