Effect of Kinesiotaping on Lower Limb Kinematics and Functional Related Outcomes Among Female Athletes With Chronic Lateral Ankle Instability

Обзор

The current study aims to measure the effect of adding kinesiology tape to ankle mobilization with movement with calf muscles flexibility exercise on dorsiflexion range of motion, dynamic balance, lower limb kinematics, and self-reported physical function versus mobilization with movement, calf muscles flexibility exercise, and placebo kinesiotapping in female basketball players with unilateral chronic lateral ankle instability

Подробное описание

Chronic ankle instability affects up to 70% of individuals with lateral ankle sprain, causing pain, recurrent sprains, and instability. This condition significantly impacts physical and financial welfare, necessitating effective treatment techniques. Ankle injuries are common in healthy, active individuals, affecting women more frequently than men. These injuries can cost healthcare systems around the United States dollars 6.2 billion in high school athletes in the United States and euro 208 million in the Netherlands annually. Most rehabilitation protocols focus on isolated interventions, neglecting the potential benefits of combined strategies. This study contributes to evidence-based practice by adding to existing knowledge on chronic ankle instability rehabilitation practices and supporting healthcare professionals in implementing effective treatment plans. Combined intervention strategies may enhance dorsiflexion range of motion, lower limb kinematics, ankle stability, postural control, and athletic performance, reducing time away from sports.

Вмешательства

• Другое Flexibility Exercise
  Participants will perform calf muscle stretching exercises. The participant will be asked to keep the knee of the stretched leg straight with the heel flat on the ground, slightly bend the front knee, and push the hips toward a wall. The exercise will be done in 2 sets of 3 repetitions, every repetition for 30 seconds and a ten-second rest, with a one-minute rest between sets
• Другое Mulligan mobilization with movement
  The Mulligan mobilization techniques involve talar glide and fibular glide. Talar glide involves manually stabilizing the patient's talus and leg with anteroposterior direction pressure, while fibular glide involves a pain-free sustained anterior to posterior, slightly superior, and lateral glide of the distal fibula. The patient is then asked to plantar-flex, invert the foot, and perform overpressure. The technique is performed during ankle dorsiflexion in a closed kinetic chain.
• Другое Kinesiology Taping
  The length of tape is calculated using a formula: B = A + (XA ∗ 0.35), where "A" is the tape's length, "X" is the pretension, "0.35" is the 35% tension, and "B" is the muscle's length from origin to insertion. In this study, 50% pretension was used, and "A" was added to the tails. Fibular taping is applied immediately after the MWM to improve positional alignment, wrapping around the distal tibia and applying Mueller tape in the same direction. Talar taping involves wrapping Mueller tape from th
• Другое Placebo tape
  The formula for cutting tape length is B = A + (XA ∗ 0.35), where "A" represents the tape's length, "X" is the pretension, "0.35" is the 35% tension, and "B" is the muscle's length from origin to insertion. In this study, 50% pretension was used, and "A" was added to the tails' length. The tape application involves two steps: from below the medial calcaneus to the medial aspect of the lower leg, and from below the lateral malleolus to the lateral aspect.

Первичные конечные точки

• Assessment of change of Dorsiflexion range of motion [Срок оценки: at baseline and after 2 weeks]

Вторичные конечные точки (3)

• assessment of change of dynamic balance [Срок оценки: at baseline and after 2 weeks]
• assessment of change of single-leg squat performance [Срок оценки: at baseline and after 2 weeks]
• assessment of change of ankle physical function [Срок оценки: at baseline and after 2 weeks]

Критерии участия

Критерии включения

• Aged 18-24 years.
• chronic ankle instability group has a history of unilateral ankle inversion injury since at least one year before the study onset
• A period of restricted weight-bearing and/or immobilization for at least one day
• The patient reported a tendency to give way during functional activities
• Positive anterior drawer test and/or talar tilt test
• At least 2 giving-way episodes within 6 months before the study enrollment and/or recurrent ankle sprain
• Score of 24 on the Cumberland ankle instability tool

Критерии исключения

• Acute ankle injuries within the past 3 months.
• Any other lower extremity injuries or surgeries that could affect balance or ankle function.
• Participation in either formal or informal rehabilitation before enrollment in the study
• Skin allergy from kinesiotaping.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• Faculty of Physical education for females, Helwan university — Helwan

Идентификаторы

NCT: NCT07054788 · Mahmoud-005551

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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