Effect of Elastic Taping on Motions of Ankle Syndesmosis Joint
Date Issued
2009
Date
2009
Author(s)
Liu, Yu-Hsiu
Abstract
Ankle syndesmosis injury has been reported approximately 1%~ 18% of patients with ankle sprain. Compared with patients with other ankle sprains, ankle syndesmosis injury takes more period of time to get recovery. The common intervention of ankle syndesmosis injury is to apply either athletic or elastic taping onto the injured joint in order to bind the tibia and the fibula together. Although the confinement effect of such taping is appreciated by the injured athletes, there are no solid evidences provided yet. Therefore, the purpose of this research was to examine the effect of either athletic or elastic taping on motion of the ankle syndesmosis joint.hirty young healthy adults were recruited in this study, 15 men and 15 women with mean age of 24.3 ± 3.1 (20~ 29) years. Two sensors were attached onto bilateral malleoli of the ankle to be tested in order to analyze the deep squat task using an electromagnetic device. All participants were tested in three conditions: non-taping, elastic taping, and athletic taping in a random order. The participant was asked to perform deep squat from quiet stance with the fastest speed, and then to stand up immediately with the fastest speed. Three trials were collected for each condition. An average of three trials of bilateral malleoli distance was used to represent the mobility of the ankle syndesmosis, and the ankle angle at the deep squat moment served as a covariate. After completing the test of each condition, all participants were asked to point out the degree of comfortability during performing deep squat, heel rise, one-leg stance, walking, and running when either elastic or athletic taping was applied. For statistical analyses, A mixed model ANOVA was used to compare the differences of the changes of bilateral malleoli distance from quiet stance to deep squat among three different conditions. Additionally, the Wilcoxon signed ranks test was used for examining the comfortability in performing deep squat, heel rise, one-leg stance, walking, and running between two taping conditions.he results showed that measurement of ankle syndesmosis using the electromagnetic system presented high ICC values（ICC= .88~ .99）, lower SEM%( SEM%<1%), and SRD% value (SRD%<1.5%), indicating an excellent intrarater reliability. Changes in bilateral malleoli distance from quiet stance to deep squat was 4.8 ± 1.3 mm for the non-taping condition, 4.4 ± 1.3 mm for elastic taping, and 4.8 ± 1.5 mm for athletic taping, respectively. Although the mean value of change in bilateral malleoli distance tended to be less in the elastic taping condition than the other two conditions, there was no significant differences among these three condition (p= .084). Comfortability in performing deep squat, heel rise, one-leg stance, walking, and running were lower for the athletic taping condition as compared to the elastic taping one (p<0.001). his research is the first study to quantify the ankle syndesmosis motion during deep squat test using FASTRAK motion analysis system and to compare the confinement effect of taping for ankle syndesmosis motion. Since this research recruited healthy adults only, the effect of elastic taping to restrict ankle syndesmosis motion is not visible. However, using elastic taping in syndesmosis provides more comfortability than using athletic taping, indicating another better treatment alternative in clinic.
Subjects
ankle syndesmosis
elastic taping
motion analysis
reliability
sport injury
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