The effect of anti-pronation and anti-supination taping on neuromuscular control in recreational athletes with Achilles Tendinopathy: A randomized controlled cross-over trial.

OBJECTIVES

To investigate the effects of different directions of athletic taping on neuromuscular control of the lower limb in recreational athletes with Achilles tendinopathy (AT).

DESIGN

Crossover Study.

SETTING

Functional assessment laboratory.

PARTICIPANTS

Thirty recreational athletes with AT.

MAIN OUTCOME MEASURES: Participants were randomly treated with anti-pronation taping, anti-supination taping, or no-taping. Under different taping conditions, neuromuscular tests were performed in random order: ankle proprioception Active Movement Extent Discrimination Assessment (AMEDA), Weight-Bearing Lunge Test (WBLT), single leg hop test, figure-of-eight hop test and Lower Extremity Functional Test (LEFT).

RESULTS

Compared with no-taping, both anti-pronation taping and anti-supination taping significantly improved AMEDA proprioception test scores (p < 0.001,ηp2 = 0.466), figure-of-eight hop performance (p < 0.001,ηp2 = 0.307), unilateral LEFT scores (p < 0.001,ηp2 = 0.448), and may reduce risk of lower limb injury in recreational athletes with AT (p < 0.001,ηp2 = 0.432). Taping significantly reduced WBLT values (p < 0.001,ηp2 = 0.259) but had no significant effect on single leg hop test scores (p = 0.139). Importantly, no difference between the two taping conditions was observed.

CONCLUSIONS

Both directions of athletic taping were equally effective in improving ankle proprioception, lower extremity functional performance, and reducing the risk of injury in athletes with AT, but had no significant effect on lower limb explosive strength and were associated with significantly reduced ankle dorsiflexion.