中国组织工程研究

中国组织工程研究 ›› 2025, Vol. 29 ›› Issue (14): 2989-2994.doi: 10.12307/2025.606

• 组织构建与生物力学 tissue construction and biomechanics • 上一篇    下一篇

不同类型贴布对慢性踝关节不稳患者行走时踝关节运动学的影响

柳  青1，马  刚2，曹建玲1，张  宇1，熊  优1，何瑞波2   

  1. 1西安体育学院，陕西省西安市  710068；2中国人民武装警察部队后勤学院卫生勤务系，天津市  300309
  • 收稿日期:2024-05-06 接受日期:2024-06-26 出版日期:2025-05-18 发布日期:2024-09-29
  • 通讯作者: 何瑞波，硕士，讲师，中国人民武装警察部队后勤学院卫生勤务系，天津市 300309
  • 作者简介:柳青，男，1979年生，陕西省西安市人，2023年菲律宾黎刹大学毕业，博士，副教授，主要从事运动与健康促进方面的研究。
  • 基金资助:
    陕西省社会科学基金项目(2021Q002)，项目负责人：柳青；天津市重点实验室开放基金(SY-04-20203-004)，项目负责人：马刚；武警后勤学院基础研究项目(WHJ202303)，项目负责人：何瑞波

Effects of different types of taping on ankle joint kinesiology during walking in patients with chronic ankle instability

Liu Qing1, Ma Gang2, Cao Jianling1, Zhang Yu1, Xiong You1, He Ruibo2   

  1. 1Xi’an Physical Education University, Xi’an 710068, Shaanxi Province, China; 2Department of Health Service, Logistics University of the Chinese People’s Armed Police Force, Tianjin 300309, China
  • Received:2024-05-06 Accepted:2024-06-26 Online:2025-05-18 Published:2024-09-29
  • Contact: He Ruibo, MS, Lecturer, Department of Health Service, Logistics University of the Chinese People’s Armed Police Force, Tianjin 300309, China
  • About author:Liu Qing, PhD, Associate professor, Xi’an Physical Education University, Xi’an 710068, Shaanxi Province, China
  • Supported by:
    Shaanxi Social Science Foundation Project, No. 2021Q002 (to LQ); Tianjin Key Laboratory Open Fund, No. SY-04-20203-004 (to MG); Basic Research Project of Logistics University of the Chinese People’s Armed Police Force, No. WHJ202303 (to HRB)

PDF

145

摘要：


文题释义：
慢性踝关节不稳：是指踝关节周围韧带受损导致踝关节不稳定而引起踝关节频繁扭伤的现象。患者常形成扭伤-不稳-再次扭伤的恶性循环，可造成关节软骨损伤，重者可形成创伤性关节炎，从而严重影响患者的生活质量。
贴扎：是一种将贴布贴于皮肤以达到增进或保护肌肉骨骼系统的非侵入性治疗，旨在固定关节位置及限制软组织活动，使软组织在稳定状况下进行修复。其原理并非给予身体任何外来物质去修复受损组织，而是提供组织良好的支撑环境，利用自然修复机制进行康复。

背景：慢性踝关节不稳患者行走时倾向于过度足内翻，这将增加步行周期支撑相踝关节扭伤的风险。临床医生常使用肌内效贴布或运动贴布进行踝关节贴扎。由于肌内效贴布具有弹性，而运动贴布无法拉伸，因此两者技术应用和生理机制存在差异，进而可能产生不同的康复疗效。
目的：对比肌内效贴布和运动贴布干预对慢性踝关节不稳患者步行支撑相足额状面和胫骨水平面运动的影响。
方法：40名慢性踝关节不稳患者随机分为肌内效贴布组和运动贴布组，肌内效贴布组从后足内侧向外侧粘贴2条贴布，以产生外翻拉力；运动贴布组采用踝关节闭锁式编篮贴扎。分别于贴扎前后在电动跑台上进行行走测试，利用三维运动分析系统获取受试者足部和胫骨运动学参数。
结果与结论：肌内效贴布组贴扎后于支撑相早期足外翻角度增加(P < 0.05)，但对支撑相晚期足的位置无影响(P > 0.05)；运动贴布组贴扎后于支撑相晚期胫骨内旋增加(P < 0.05)，而支撑相早期胫骨位置无明显改变(P > 0.05)。结果表明：与运动贴布相比，肌内效贴布能够提供灵活的拉力，有利于步态周期中支撑相早期足外翻，同时不限制支撑相晚期的正常足内翻。因此，肌内效贴布可能是慢性踝关节不稳患者的实用康复疗法，在纠正踝关节异常运动的同时不限制其自然运动。
https://orcid.org/0009-0002-4914-4251(柳青)

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

关键词: 肌内效贴布, 运动贴布, 慢性踝关节不稳, 踝关节运动学, 步态周期

Abstract: BACKGROUND: Patients with chronic ankle instability tend to overpronate when walking, which increases the risk of ankle sprain during the stance phase of the walking cycle. Clinicians often use Kinesio taping or athletic taping for ankle taping. Since Kinesio taping is elastic and athletic taping cannot be stretched, there are differences in technical applications and physiological mechanisms between them, which may result in different rehabilitation effects. 
OBJECTIVE: To compare the effects of Kinesio taping and athletic taping on the frontal plane of the foot motion and the horizontal plane of the tibia motion in patients with chronic ankle instability during the stance phase of walking. 
METHODS: Forty patients with chronic ankle instability were randomly divided into Kinesio taping group and athletic taping group. In the Kinesio taping group, two patches were pasted from the inside to the outside of the hind foot to generate pulling tension that facilitates foot eversion; in the athletic taping group, ankle locking basket taping was used. Walking tests were conducted on an electric treadmill before and after taping. A three-dimensional motion analysis system was used to obtain the kinematic parameters of the subjects’ foot and tibia. 
RESULTS AND CONCLUSION: After taping, in the Kinesio taping group, the foot valgus angle increased in the early stance phase (P < 0.05), but there was no effect on foot position in the late stance phase (P > 0.05). After taping, in the athletic taping group, internal rotation of the tibia increased in the late stance phase (P < 0.05); however, there was no significant change in tibial position in the early stance phase (P > 0.05). To conclude, compared with athletic taping, Kinesio taping can provide a flexible pulling force that is beneficial for foot eversion in the early stance phase of the gait cycle, while not restricting normal foot inversion in the late stance phase. Therefore, Kinesio taping may be a practical rehabilitation therapy for patients with chronic ankle instability, correcting abnormal motion of the ankle joint without restricting its natural motion.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

Key words: Kineso taping, athletic taping, chronic ankle instability, ankle joint kinesiology, gait cycle

中图分类号: