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Phys. Ther. Korea 2021; 28(3): 200-207

Published online August 20, 2021

https://doi.org/10.12674/ptk.2021.28.3.200

© Korean Research Society of Physical Therapy

The Effects of Elastic Ankle Taping on Static and Dynamic Postural Control in Individuals With Chronic Ankle Instability

Jin-seok Lim1 , PT, BPT, Seo-hyun Kim1 , PT, BPT, Il-young Moon1 , PT, MSc, Chung-hwi Yi2 , PT, PhD

1Department of Physical Therapy, The Graduate School, Yonsei University, 2Department of Physical Therapy, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Korea

Correspondence to: Chung-hwi Yi
E-mail: pteagle@yonsei.ac.kr

Received: July 5, 2021; Revised: July 13, 2021; Accepted: July 13, 2021

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: Postural control deficit is a major characteristic in patients with chronic ankle instability (CAI). Elastic ankle tapings are commonly used to facilitate postural control in patients with CAI as well as prevent relapse of a lateral ankle sprain. However, equivocal evidence exists concerning the effect of elastic ankle taping on postural control.
Objects: This study aimed to evaluate the effects of elastic ankle tapings using kinesio taping (KT) and dynamic taping (DT) on static and dynamic postural control in patients with CAI.
Methods: Fifteen subjects with CAI were participated in this study. The participants performed tests under three conditions (barefoot, KT, and DT). Static postural control was evaluated using the one-leg standing test (OLST) and dynamic postural control using the modified Star Excursion Balance Test (mSEBT). One-way repeated-measures analysis of variance was used to compare center of pressure (CoP) data and normalized mSEBT reach distances among the three conditions (with α = 0.05).
Results: The CoP parameters (path length, ellipse area, and mean velocity) of the OLST significantly decreased on applying KT and DT compared with those when barefoot. The normalized reach distances in the anteromedial (AM), medial (M), and posteromedial (PM) directions of the mSEBT significantly increased with DT compared to that in the control condition. Further, the higher reach distances with KT compared with those in the control condition were obtained in the M and PM directions of the mSEBT. No significant differences were identified in any of the OLST and SEBT parameters between the two different taping applications.
Conclusion: KT and DT improved static postural control during the OLST compared with the control condition. Moreover, these tapes improved dynamic postural control during the mSEBT compared to the control. Therefore, elastic ankle tapings are useful prophylactic devices for the prevention and treatment of ankle sprain in people with CAI.

Keywords: Ankle joint, Dynamic tape, Joint instability, Kinesio tape, Postural control

Article

Original Article

Phys. Ther. Korea 2021; 28(3): 200-207

Published online August 20, 2021 https://doi.org/10.12674/ptk.2021.28.3.200

Copyright © Korean Research Society of Physical Therapy.

The Effects of Elastic Ankle Taping on Static and Dynamic Postural Control in Individuals With Chronic Ankle Instability

Jin-seok Lim1 , PT, BPT, Seo-hyun Kim1 , PT, BPT, Il-young Moon1 , PT, MSc, Chung-hwi Yi2 , PT, PhD

1Department of Physical Therapy, The Graduate School, Yonsei University, 2Department of Physical Therapy, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Korea

