Pilot Investigation of Ankle Taping Effects on Plantar Pressure Distribution and Ankle Range of Motion in Young Male Barefoot Runners with Chronic Ankle Instability
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Abstract
Introduction: This study aimed to investigate the effects of four ankle taping conditions (high dye and low dye using both elastic and non-elastic tape) on plantar pressure distribution during the stance phase of running in novice runners with chronic ankle instability.
Materials and Methods: This within-subject repeated-measures study design involved thirty-six (n = 36) novice runnerswith chronic ankle instability. Ankle range of motion were recorded using an electrogoniometer device and plantar pressure data were collected using a Footscan pressure platform during running under five taping conditions: no tape, elastic low-dye, elastic high-dye, non-elastic low-dye, and non-elastic high dye. Repeated measures ANOVA with Bonferroni’s correction (P < .005) were conducted to compare outcomes across taping conditions.
Results: Elastic high dye taping resulted in the greatest reduction in plantar pressure and peak force in the lateral foot regions. Compared to non-elastic tapes, elastic tapes significantly reduced pressures and forces in these areas (P < 0.005). Elastic high dye was found to be the most effective taping condition overall for reducing lateral foot loading during running (P < .005). Non-elastic tapings reduced the range of motion of the ankle joint (P <.005).
Conclusion: Elastic high dye taping may influence plantar pressure distribution and reduce lateral foot loading in young male runners with chronic ankle instability. However, as the findings were obtained under barefoot conditions, external validity is limited, and results should be interpreted as short-term biomechanical responses rather than indicators of clinical effectiveness.
1. Herb C, Blemker S, Saliba S, Hart J, Hertel J. Chronic ankle instability patients exhibit higher variability in lower extremity joint-coupling variability during drop vertical jumps. Journal of Biomechanics. 2020;99:109479.
2. Picot B, Lopes R, Rauline G, Fourchet F, Hardy A. Development and validation of the Ankle-GO score for discriminating and predicting return-to-sport outcomes after lateral ankle sprain. Sports Health. 2024;16(1):47-57.
3. Samudra AD, Purwanto B, Utomo DN. Differences in limb muscle strength affecting vertical jump heights in soccer players after chronic ankle injury. Journal of Modern Rehabilitation. 2024.
4. Rosen AB, McGrath ML, Maerlender AL. Males with chronic ankle instability demonstrate deficits in neurocognitive function compared to control and copers. Research in Sports Medicine. 2021;29(2):116-28.
5. Torp DM, Thomas AC, Hubbard-Turner T, Donovan L. Biomechanical response to external biofeedback during functional tasks in individuals with chronic ankle instability. Journal of athletic training. 2021;56(3):263-71.
6. Lin C-I, Houtenbos S, Lu Y-H, Mayer F, Wippert P-M. The epidemiology of chronic ankle instability with perceived ankle instability-a systematic review. Journal of foot and ankle research. 2021;14(1):41.
7. Simon J, Garcia W, Docherty CL. The effect of kinesio tape on force sense in people with functional ankle instability. Clinical Journal of Sport Medicine. 2014;24(4):289-94.
8. Biz C, Nicoletti P, Tomasin M, Bragazzi NL, Di Rubbo G, Ruggieri P. Is kinesio taping effective for sport performance and ankle function of athletes with chronic ankle instability (CAI)? A systematic review and meta-analysis. Medicina. 2022;58(5):620.
9. Willems T, Witvrouw E, Delbaere K, De Cock A, De Clercq D. Relationship between gait biomechanics and inversion sprains: a prospective study of risk factors. Gait & posture. 2005;21(4):379-87.
10. Deschamps K, Dingenen B, Pans F, Van Bavel I, Matricali GA, Staes F. Effect of taping on foot kinematics in persons with chronic ankle instability. Journal of science and medicine in sport. 2016;19(7):541-6.
11. Koldenhoven RM, Feger MA, Fraser JJ, Saliba S, Hertel J. Surface electromyography and plantar pressure during walking in young adults with chronic ankle instability. Knee Surgery, Sports Traumatology, Arthroscopy. 2016;24(4):1060-70.
12. Mineta S, Inami T, Mariano R, Hirose N. High lateral plantar pressure is related to an increased tibialis anterior/fibularis longus activity ratio in patients with recurrent lateral ankle sprain. Open Access Journal of Sports Medicine. 2017:123-31.
