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Plantar Foot Pressures After the Augmented Low Dye Taping Technique

机译:增强低染技术后的足底压力

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摘要

>Context: Taping and orthoses are frequently applied to control excessive foot pronation to treat or prevent musculoskeletal pain and injury of the lower limb. The mechanism(s) by which these devices bring about their clinical effects are at best speculative and require systematic evaluation. >Objective: To determine the initial effect of the augmented low Dye taping technique (ALD) on plantar foot pressures during walking and jogging. >Design: Within-subjects, repeated-measures randomized control trial. >Setting: Gait research laboratory. >Patients or Other Participants: Fifteen women and 7 men with an average age of 28.0 ± 7.4 years who were asymptomatic. >Intervention(s): Participants walked and jogged along a 12-m walkway before and after the application of ALD. The untaped side served as the control. >Main Outcome Measure(s): Peak and mean maximum plantar pressure data were calculated for the medial and lateral areas of the rear and midfoot and the medial, central, and lateral forefoot areas. Thus, a 3-factor model was tested: condition (ALD, control) × time (preapplication, postapplication) × area (medial and lateral rearfoot and midfoot and medial, central, and lateral forefoot). >Results: Significant 3-way interactions were present for both peak and mean maximum plantar pressure during walking (F 6,126 = 9.55, P = .006 and F6,126 = 11.36, P = .003, respectively) and jogging (F6,126 = 5.76, P = .026 and F6,126 = 4.56, P = .045, respectively) tasks. The ALD predominantly increased plantar pressures in the lateral midfoot during walking and jogging. In addition, tape reduced mean maximum pressure at the medial forefoot and at the medial rearfoot during walking.>Conclusions: The ALD, which has previously been shown to reduce excessive pronation, produced significant increases in lateral midfoot plantar pressures, thereby providing additional information to be considered when the mechanism(s) of action of such a treatment are modeled.
机译:>背景:经常使用绑带和矫形器来控制脚的过度内旋,以治疗或预防肌肉骨骼疼痛和下肢受伤。这些设备发挥临床作用的机制至多是推测性的,需要系统的评估。 >目的:确定在步行和慢跑过程中增强的低染胶带技术(ALD)对足底压力产生的初步影响。 >设计:受试者内部重复测量的随机对照试验。 >设置:步态研究实验室。 >患者或其他参与者:无症状的15名女性和7名男性,平均年龄为28.0±7.4岁。 >干预:参加ALD前后,参与者沿着12米长的人行道慢跑。未打孔的一侧用作对照。 >主要结果指标:计算后足和中足的内侧和外侧区域以及前脚内侧,中央和外侧区域的峰值和平均最大足底压力数据。因此,测试了一个三因素模型:条件(ALD,对照)×时间(应用前,应用后)×面积(后脚内侧和外侧和中脚以及前脚内侧,中央和外侧)。 >结果:步行过程中峰值和平均最大足底压力存在明显的三向相互作用(F 6,126 = 9.55,P = .006和F6,126 = 11.36,P分别为0.003)和慢跑(F6,126 = 5.76,P = .026和F6,126 = 4.56,P分别为.045)任务。在步行和慢跑过程中,ALD主要增加了中足外侧的足底压力。另外,在步行过程中,胶带减少了前脚内侧和后脚内侧的平均最大压力。>结论:先前已被证明可以减少过度内旋的ALD可使足中外侧足底压力显着增加,从而提供了在进行这种治疗的作用机理时需要考虑的其他信息。被建模。

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