彈性貼布一般被認為相較於非彈性貼布更為舒適、透氣並且在使用時間可以長達 一星期，但本研究只針對在 20 分鐘的慢跑運動後彈性貼布貼紮的效果是否存在做探討，
結果顯示在運動完彈性貼布的抗內旋貼紮對於足踝關節的生物力學變化仍保有效果。未 來的研究可以針對彈性貼布抗內旋貼紮更長時間的效果作探討，也可以探討彈性貼布抗 內旋貼紮應用在衝擊力更高的運動後是否仍保有抗內旋的效果。本研究根據彈性貼布應 用在固定關節的原則給予全張力來完成貼紮，全張力是否為彈性貼布在應用在低位岱式 貼紮上最佳的張力選擇，而全張力的彈性貼布與非彈性貼布的效果差異性也有待後續的 研究證實。另外，本研究僅針對無症狀的內旋足成人做探討，未來可以針對足踝區域或 有膝關節的症狀的內旋足者探討使用彈性貼布對其症狀及下肢生物力學的影響。而本研 究沒有針對下肢肌肉給予肌電圖檢測，因此無法推論彈性貼布低位岱式貼紮是否會改變 下肢肌肉的徵召，影響其承重模式而改變動靜態時的足底壓力分布，因此，在未來的研 究中可以加上肌電圖的檢測來增加相關的訊息，可以更加瞭解彈性貼布應用在抗內旋貼 紮的效應。
第陸章 結論
本研究針對內旋足者給予彈性貼布的低位岱式貼紮，在貼紮完後足踝型態中如舟
狀骨垂直高度增加，舟狀骨滑落減少、跟骨外翻角度與足踝姿勢指標降低。靜態足底壓 力分布無影響。動態步行時總足底接觸面積增加，尤其是中足及後足的接觸面積。但對 每個區域承受的最大壓力並沒有顯著的影響，承重模式也沒有顯著差異。而慢跑運動後 彈性貼布的抗內旋貼紮對舟狀骨滑落支撐的效果減少，但跟骨外翻與足踝姿勢指標在運 動後則仍保有貼紮後的效果。足壓方面，在慢跑運動後靜態站立時上方內側的足底壓力 承重比例減少。動態行走時除了足底接觸面積持續增加外，每一個區域的最大壓力和承 重模式與貼紮後或貼紮前無異。
由此可知，彈性貼布的低位岱式貼紮可以改變內旋足者足踝部分的生物力學並且在 運動二十分鐘後仍可以保持貼紮後的效果。因此，對於無症狀的內旋足者之愛好運動 者，如果在每次訓練前或是競賽前使用彈性貼布低位岱式貼紮是可以減少因為內旋足造 成的下肢生物力學變化，或許可以因此減少因內旋足衍生出的肌肉骨骼系統傷害的機 會，可以增加運動的參與度與持續性。而使用彈性貼布，除使用上較為舒適外，也具有 足弓支撐、改變下肢生物力學的效果，在 20 分鐘的運動後貼紮的效果仍能維持。
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附錄一
人體試驗委員會同意書
.
附錄二
實驗記錄表
抗內旋貼紮對內旋足者下肢生物力學的影響
狀
Foot Posture Index
Navicular drop （mm） NWB
抗內旋貼紮對內旋足者下肢生物力學的影響
附錄三
足踝姿勢指標量表
(Foot Posture Index)
THE FOOT POSTURE INDEX © FPI-6
Reference Sheet
The patient should stand in their relaxed stance position with double limb support. The patient should be instructed to stand still, with their arms by the side and looking straight ahead. It may be helpful to ask the patient to take several steps, marching on the spot, prior to settling into a comfortable stance position. During the assessment, it is important to ensure that the patient does not swivel to try to see what is happening for themself, as this will significantly affect the foot posture. The patient will need to stand still for approximately two minutes in total in order for the assessment to be conducted. The assessor needs to be able to move around the patient during the assessment and to have uninterrupted access to the posterior aspect of the leg and foot.
If an observation cannot be made (e.g. because of soft tissue swelling) simply miss it out and indicate on the datasheet that the item was not scored.
If there is genuine doubt about how high or low to score an item always use the more conservative score.
Rearfoot Score -2 -1 0 1 2
Talar head
palpation Talar head
palpable on lateral side/but
not on medial side
Talar head palpable on lateral side/slightly palpable on medial
side
Talar head equally palpable
on lateral and medial side
Talar head slightly palpable
on lateral side/
palpable on medial side
Talar head not palpable on lateral side/ but
palpable on medial side Curves above and
below the malleoli
Curve below the malleolus either straight
or convex
Curve below the malleolus concave,
but flatter/ more shallow than the curve above the
malleolus
Both infra and supra malleolar than curve above
malleolus Calcaneal
inversion/eversion More than an estimated 5° inverted
(varus)
Between vertical and an estimated 5° inverted (varus)
Vertical Between vertical and an estimated
5° everted
congruence Area of TNJ markedly
bulging slightly Area of TNJ bulging markedly
Medial arch height Arch high and acutely angled high and slightly acute posteriorly flattening in the
central portion
Arch very low with severe flattening in the central portion –
arch making ground contact Forefoot
abd/adduction No lateral toes visible. Medial toes clearly
visible
Medial toes clearly more visible than
lateral
Medial and lateral toes equally
No medial toes visible. Lateral toes clearly
visible
For further information, manuals and extra datasheets see: www.leeds.ac.uk/medicine/FASTER/FPI/
Foot Posture Index Datasheet
Patient name ID number
Reference values Anthony Redmond 1998
Normal = 0 to +5 (May be copied for clinical use and adapted Pronated = +6 to +9, Highly pronated 10+ with the permission of the copyright holder) Supinated = -1 to –4, Highly supinated –5 to -12 www.leeds.ac.uk/medicine/FASTER/FPI
Foot Posture Index Datasheet
Patient name ID number
Reference values Anthony Redmond 1998
Normal = 0 to +5 (May be copied for clinical use and adapted Pronated = +6 to +9, Highly pronated 10+ with the permission of the copyright holder) Supinated = -1 to –4, Highly supinated –5 to -12 www.leeds.ac.uk/medicine/FASTER/FPI
FACTOR PLANE SCORE 1 Date_______________
Comment___________
Talar head palpation Transverse
Curves above and below the lateral malleolus Frontal/
transverse
Rearfoot
Inversion/eversion of the calcaneus Frontal Prominence in the region of the TNJ Transverse
Congruence of the medial longitudinal arch Sagittal
Forefoot
Abd/adduction forefoot on rearfoot Transverse TOTAL
FACTOR PLANE SCORE 1 Date_______________
Comment___________
Talar head palpation Transverse
Curves above and below the lateral malleolus Frontal/
transverse
Rearfoot
Inversion/eversion of the calcaneus Frontal Prominence in the region of the TNJ Transverse
Congruence of the medial longitudinal arch Sagittal
Forefoot
Abd/adduction forefoot on rearfoot Transverse TOTAL