13. Morrison KE, Hudson DJ, Davis IS, Richards JG, Royer TD, Dierks TA, et al. Plantar pressure during running in subjects with chronic ankle instability. Foot & ankle international. 2010;31(11):994-1000.
14. Delahunt E, O'Driscoll J, Moran K. Effects of taping and exercise on ankle joint movement in subjects with chronic ankle instability: a preliminary investigation. Archives of physical medicine and rehabilitation. 2009;90(8):1418-22.
15. De Ridder R, Willems T, Vanrenterghem J, Verrelst R, De Blaiser C, Roosen P. Taping benefits ankle joint landing kinematics in subjects with chronic ankle instability. Journal of Sport Rehabilitation. 2020;29(2):162-7.
16. Nolan D, Kennedy N. Effects of low-dye taping on plantar pressure pre and post exercise: an exploratory study. BMC Musculoskeletal Disorders. 2009;10(1):40.
17. Ruiz-Ramos M, Orejana-García ÁM, Vives-Merino I, Bravo-Llatas C, Lázaro-Martínez JL, Molines-Barroso RJ. Effectiveness of the Fixtoe Device® in plantar pressure reduction: a preliminary study. BMC Musculoskeletal Disorders. 2022;23(1):475.
18. Malmir K, Olyaei GR, Talebian S, Jamshidi AA, Mousavi S. Effects of peroneal muscle fatigue on ground reaction force profile during lateral hop landing. Journal of Modern Rehabilitation. 2018;12(2):105-12.
19. Wilzman AR, Tenforde AS, Troy KL, Hunt K, Fogel N, Roche MD, et al. Medical and biomechanical risk factors for incident bone stress injury in collegiate runners: can plantar pressure predict injury? Orthopaedic Journal of Sports Medicine. 2022;10(6):23259671221104793.
20. Gribble PA, Delahunt E, Bleakley C, Caulfield B, Docherty C, Fourchet F, et al. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. journal of orthopaedic & sports physical therapy. 2013;43(8):585-91.
21. Kosik KB, Johnson NF, Terada M, Thomas-Fenwick AC, Mattacola CG, Gribble PA. Health-related quality of life among middle-aged adults with chronic ankle instability, copers, and uninjured controls. Journal of athletic training. 2020;55(7):733-8.
22. Askari Z, Esmaeili H. Effect of trunk muscles fatigue on plantar pressure distribution in novice runners. Journal of Biomechanics. 2021;122:110487.
23. Yalfani A, Azizian M, Gholami-Borujeni B. Adding neurofeedback training to neuromuscular training for rehabilitation of chronic ankle instability: A 3-arm randomized controlled trial. Sports Health. 2024;16(5):797-807.
24. Keenan A-M, Tanner CM. The effect of high-Dye and low-Dye taping on rearfoot motion. Journal of the American Podiatric Medical Association. 2001;91(5):255-61.
25. Vicenzino B, Feilding J, Howard R, Moore R, Smith S. An investigation of the anti-pronation effect of two taping methods after application and exercise. Gait & posture. 1997;5(1):1-5.
26. Ghasemi MH, Anbarian M, Esmaeili H. Immediate effects of using insoles with various wedges on activation and co-contraction indices of selected trunk muscles during load lifting. Applied Ergonomics. 2020;88:103195.
27. Vicenzino B, McPoil T, Buckland S. Plantar foot pressures after the augmented low dye taping technique. Journal of Athletic Training. 2007;42(3):374.
28. Schmidt H, Sauer LD, Lee SY, Saliba S, Hertel J. Increased in-shoe lateral plantar pressures with chronic ankle instability. Foot & ankle international. 2011;32(11):1075-80.
29. Becker H, Rosenbaum D, Claes L, Gerngro H. Measurement of plantar pressure distribution during gait for diagnosis of functional lateral ankle instability. Clinical biomechanics (Bristol, Avon). 1997;12(3):S19-S.
30. Koldenhoven RM, Feger MA, Fraser JJ, Hertel J. Variability in center of pressure position and muscle activation during walking with chronic ankle instability. Journal of Electromyography and Kinesiology. 2018;38:155-61.
31. Chen J, HUANG H-s, Shuang R, ZHANG S, Xing X, Feng Z, et al. Characteristics and related factors of plantar pressure in the chronic ankle instability individuals. Journal of Peking University (Health Sciences). 2021;53(2):279.