Correspondence to:Chung-hwi Yi
E-mail: pteagle@yonsei.ac.kr

Received: July 5, 2021; Revised: July 13, 2021; Accepted: July 13, 2021

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: Postural control deficit is a major characteristic in patients with chronic ankle instability (CAI). Elastic ankle tapings are commonly used to facilitate postural control in patients with CAI as well as prevent relapse of a lateral ankle sprain. However, equivocal evidence exists concerning the effect of elastic ankle taping on postural control.
Objects: This study aimed to evaluate the effects of elastic ankle tapings using kinesio taping (KT) and dynamic taping (DT) on static and dynamic postural control in patients with CAI.
Methods: Fifteen subjects with CAI were participated in this study. The participants performed tests under three conditions (barefoot, KT, and DT). Static postural control was evaluated using the one-leg standing test (OLST) and dynamic postural control using the modified Star Excursion Balance Test (mSEBT). One-way repeated-measures analysis of variance was used to compare center of pressure (CoP) data and normalized mSEBT reach distances among the three conditions (with α = 0.05).
Results: The CoP parameters (path length, ellipse area, and mean velocity) of the OLST significantly decreased on applying KT and DT compared with those when barefoot. The normalized reach distances in the anteromedial (AM), medial (M), and posteromedial (PM) directions of the mSEBT significantly increased with DT compared to that in the control condition. Further, the higher reach distances with KT compared with those in the control condition were obtained in the M and PM directions of the mSEBT. No significant differences were identified in any of the OLST and SEBT parameters between the two different taping applications.
Conclusion: KT and DT improved static postural control during the OLST compared with the control condition. Moreover, these tapes improved dynamic postural control during the mSEBT compared to the control. Therefore, elastic ankle tapings are useful prophylactic devices for the prevention and treatment of ankle sprain in people with CAI.

Keywords: Ankle joint, Dynamic tape, Joint instability, Kinesio tape, Postural control

Fig 1.

Figure 1.Kinesio ankle taping technique.
Physical Therapy Korea 2021; 28: 200-207https://doi.org/10.12674/ptk.2021.28.3.200

Fig 2.

Figure 2.Dynamic ankle taping technique.
Physical Therapy Korea 2021; 28: 200-207https://doi.org/10.12674/ptk.2021.28.3.200

Fig 3.

Figure 3.One-leg standing test position on the plate form.
Physical Therapy Korea 2021; 28: 200-207https://doi.org/10.12674/ptk.2021.28.3.200

Fig 4.

Figure 4.Modified Star Excursion Balance Test. (A) Three directions. (B) Performance in the medial direction.
Physical Therapy Korea 2021; 28: 200-207https://doi.org/10.12674/ptk.2021.28.3.200

Table 1 . Participant demographics (N = 15).

CharacteristicsValues
Age (y)23.5 ± 1.7
Sex (male:female)9:6
Height (cm)178.1 ± 7.6
Weight (kg)84.9 ± 13.6
No. of previous ankle sprains6.5 ± 2.6
CAIT score13.3 ± 4.3
FAAM, ADL (%)76.0 ± 5.7
FAAM, Sport (%)62.1 ± 3.1

Values are presented as number only or mean ± standard deviation. CAIT, cumberland ankle instability scale; FAAM, foot and ankle ability measure; ADL, activities of daily living..


Table 2 . Means and standard deviations of CoP parameters and the normalized reach distances in 3 conditions.

Conditions

BarefootKinesio tapingDynamic taping
CoP parameters
CoP path length (mm)907.8 ± 256.9822.9 ± 216.1797.5 ± 204.2
Ellipse area (mm2)1,251.0 ± 516.11,017.6 ± 386.1984.2 ± 300.8
Mean velocity (mm/s)45.5 ± 12.741.1 ± 10.939.6 ± 9.7
Reach directions (cm)
Anteromedial77.7 ± 9.080.0 ± 8.881.2 ± 9.0
Medial76.3 ± 6.380.0 ± 7.981.2 ± 7.9
Posteromedial79.1 ± 7.983.3 ± 8.584.4 ± 8.3

CoP, center of pressure..


Table 3 . Post-hoc pairwise comparisons of CoP parameters and the normalized reach distances in 3 conditions.

Conditions

Barefoot - KTBarefoot - DTKT - DT



MDp-valueMDp-valueMDp-value
CoP parameters
CoP path length84.8890.029*110.2890.019*25.4000.320
Ellipse area233.4000.049*266.7780.017*33.3780.610
Mean velocity4.3780.028*5.8670.012*1.4890.255
Reach directions
Anteromedial–2.3120.066–3.5320.006*–1.2190.390
Medial–3.6220.012*–4.9650.001*–1.3430.262
Posteromedial–4.1850.002*–5.2920.003*–1.1070.436

KT, kinesio taping; DT, dynamic taping; MD, mean difference; CoP, center of pressure. *p < 0.05..