DOI QR코드

DOI QR Code

Effect of Taping and Virtual Reality Combined Exercise on Static and Dynamic Balance With Functional Ankle Instability

  • Kim, Ki-jong (Department of Occupational Therapy, College of Health and Welfare, Woosong University) ;
  • Gang, Mi-yeong (Department of Occupational Therapy, College of Health and Welfare, Woosong University)
  • Received : 2020.10.05
  • Accepted : 2020.10.27
  • Published : 2020.11.20

Abstract

Background: Ankle sprain is one of the most common musculoskeletal injuries in the sports population or during usual daily life activities. The sprain can cause functional ankle instability (FAI), and it is very important to treat FAI. However, the optimum intervention method for FAI has yet to be determined. Objects: This study investigated the impact that virtual reality (VR) training program on balance with ankle kinesio taping for FAI. Methods: Twenty-two people were selected for the study and randomly divided into the experimental (n = 11) and the control group (n = 11). The experimental group had attached kinesio taping on the ankle and then implemented a virtual reality exercise program for 30 minutes a day. Nintendo Wii Fit Plus was used for the VR intervention three times a week for four weeks. The control group performed only two measurements without intervention. Results: There were no statistically significant differences in overall, anterior-posterior (AP), medial-lateral (ML) index of the static balance, and significant differences in overall, AP, ML index of the dynamic balance when taping and VR exercise were applied at the same time (p < 0.05). There were no significant differences in overall and ML index of static and dynamic balance compared with before and after assessment between the experimental and the control group, and found differences in AP index of static and dynamic balance (p < 0.05). Conclusion: Kinesio taping may not influence the balance of FAI as great as people expected. VR approach does not affect the static balance of FAI, but it influences dynamic balance in overall, AP, ML index. The authors suggest that VR-based exercises can be used as an additional concept in clinicians for FAI or as part of a home program because the exercises still have limitations.

References

  1. Doherty C, Delahunt E, Caulfield B, Hertel J, Ryan J, Bleakley C. The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies. Sports Med 2014;44(1):123-40. https://doi.org/10.1007/s40279-013-0102-5
  2. Kim KJ. Impact of combined muscle strength and proprioceptive exercises on functional ankle instability. J Int Acad Phys Ther Res 2013;4(2):600-4. https://doi.org/10.5854/JIAPTR.2013.10.25.600
  3. Obata H, Kawashima N, Ohtsuki T, Nakazawa K. Aging effects on posture-related modulation of stretch reflex excitability in the ankle muscles in humans. J Electromyogr Kinesiol 2012;22(1):31-6. https://doi.org/10.1016/j.jelekin.2011.10.009
  4. Loudon JK, Santos MJ, Franks L, Liu W. The effectiveness of active exercise as an intervention for functional ankle instability: a systematic review. Sports Med 2008;38(7):553-63. https://doi.org/10.2165/00007256-200838070-00003
  5. Feuerbach JW, Grabiner MD, Koh TJ, Weiker GG. Effect of an ankle orthosis and ankle ligament anesthesia on ankle joint proprioception. Am J Sports Med 1994;22(2):223-9. https://doi.org/10.1177/036354659402200212
  6. Halseth T, McChesney JW, Debeliso M, Vaughn R, Lien J. The effects of kinesioTM taping on proprioception at the ankle. J Sports Sci Med 2004;3(1):1-7.
  7. Burdea GC. Virtual rehabilitation--benefits and challenges. Methods Inf Med 2003;42(5):519-23. https://doi.org/10.1055/s-0038-1634378
  8. Cho KH, Lee KJ, Song CH. Virtual-reality balance training with a video-game system improves dynamic balance in chronic stroke patients. Tohoku J Exp Med 2012;228(1):69-74. https://doi.org/10.1620/tjem.228.69
  9. Kim KJ, Heo M. Effects of virtual reality programs on balance in functional ankle instability. J Phys Ther Sci 2015;27(10):3097-101. https://doi.org/10.1589/jpts.27.3097
  10. Saldana D, Neureither M, Schmiesing A, Jahng E, Kysh L, Roll SC, et al. Applications of head-mounted displays for virtual reality in adult physical rehabilitation: a scoping review. Am J Occup Ther 2020;74(5):7405205060p1-15. https://doi.org/10.5014/ajot.2020.041442
  11. Weber H, Barr C, Gough C, van den Berg M. How commercially available virtual reality-based interventions are delivered and reported in gait, posture, and balance rehabilitation: a systematic review. Phys Ther 2020;100(10):1805-15. https://doi.org/10.1093/ptj/pzaa123
  12. Taylor MJ, McCormick D, Shawis T, Impson R, Griffin M. Activity-promoting gaming systems in exercise and rehabilitation. J Rehabil Res Dev 2011;48(10):1171-86. https://doi.org/10.1682/JRRD.2010.09.0171
  13. Kim KJ, Jegal H, Jun HJ, Choi BJ, Choi HJ, Yu SH, et al. The comparison of balance using Cumberland ankle instability tool to stable and instability ankle. J Korean Soc Phys Med 2013;8(3):361-8. https://doi.org/10.13066/kspm.2013.8.3.361
  14. Kim KJ, Heo M. Comparison of virtual reality exercise versus conventional exercise on balance in patients with functional ankle instability: a randomized controlled trial. J Back Musculoskelet Rehabil 2019;32(6):905-11. https://doi.org/10.3233/BMR-181376
  15. Raymond J, Nicholson LL, Hiller CE, Refshauge KM. The effect of ankle taping or bracing on proprioception in functional ankle instability: a systematic review and meta-analysis. J Sci Med Sport 2012;15(5):386-92. https://doi.org/10.1016/j.jsams.2012.03.008
  16. Nunes GS, Vargas VZ, Wageck B, Hauphental DP, da Luz CM, de Noronha M. Kinesio taping does not decrease swelling in acute, lateral ankle sprain of athletes: a randomised trial. J Physiother 2015;61(1):28-33. https://doi.org/10.1016/j.jphys.2014.11.002
  17. Kim KJ, Yoo CU. Comparison of effects after applying virtual reality ankle exercise and high-frequency current to functional ankle instability. Korean J Neuromuscul Rehabil 2020;10(2):87-93. https://doi.org/10.37851/kjnr.2020.10.2.9
  18. Wang Y, Gu Y, Chen J, Luo W, He W, Han Z, et al. Kinesio taping is superior to other taping methods in ankle functional performance improvement: a systematic review and metaanalysis. Clin Rehabil 2018;32(11):1472-81.
  19. Merchant-Borna K, Jones CM, Janigro M, Wasserman EB, Clark RA, Bazarian JJ. Evaluation of Nintendo Wii balance board as a tool for measuring postural stability after sport-related concussion. J Athl Train 2017;52(3):245-55. https://doi.org/10.4085/1062-6050-52.1.13
  20. Hiller CE, Refshauge KM, Bundy AC, Herbert RD, Kilbreath SL. The Cumberland ankle instability tool: a report of validity and reliability testing. Arch Phys Med Rehabil 2006;87(9):1235-41. https://doi.org/10.1016/j.apmr.2006.05.022
  21. Rosen A, Ko J, Brown C. A multivariate assessment of clinical contributions to the severity of perceived dysfunction measured by the Cumberland ankle instability tool. Int J Sports Med 2016;37(14):1154-8. https://doi.org/10.1055/s-0042-113464