Ankle prophylactic interventions in Division III male and female basketball athletes

Prophylactic ankle taping has been considered the basis of lateral ankle injury prevention and has been used at all levels of sport competition. An alternative to ankle taping is a semirigid reusable ankle brace. This study compared the incidence of ankle sprains in Division III collegiate basketball players during a 4 week period. Each subject was randomly selected to one of four groups which include a taping group, bracing group, PowerTape® group, and rehabilitation group. The purpose of this study was to prospectively compare ankle taping, bracing, PowerTaping, and rehabilitation for the prevention of ankle sprains. A total of 25 men and women basketball players were followed up for a 4 week period, 5 ankle sprains occurred with no lateral ankle injuries occurring in either of the PowerTape® groups. There were no statistically significant differences in the incidence of ankle sprains between the 4 groups. Findings of the survey data revealed that subjects reported having no performance deficits in basketball drills, athletic performance, and muscle performance

The effect of self-adherent tape and lace up ankle braces on ankle range of motion and dynamic balance in collegiate football players

Context: Ankle sprains are one of the most common injuries in the physically active population. Previous research has shown that supporting the ankle with taping or bracing methods is effective at preventing ankle sprains. However, no research exists on the effects of self-adherent tape and lace up ankle braces on the restriction of range of motion and dynamic balance in collegiate football players. Objective: To examine the effectiveness of self-adherent tape and lace up ankle braces in reducing ankle range of motion and improving dynamic balance before and after a typical collegiate football practice. Design: Crossover. Setting: Athletic Training Room. Participants: Twenty-nine division I football athletes (age 19.2 ± 1.14yrs, height 187.52cm ± 20.54, mass 106.44kg ± 20.54). Interventions: Each participant wore each prophylactic ankle support condition during a single practice; self-adherent tape on one leg and lace up ankle brace on the other. Range of motion and dynamic balance were assessed three times on each leg throughout the testing session (baseline, pre-practice, post-practice). Main Outcome Measures: Range of motion was assessed using a goniometer. The composite score for the Y-Balance test was used to quantify dynamic balance. Results: There were no significant differences between the tape and brace conditions in range of motion (p=.10) or dynamic balance (p=.83). Conclusion: Both the self-adherent tape and lace up ankle brace provided equal range of motion restriction before and after exercise with no change in dynamic balance. Key Words: Self-Adherent Tape, Lace up Ankle Brace, Y Balance Test, Range of Motion

A systematic review of the effect of footwear, foot orthoses and taping on lower limb muscle activity during walking and running

Background: External devices are used to manage musculoskeletal pathologies by altering loading of the foot, which could result in altered muscle activity that could have therapeutic benefits. Objectives: To establish if evidence exists that footwear, foot orthoses and taping alter lower limb muscle activity during walking and running. Study design: Systematic literature review. Methods: CINAHL, MEDLINE, ScienceDirect, SPORTDiscus and Web of Science databases were searched. Quality assessment was performed using guidelines for assessing healthcare interventions and electromyography methodology. Results: Thirty-one studies were included: 22 related to footwear, eight foot orthoses and one taping. In walking, (1) rocker footwear apparently decreases tibialis anterior activity and increases triceps surae activity, (2) orthoses could decrease activity of tibialis posterior and increase activity of peroneus longus and (3) other footwear and taping effects are unclear. Conclusion: Modifications in shoe or orthosis design in the sagittal or frontal plane can alter activation in walking of muscles acting primarily in these planes. Adequately powered research with kinematic and kinetic data is needed to explain the presence/absence of changes in muscle activation with external devices. Clinical relevance: This review provides some evidence that foot orthoses can reduce tibialis posterior activity, potentially benefitting specific musculoskeletal pathologies

Efeito do sentido de aplicação da banda neuromuscular no tempo de reação do longo peroneal e na oscilação postural

