Ankle supports enhance only psychological aspects of the Ankle-GO score in patients with chronic ankle instability.

脚踝 医学 背景(考古学) 物理疗法 物理医学与康复 支撑 平衡试验 平衡(能力) 撑杆 外科 机械工程 生物 工程类 古生物学
作者
Brice Picot,François Fourchet,William Laydevant,Camille Louis,Gauthier Rauline,Alain Meyer,Leslie Podlog,Ronny Lopes,Alexandre Hardy
出处
期刊:Journal of Athletic Training [National Athletic Trainers' Association]
标识
DOI:10.4085/1062-6050-0584.24
摘要

CONTEXT: Chronic ankle instability (CAI) is the most serious long-term complication following an ankle sprain. Taping and bracing are frequently employed in the return to sport (RTS) continuum to avoid injury recurrence and to maximize post-injury performance. The Ankle-GO score is a valid and reliable objective RTS criteria, but the influence of ankle supports on this score in CAI patients remains unknown.OBJECTIVES: We aimed to evaluate the induce effects of taping or bracing on the Ankle-GO score among patients suffering from CAI.DESIGN: Crossover StudySETTING: Sports medicine research laboratoryPATIENTS: Thirty CAI patients (13 males and 17 females, 33.4 ±11.7 years) performed the Ankle-GO score in three conditions (taping, bracing and no ankle support).MAIN OUTCOME MEASURES: The Ankle-GO is a 25-point score clustering 2 self-reported questionnaires (Foot and Ankle Ability Measure and Ankle Ligament Reconstruction-Return to Sport after Injury) and 4 functional tests (Single Leg Stance, Star Excursion Balance Test, Side Hop Test and Figure-of-eight test). Performances on each component as well as the total score were compared between conditions using repeated measures of ANOVA.RESULTS: Taping and bracing significantly and equally improved the Ankle-GO score compared with no support (12.8 ±5.3 and 11.2 ±4.2 vs. 8 ±4.5 points respectively, P<.001). However, significant improvements were found solely in self-reported questionnaires with ankle support (P<.001). No differences were found in functional tests, although both taping and bracing significantly lowered instability perception during the tests (+1.9 and +1.8 points, respectively).CONCLUSION: Ankle-GO scores were significantly enhanced with taping or bracing. However, only self-reported function and psychological readiness were improved. Functional performance was not altered, although external supports enhanced perceived stability. Both taping and bracing supports appear equally important in improving self-confidence and perceived ankle stability among individuals with CAI returning to sport.

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