Publication:

運動貼紮對於前十字韌帶重建患者膝關節運動學的影響

膝關節前十字韌帶損傷是一種相當常見的下肢運動傷害，前十字韌帶的主要功能在於運動時，形成股骨與脛骨之間的正確位置，以維持膝關節的穩定度，當前十字韌帶損傷或者重建手術後，大多是以護具來保護膝關節避免遭受二次傷害，但在運動場上，若是需要即刻提供關節穩定性，並同時給予外在支撐保護，運動貼紮則是首要選擇，然而現今少有研究探討膝關節運動貼紮之效益。目的：在於探討運動貼紮對於前十字韌帶重建患者膝關節穩定性及運動學參數的影響。方法：利用膝關節穩定度測量儀，量測在無貼紮、側副韌帶貼紮、螺旋貼紮與合併貼紮(側副韌帶貼紮+螺旋貼紮)的膝關節脛骨相對於股骨之前向位移量，另外使用三維動作分析系統，收集黏貼於受試者身上特定位置的反光標誌於空間中的三維軌跡，用以測量立定轉身、走路、走路轉身與垂直跳落地轉身動作的膝關節角度變化，另外藉由心理自覺量表評估貼紮後對於穩定度、信心度與安心感的影響。結果：運動貼紮可以有效增加前十字韌帶重建患者患側靜態膝關節穩定度，同時也可以提升健康人靜態膝關節穩定度；另外在立定轉身、走路、走路轉身與垂直跳落地轉身動作對於膝關節橫切面運動學的影響，發現合併貼紮可以減少膝關節最大內轉角度與增加最大外轉角度，藉此降低前十字韌帶損傷的發生；最後在貼紮對於心理自覺量表的影響中，顯示貼紮後可以有效增加前十字韌帶重建患者的信心度，代表運動貼紮可以提供膝關節穩定度，並給予外在支撐與保護進而達到增加信心的效果。

Anterior cruciate ligament (ACL) injury is one of the most common injuries in sports. The function of ACL is to maintain the correct alignment between femur and tibia and provide the knee joint stability. Knee brace is often used to prevent the secondary injury after the ACL injury or the reconstruction surgery. Athletic taping is also frequently used to provide the immediate external support for improving joint stability in the acute sports injury. However, little is known about the effect of athletic taping. Purpose: The purpose of this study was to investigate the effect of athletic taping on the knee stability and kinematics. Methods: Anterior tibial translation was measured in no-taping, collateral ligament taping, rotary taping and combined taping by KT-2000 arthrometer. Knee kinematics was measured in stance pivoting, level walking, walking pivoting and vertical jumping-landing pivoting with Vicon motion analysis system. Perception questionnaire was used to evaluate the stability, confidence and reassurance following taping. Results: Athletic taping can improve the static knee stability in ACL reconstruction and normal people. Combined taping can reduce the internal rotation angle and increase external rotation angle in dynamic movements measured in this study. The confidence was significantly improved in the ACL reconstruction people following taping. This study suggested that athletic taping can provide the external support to limit tibial translation and protect the knee joint in dynamic movements.