Abstract
To investigate effects of taping techniques on arch deformation in adults with pes planus. The following databases were searched up to March 2020, including Web of Science, Pubmed, EBSCO, CNKI and Cochrane Library. Heterogeneity and publication bias were assessed by I2 index and funnel plots, respectively. In addition, Cochrane scale was used to evaluate the quality of research. Navicular height for three antipronation taping techniques significantly increased immediately post tape compared with baseline (mean difference = 4.86 mm, 95% CI = 2.86-6.87 mm, Z = 4.75, p < 0.001). The highest increase was observed in Augmented low-Dye (ALD). Modified low-Dye (MLD) was second only to ALD (p<0.001). Navicular height after walking for 10 min was much higher than baseline (p<0.001), with MLD decreased smaller than ALD. ALD was the most effective taping technique for controlling foot arch collapse immediately post tape compared with baseline, followed by MLD. By contrast, MLD could possibly performed better than ALD in maintaining immediate navicular height after walking for 10 min. Low-Dye could make resting calcaneal stance position closer to neutral position. Although positive effects of Navicular sling, low-Dye and Double X taping interventions were observed, they could not maintain this immediate navicular height effect after a period of higher intensity weight-bearing exercise.
Highlights
Pes planus is a foot arch deformity, is known as flexible flat foot or planovalgus and is caused by talonavicular ligament laxity or foot arch intrinsic muscle weakness; it is characterised by the navicular bone shifting inwards and downwards from the subtalar joint [1,2]
Navicular height for three antipronation taping techniques significantly increased immediately post tape compared with baseline
Navicular height after walking for 10 min was much higher than baseline (p
Summary
Pes planus is a foot arch deformity, is known as flexible flat foot or planovalgus and is caused by talonavicular ligament laxity or foot arch intrinsic muscle weakness; it is characterised by the navicular bone shifting inwards and downwards from the subtalar joint [1,2]. Adults with pes planus lack an elastic foot arch to attenuate the impact force [4]. This condition results in pain and impaired lower limb function, such as plantar fasciitis, plantar heel pain, posterior tibial stress syndrome and femoral patellar pain syndrome [5,6,7,8]. A previous study found that perimenopausal women with pes planus performed impaired postural balance compared with their counterparts with normal feet [9]. Pes planus is more common in adolescent males than females, and associated with higher BMI index, this condition even continues to adulthood without timely and effective intervention [10,11]
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