32. Chinn L, Dicharry J, Hart JM, Saliba S, Wilder R, Hertel J. Gait kinematics after taping in participants with chronic ankle instability. Journal of athletic training. 2014;49(3):322-30.
33. Dingenen B, Deschamps K, Delchambre F, Van Peer E, Staes FF, Matricali GA. Effect of taping on multi-segmental foot kinematic patterns during walking in persons with chronic ankle instability. Journal of science and medicine in sport. 2017;20(9):835-40.
34. de Noronha M, Refshauge KM, Herbert RD, Kilbreath SL. Do voluntary strength, proprioception, range of motion, or postural sway predict occurrence of lateral ankle sprain? British journal of sports medicine. 2006;40(10):824-8.
2. Picot B, Lopes R, Rauline G, Fourchet F, Hardy A. Development and validation of the Ankle-GO score for discriminating and predicting return-to-sport outcomes after lateral ankle sprain. Sports Health. 2024;16(1):47-57.
3. Samudra AD, Purwanto B, Utomo DN. Differences in limb muscle strength affecting vertical jump heights in soccer players after chronic ankle injury. Journal of Modern Rehabilitation. 2024.
4. Rosen AB, McGrath ML, Maerlender AL. Males with chronic ankle instability demonstrate deficits in neurocognitive function compared to control and copers. Research in Sports Medicine. 2021;29(2):116-28.
5. Torp DM, Thomas AC, Hubbard-Turner T, Donovan L. Biomechanical response to external biofeedback during functional tasks in individuals with chronic ankle instability. Journal of athletic training. 2021;56(3):263-71.
6. Lin C-I, Houtenbos S, Lu Y-H, Mayer F, Wippert P-M. The epidemiology of chronic ankle instability with perceived ankle instability-a systematic review. Journal of foot and ankle research. 2021;14(1):41.
7. Simon J, Garcia W, Docherty CL. The effect of kinesio tape on force sense in people with functional ankle instability. Clinical Journal of Sport Medicine. 2014;24(4):289-94.
8. Biz C, Nicoletti P, Tomasin M, Bragazzi NL, Di Rubbo G, Ruggieri P. Is kinesio taping effective for sport performance and ankle function of athletes with chronic ankle instability (CAI)? A systematic review and meta-analysis. Medicina. 2022;58(5):620.
9. Willems T, Witvrouw E, Delbaere K, De Cock A, De Clercq D. Relationship between gait biomechanics and inversion sprains: a prospective study of risk factors. Gait & posture. 2005;21(4):379-87.
10. Deschamps K, Dingenen B, Pans F, Van Bavel I, Matricali GA, Staes F. Effect of taping on foot kinematics in persons with chronic ankle instability. Journal of science and medicine in sport. 2016;19(7):541-6.
11. Koldenhoven RM, Feger MA, Fraser JJ, Saliba S, Hertel J. Surface electromyography and plantar pressure during walking in young adults with chronic ankle instability. Knee Surgery, Sports Traumatology, Arthroscopy. 2016;24(4):1060-70.
12. Mineta S, Inami T, Mariano R, Hirose N. High lateral plantar pressure is related to an increased tibialis anterior/fibularis longus activity ratio in patients with recurrent lateral ankle sprain. Open Access Journal of Sports Medicine. 2017:123-31.
13. Morrison KE, Hudson DJ, Davis IS, Richards JG, Royer TD, Dierks TA, et al. Plantar pressure during running in subjects with chronic ankle instability. Foot & ankle international. 2010;31(11):994-1000.
14. Delahunt E, O'Driscoll J, Moran K. Effects of taping and exercise on ankle joint movement in subjects with chronic ankle instability: a preliminary investigation. Archives of physical medicine and rehabilitation. 2009;90(8):1418-22.
15. De Ridder R, Willems T, Vanrenterghem J, Verrelst R, De Blaiser C, Roosen P. Taping benefits ankle joint landing kinematics in subjects with chronic ankle instability. Journal of Sport Rehabilitation. 2020;29(2):162-7.
16. Nolan D, Kennedy N. Effects of low-dye taping on plantar pressure pre and post exercise: an exploratory study. BMC Musculoskeletal Disorders. 2009;10(1):40.
17. Ruiz-Ramos M, Orejana-García ÁM, Vives-Merino I, Bravo-Llatas C, Lázaro-Martínez JL, Molines-Barroso RJ. Effectiveness of the Fixtoe Device® in plantar pressure reduction: a preliminary study. BMC Musculoskeletal Disorders. 2022;23(1):475.
