DOI QR코드

DOI QR Code

과도하게 엎침된 발을 가진 뇌졸중 환자에게 적용된 수정 발바닥활 지지 테이핑의 효과

Effects of Modified Low-Dye Taping on Stroke Patients with an Excessive Pronated Foot

  • 김현욱 (천주성삼병원 재활의학과 재활치료센터) ;
  • 류영욱 (대구가톨릭대학교 물리치료학과)
  • Kim, Hyun-Wook (SungSam Hospital, Department of Rehabilitation Medicine, Rehabilitation Center) ;
  • Ryu, Young-Uk (Dept. of Physical Therapy, Daegu Catholic University)
  • 투고 : 2018.03.21
  • 심사 : 2018.04.10
  • 발행 : 2018.05.31

초록

PURPOSE: Stroke patients may develop an over-pronated foot, resulting in a lower medial longitudinal arch. This can lead to a structural change of the foot due to deformation of the musculoskeletal system. The purpose of this study was to examine the effects of modified low-dye taping on stroke patients with an excessively pronated foot. The effect of the taping on the foot after light daily activity was also examined. METHODS: The subjects consisted of 21 stroke patients with an excessively pronated foot, as measured by the navicular drop test. First, their navicular heights were measured at a relaxed standing position (measure 1) and while standing in the subtalar neutral position (measure 2). Modified low-dye taping was applied to each subject's affected foot and the navicular height was then measured for the standing posture (measure 3). Finally, each subject walked around for 10 minutes and the navicular height was measured again (measure 4). RESULTS: Statistical analyses showed that the navicular height value at the relaxed standing position (measure 1) was significantly lower than for the other 3 measurements. That is, the modified low-dye taping was effective in maintaining a subtalar neutral position, even after a 10-minute walk, for stroke patients with an excessively pronated foot. CONCLUSION: The results suggest that modified low-dye taping applied to stroke patients with an excessively pronated foot could be an effective way to place the subtalar joint in a neutral position, and that its effect can be sustained for light daily activities.

키워드

참고문헌

  1. Aguilar MB, Abian-Vicen J, Halstead J, et al. Effectiveness of neuromuscular taping on pronated foot posture and walking plantar pressures in amateur runners. J Sci Med Sport. 2016;19(4):348-53. https://doi.org/10.1016/j.jsams.2015.04.004
  2. Ator R, Gunn K, McPoil TG, et al. The effect of adhesive strapping on medial longitudinal arch support before and after exercise. J Orthop Sports Phys Ther. 1991;14(1):18-23. https://doi.org/10.2519/jospt.1991.14.1.18
  3. Buldt AK, Murley GS, Butterworth P, et al. The relationship between foot posture and lower limb kinematics during walking: A systematic review. Gait & posture. 2013;38(3):363-72. https://doi.org/10.1016/j.gaitpost.2013.01.010
  4. Chang R, Rodrigues PA, Van Emmerik RE, et al. Multi-segment foot kinematics and ground reaction forces during gait of individuals with plantar fasciitis. J Biomech. 2014;47(11):2571-7. https://doi.org/10.1016/j.jbiomech.2014.06.003
  5. Charalambous CP. Interrater reliability of a modified Ashworth scale of muscle spasticity. In: Classic Papers in Orthopaedics. London. Springer. 2014.
  6. Del Rossi G, Fiolkowski P, Horodyski MB, et al. For how long do temporary techniques maintain the height of the medical longitudinal arch? Phys Ther Sport. 2004;5(2):84-9. https://doi.org/10.1016/j.ptsp.2004.02.001
  7. Edo M, Yamamoto S, Ishida Y. Kinematic chain between pronation/supination of calcaneus and rotation of shank: efficiency of the kinematics by plantar- dorsiflexed ankle joint position. Physiotherapy. 2015; 101:e341.
  8. Franettovich MM, Murley GS, David BS, et al. A comparison of augmented low-dye taping and ankle bracing on lower limb muscle activity during walking in adults with flat-arched foot posture. J Sci Med Sport. 2012;15(1):8-13. https://doi.org/10.1016/j.jsams.2011.05.009
  9. Holmes CF, Wilcox D, Fletcher JP. Effect of a modified, low-dye medial longitudinal arch taping procedure on the subtalar joint neutral position before and after light exercise. J Orthop Sports Phys Ther. 2002;32(2): 194-201. https://doi.org/10.2519/jospt.2002.32.5.194
  10. Kim TH, Jhoo JH, Park JH, et al. Korean version of mini mental status examination for dementia screening and its’ short form. Psychiatry investigation. 2010;7(2): 102-8. https://doi.org/10.4306/pi.2010.7.2.102
  11. Lange B, Chipchase L, Evans A. The effect of low-dye taping on plantar pressures, during gait, in subjects with navicular drop exceeding 10mm. J Orthop Sports Phys Ther. 2004;34(4):201-9. https://doi.org/10.2519/jospt.2004.34.4.201
  12. Maharaj JN, Cresswell AG, Lichtwark GA. Subtalar joint pronation and energy absorption requirements during walking are related to tibialis posterior tendinous tissue strain. Scientific Reports. 2017;7(1):17958. https://doi.org/10.1038/s41598-017-17771-7
  13. Picciano AM, Rowlands MS, Worrell T. Reliability of open and closed kinetic chain subtalar joint neutral positions and navicular drop test. J Orthop Sport Phys Ther. 1993;18(4):553-8. https://doi.org/10.2519/jospt.1993.18.4.553
  14. Rojhani-Shirazi Z, Amirian S, Meftahi N. Effects of ankle kinesio taping on postural control in stroke patients. J Stroke Cerebrovasc Dis. 2015;24(11):2565-71. https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.07.008
  15. Schulthies SS, Draper DO. A modified low-dye taping technique to support the medial longitudinal arch and reduce excessive pronation. J Athl Train. 1995;30(3):266-8.
  16. Scott G, Menz HB, Newcombe L. Age-related differences in foot structure and function. Gait Posture. 2007; 26(1):68-75. https://doi.org/10.1016/j.gaitpost.2006.07.009
  17. Tome J, Nawoczenski DA, Flemister A, et al. Comparison of foot kinematics between subjects with posterior tibialis tendon dysfunction and healthy controls. J Orthop Sports Phys Ther. 2006;36(9):635-44. https://doi.org/10.2519/jospt.2006.2293
  18. Vicenzino B, Feilding J, Howard R, et al. An investigation of the anti-pronation effect of two taping methods after application and exercise. Gait Posture. 1997; 5(1):1-5. https://doi.org/10.1016/S0966-6362(95)01061-0