Mestrado em FisioterapiaIntroduction: Ankle sprains are a common injury and fibularis longus plays an important role improving functional stability. Neuromuscular tape seems to improve muscle force, although little is known regarding its effect on latency time and postural sway. Objectives: To examine the effects of Neuromuscular Taping on fibularis longus latency time and postural sway in healthy subjects. Methods: Thirty subjects were randomized into the experimental group 1 (n=10, age 22.4 ± 3.0 years), experimental group 2 (n=10, age 22.6 ± 2.37 years) and control groups (n=10, age 23.5 ± 6.3 years). Before and after the intervention, postural sway was assessed on a force plate and fibularis longus latency time was recorded with surface electromyography during a sudden inversion perturbation. In the experimental group 1, the Neuromuscular Tape was applied from the origin to the insertion of the fibularis longus and then subjects rested with the tape applied during 20 minutes. In the experimental group 2, the Neuromuscular Tape was applied from the insertion to the origin of the fibularis longus and then subjects rested with the tape applied during 20 minutes. The control group rested during the same period without Neuromuscular Tape. Results: At baseline, no differences were found between groups regarding age, anthropometrics variables, postural sway, fibularis longus latency time, peak (%) and peak time. No significant differences were observed within each group between baseline and postintervention measures of Postural Sway (CoPx, p= .485; CoPy, p=.995; Total CoP, p= .983; CoP velocity, p=.979; CoP area, p=.506) and EMG (FLTL, p= .548; peak percentage, p=.185; peak time, p=.748). Conclusion: Neuromuscular tape did not enhance peroneal reaction time and postural sway in young healthy subjects.Introdução: O entorse da Tibiotársica é uma lesão comum e o músculo Longo Peroneal tem um papel importante na estabilidade funcional da articulação. As Bandas Neuromusculares parecem melhorar a força muscular, embora pouco se sabe sobre o seu efeito no tempo de latência e na estabilidade postural. Objetivos: Verificar o efeito das Bandas Neuromusculares no Tempo de Latência do Longo Peroneal e na estabilidade postural em indivíduos saudáveis. Métodos: Trinta indivíduos foram randomizados para o grupo experimental 1 (n=10, idade 22.4 ± 3.0 anos), grupo experimental 2 (n=10, idade 22.6 ± 2.37 anos) e no grupo de controlo (n=10, idade 23.5 ± 6.3 anos). No grupo experimental 1, as bandas neuromusculares foram aplicadas desde a origem até à inserção do longo peroneal. No grupo experimental 2, as bandas neuromusculares foram aplicadas da inserção para a origem do longo peroneal. Após a aplicação da banda os elementos dos dois grupos experimentais permaneceram em repouso durante vinte minutos. No grupo de controlo não foi aplicada qualquer banda neuromuscular, tendo os invidíduos permanecido em em repouso ao longo de 20 minutos. Antes e após os 20 minutos de intervenção/controlo, a estabilidade postural foi avaliada numa plataforma de forças e o tempo de latência do longo peroneal foi avaliado com eletromiografia de superfície no decurso de uma perturbação forçada por inversão da tiobiotársica. Resultados: Não foram encontradas diferenças entre grupos tendo em conta a idade, variáveis antropométricas, estabilidade postural, tempo de latência do longo peroneal, percentagem do pico de contração e tempo do pico de contração. Não foram encontradas diferenças dentro de cada grupo entre os valores antes e após-intervenção na estabilidade postural (CoPx, p= .485; CoPy, p=.995; CoP Total, p= .983; velocidade do CoP, p=.979; área do CoP, p=.506) e na eletromiografia (tempo de latência do longo peroneal, p= .548; percentagem do pico, p=.185; tempo do pico, p=.748). Conclusão: As bandas neuromusculares não melhoram o tempo de latência do longo peroneal e a estabilidade postural em jovem adultos saudáveis

A Study on the Effectiveness of Myofascial Release and Kinesio Taping in the Management of Pain and Range of Motion among Medial Tibial Stress Syndrome Subjects

INTRODUCTION: Shin Splints, also known as medial tibial stress syndrome (MTSS) is defined by the American Academy of Orthopaedic surgeons as “Pain along the inner edge of the shin bone. Researchers limited shin splints strictly to musculotendinous lesions of the leg. He included lesions of the tibialis anterior, extensor hallucis longus and extensor digitorum as anterior shin splints, lesions involving the posteromedial leg musclestibialis posterior, flexor hallucis longus, flexor digitorum longus and soleus are part of the posterior shin splint syndrome because there lesions often involve the periosteum as well, they will be clarified as part of what is known as medial tibial stress syndrome OBJECTIVES: 1. To find out the effectiveness of myofascial release in the management of shin pain among medial tibial stress syndrome subjects. 2. To find out the effectiveness of taping in the management of shin pain among medial tibial stress syndrome subjects. 3. To compare the effectiveness of myofascial release and tapingin the management of shin pain among medial tibial stress syndrome subjects. 4. To find out the effectiveness of myofascial release in the management of ankle range of motion among medial tibial stress syndrome subjects. 5. To find out the effectiveness of taping in the management of ankle range of motion among medial tibial stress syndrome subjects. 6. To compare the effectiveness of myofascial release and taping in the management of ankle range of motion among medial tibial stress syndrome subjects. METHODOLOGY: Study Setting: The study was conducted in Physiotherapy outpatient department of RVS College of Physiotherapy. Selection of Subjects: Twenty medial tibial stress syndrome subjects who fulfilled the inclusion and exclusion criteria were selected for the study and consecutively assigned in to two equal groups, Group A – Myofascial Release, Group B – Kinesiology Taping. Study Design: Pre-test and post-test experimental study design. Inclusion Criteria: • Clinically diagnosed MTSS subjects. • Both sexes are includes. • Subjects with Age group 20 – 30. • Actively involved in sports. 3.7 Exclusion Criteria: • Stress fractures. • Burns. • Deep vein thrombosis. • Taking blood thinning medications. • Nerve damage. RESULTS: Twenty clinically diagnosed medial tibial stress syndrome subjects were taken and divided in to two equal groups A and B. Group a were treated with myofascial release and group B were treated with kinesio taping for a period of two weeks. Pain and dorsiflexion range of motion were measured before intervention and after two weeks by VAS and goniometry respectively. CONCLUSION: Twenty medial tibial stress syndrome subjects were selected for the study and consecutively divided in to two equal groups group A and B. Group A subjects were treated with myofascial release and group B by kinesio taping for a period of two weeks. Shin pain and ankle dorsiflexion range of motion of all the subjects were measured at the beginning of the study and at end of two weeks intervention. Shin pain and ankle dorsiflexion range of motion were measured by visual analog scale and goniometry respectively. The statistical results of the study revealed that both the techniques are effective in reducing pain and improving statistical among medial tibial stress syndrome subjects. But when comparing both there is no significant difference between two interventions