18. Malmir K, Olyaei GR, Talebian S, Jamshidi AA, Mousavi S. Effects of peroneal muscle fatigue on ground reaction force profile during lateral hop landing. Journal of Modern Rehabilitation. 2018;12(2):105-12.
19. Wilzman AR, Tenforde AS, Troy KL, Hunt K, Fogel N, Roche MD, et al. Medical and biomechanical risk factors for incident bone stress injury in collegiate runners: can plantar pressure predict injury? Orthopaedic Journal of Sports Medicine. 2022;10(6):23259671221104793.
20. Gribble PA, Delahunt E, Bleakley C, Caulfield B, Docherty C, Fourchet F, et al. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. journal of orthopaedic & sports physical therapy. 2013;43(8):585-91.
21. Kosik KB, Johnson NF, Terada M, Thomas-Fenwick AC, Mattacola CG, Gribble PA. Health-related quality of life among middle-aged adults with chronic ankle instability, copers, and uninjured controls. Journal of athletic training. 2020;55(7):733-8.
22. Askari Z, Esmaeili H. Effect of trunk muscles fatigue on plantar pressure distribution in novice runners. Journal of Biomechanics. 2021;122:110487.
23. Yalfani A, Azizian M, Gholami-Borujeni B. Adding neurofeedback training to neuromuscular training for rehabilitation of chronic ankle instability: A 3-arm randomized controlled trial. Sports Health. 2024;16(5):797-807.
24. Keenan A-M, Tanner CM. The effect of high-Dye and low-Dye taping on rearfoot motion. Journal of the American Podiatric Medical Association. 2001;91(5):255-61.
25. Vicenzino B, Feilding J, Howard R, Moore R, Smith S. An investigation of the anti-pronation effect of two taping methods after application and exercise. Gait & posture. 1997;5(1):1-5.
26. Ghasemi MH, Anbarian M, Esmaeili H. Immediate effects of using insoles with various wedges on activation and co-contraction indices of selected trunk muscles during load lifting. Applied Ergonomics. 2020;88:103195.
27. Vicenzino B, McPoil T, Buckland S. Plantar foot pressures after the augmented low dye taping technique. Journal of Athletic Training. 2007;42(3):374.
28. Schmidt H, Sauer LD, Lee SY, Saliba S, Hertel J. Increased in-shoe lateral plantar pressures with chronic ankle instability. Foot & ankle international. 2011;32(11):1075-80.
29. Becker H, Rosenbaum D, Claes L, Gerngro H. Measurement of plantar pressure distribution during gait for diagnosis of functional lateral ankle instability. Clinical biomechanics (Bristol, Avon). 1997;12(3):S19-S.
30. Koldenhoven RM, Feger MA, Fraser JJ, Hertel J. Variability in center of pressure position and muscle activation during walking with chronic ankle instability. Journal of Electromyography and Kinesiology. 2018;38:155-61.
31. Chen J, HUANG H-s, Shuang R, ZHANG S, Xing X, Feng Z, et al. Characteristics and related factors of plantar pressure in the chronic ankle instability individuals. Journal of Peking University (Health Sciences). 2021;53(2):279.
32. Chinn L, Dicharry J, Hart JM, Saliba S, Wilder R, Hertel J. Gait kinematics after taping in participants with chronic ankle instability. Journal of athletic training. 2014;49(3):322-30.
33. Dingenen B, Deschamps K, Delchambre F, Van Peer E, Staes FF, Matricali GA. Effect of taping on multi-segmental foot kinematic patterns during walking in persons with chronic ankle instability. Journal of science and medicine in sport. 2017;20(9):835-40.
34. de Noronha M, Refshauge KM, Herbert RD, Kilbreath SL. Do voluntary strength, proprioception, range of motion, or postural sway predict occurrence of lateral ankle sprain? British journal of sports medicine. 2006;40(10):824-8.
| Issue | Articles in Press | |
| Section | Research Article(s) | |
| Keywords | ||
| Ankle Injury; Range of motion; Athletic tape | ||
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How to Cite
1.
Gholami-Borujeni B, Babagoltabar-Samakoush H, Ghasemi M. Pilot Investigation of Ankle Taping Effects on Plantar Pressure Distribution and Ankle Range of Motion in Young Male Barefoot Runners with Chronic Ankle Instability. jmr. 2026;(-).