The effects of prolonged prophylactic ankle bracing on dynamic postural control

The purpose of this study was to determine if the use of a prophylactic ankle brace over the course of an entire volleyball season would impair dynamic postural control. All volleyball players wore Active Ankle braces for all practices and games during the competitive season consisting of 12 weeks. All subjects who met the inclusion criteria were pre-tested on the Star Excursion Balance Test prior to the 2005 volleyball season to determine a level of dynamic postural control. They were also tested during the pre-testing period for ankle ligament laxity, ankle muscle strength, arch index and with and without the brace. They were tested on the SEBT again at a mid-point in the season and then again after the season.;Long term prophylactic ankle brace use may cause a decrease in dynamic postural control as measured by the SEBT. (Abstract shortened by UMI.)

Effect of Orthotics on Postural Sway Following Inversion Ankle Sprain

Orthotic devices have been shown to successfully modify selected aspects of lower extremity mechanics and enhance foot stability during the support phase of running. It was hypothesized that orthotic intervention would relieve excessive strain on the ankle ligaments and reduce postural sway, especially in subjects with acute ankle sprains. The primary purpose of this study was to determine if orthotics would reduce postural sway in injured and uninjured subjects. Thirteen subjects with acute inversion ankle sprains and 12 uninjured subjects were assessed for postural sway on the Balance System under two treatment conditions (orthotic and nonorthotic) and four platform movements. A three-factor repeated measures analysis of variance revealed a significant group x treatment interaction, suggesting that postural sway with orthotic intervention improved significantly more in injured subjects than in uninjured subjects. A significant platform movement x treatment interaction, furthermore, revealed that postural sway for the four movement conditions was dependent upon treatment (orthotic vs. no orthotic). Tukey post hoc analysis revealed that orthotic intervention significantly reduced postural sway when the platform moved in the medial/lateral plane and inversion/eversion plane. This research suggests that custom-fit orthotics may restrict undesirable motion at the foot and ankle and enhance joint mechanoreceptors to detect perturbations and provide structural support for detecting and controlling postural sway in ankle-injured subjects

A Review of the Treatment and Prevention Options for Medial Tibial Stress Syndrome

Medial Tibial Stress Syndrome (MTSS) is a chronic lower-limb injury that effects a large population of athletes and exercisers. There is no definitive knowledge on what causes this injury, making prevention and treatment difficult. The purpose of this thesis is to identify the prevention and treatment methods for MTSS that seem the most promising. The risk factors of MTSS and possible preventative methods are first presented. Following this is an overview of both traditional and cutting-edge treatment options. One of the major conclusions reached in this thesis is that prevention of MTSS is often easier than treating it after onset. This thesis therefore highlights the need for a shift in emphasis from treatment to prevention of MTSS and presents practical ways to do so. This thesis also points to the need for continuing research, especially into less conventional treatment methods

The stability of low-top versus high-top basketball shoes.

BACKGROUND: Ankle sprains are one of the most common athletic injuries that occur in sports participation (Trevino, Davis, & Hecht, 1994). There has been numerous prevention strategies designed to decrease the occurrence of ankle sprains (Hume & Gerrard, 1998). OBJECTIVE: To evaluate the stability of collegiate level basketball players wearing low-top and high-top basketball shoes. The researcher's hypothesis is that the high-tops will provide significantly greater stability than the low-tops. METHODS: Eleven intercollegiate basketball players from the University of Central Oklahoma served as subjects. MEASUREMENT: Average left-right excursion was recorded using the F-Scan Foot Pressure Mapping System (Tekscan, Boston, MA) as subjects performed three layups in low-top and high-top basketball shoes. The data will be inputted into PAWS version 18 for data analysis. The data were analyzed using a dependent t-test, alpha level of p=0.05. RESULTS: High-top shoes showed significantly greater stability than low-top shoes (left: t = -2.785, p = 0.019, right: t = -2.256, p = 0.048). CONCLUSIONS: The high-top shoes showed significantly greater stability than low-top shoes, as a result depending on the situation, high-top shoes may help prevent ankle sprains