足踝是芭蕾舞者最常發生運動傷害的部位。腳踝扭傷會造成腳踝本體感覺接受器的損傷，也可能因此影響腳踝本體感覺的敏感度以及造成重複性的腳踝扭傷。腳踝的貼紮用在運動傷害防護上已經有一段時間了。踝關節貼紮可以保護以及固定腳踝的關節。過去文獻也有指出，肌內效貼紮的方法可能可以增加身體某些關節的本體感覺。然而，不同類型的貼紮材質以及貼紮的方式對於本體感覺都可能有所影響。
本研究主要的目的在探討不同類型的貼紮方式對於單側踝關節不穩定的芭蕾舞者在站立姿勢下量測本體感覺的影響。此外，也希望藉由實驗的結果提供給運動醫學以及臨床上對於踝關節本體感腳一些有效的資訊，也希望能幫助芭蕾舞者預防腳踝扭傷以提升舞蹈表現。
本研究找了20位有單側踝關節不穩定的女性芭蕾舞者進行實驗。另外找20名腳踝都沒有扭傷過的女大學生作為本實驗的控制組。此外，五種不同的貼紮方式會施加在單側踝關節不穩定芭蕾舞者習慣性扭傷那側的腳上，這五種貼紮方法包含沒有貼任何貼布、貼傳統型運動貼布、貼安慰劑方式的傳統型運動貼布、貼肌內效貼布、貼安慰劑方式的肌內效貼布等方法。利用我們自行製作研發出的本體感覺評估裝置去量測每個受測者腳踝的關節動作感覺以及被動關節回位的能力。
實驗結果發現，在芭蕾舞者的習慣性扭傷那側的腳上貼肌內效貼布，在腳足背、足底、內翻、外翻等方向的動作感覺能力最好，其次是沒有任何貼布、貼安慰劑方式的肌內效貼布、貼安慰劑方式的傳統型運動貼布，最後是貼傳統型運動貼布。在芭蕾舞者習慣性扭傷那側的腳上貼肌內效貼布，在腳足背、足底、內翻、外翻、足底結合內翻等方向的被動關節回位能力最好，其次是沒有任何貼布、貼安慰劑方式的肌內效貼布、貼安慰劑方式的傳統型運動貼布，最後是貼傳統型運動貼布。此外，舞者本身踝關節沒有扭傷側在腳足背、足底、內翻、外翻等方向的動作感覺能力最好，其次是舞者本身踝關節習慣性扭傷側，最後是控制組。舞者本身踝關節沒有扭傷側在腳足背、足底、內翻、外翻、足底結合內翻等方向的被動關節回位能力最好，其次是控制組和舞者本身踝關節習慣性扭傷側。
貼肌內效貼布對於腳踝本體感覺確實有提升的效果，因此我們可能會建議腳踝有不穩定者但非扭傷急性期的選手的選手貼肌內效貼布。另外，我們採用跟過去文獻相同的肌內效貼布貼法，但我們貼附肌內效貼布時不施加張力，測出來對於本體感覺有顯著性差異。因此我們可能會建議貼肌內效貼布貼法時不要施加張力，採服貼方式就好。此外，貼肌內效貼布時用正確的貼法貼在正確的位置會提升踝關節的本體感覺。然而，貼附傳統型運動貼布雖然會稍微降低踝關節的本體感覺，但跟沒有貼貼布比較起來並沒有顯著性的差異，又因為傳統型運動貼布主要功能可以保護以及固定踝關節的功能，因此我們可能會建議腳踝扭傷的芭蕾舞者者在急性期可以貼紮傳統型運動貼布進行表演或練習，避免腳踝發生更嚴重的扭傷。

The ankles and feet are common parts of the body where ballet dancers sustain injuries, such as ankle sprains. Ankle sprains cause damage to the muscle mechanoreceptors and that may affect the proprioceptive acuity and possibly causes recurrent ankle sprain. Ankle taping is utilized to prevent and treat these types of sports injuries. It has been proved that protection can be achieved through immobilization of the ankle joint during exercise. Previous studies have mentioned that Kinesio tapes may improve the proprioception in some joints such as ankle joint and elbow joint. However, different taping methods and materials may have different effects on the proprioception.
The purpose of this study was to investigate the effect of different taping methods on the ankle proprioception in ballet dancers with unilateral functional ankle instability (FAI) in a functional standing position. The results of this study might provide the clinical information for the sports medicine, and possibly help ballet dancers to avoid the risk of ankle sprain and enhance their dancing performance.
Twenty young female ballet dancers with unilateral FAI were investigated in this study. Meanwhile, twenty other female college students without ankle injuries were investigated as control groups. We used five different conditions as interventive on methods for the recurrent ankle sprain side of ballet dancers: without taping, with traditional athletic taping, with athletic placebo taping, with Kinesio taping and with Kinesio placebo taping. A custom-built novel ankle proprioception assessment device was used to assess the joint movement sense and passive reproduction joint position sense (JPS) of the ankle at a functional standing stance in all subjects.
Our results showed that the recurrent ankle sprain side of ballet dancers in Kinesio taped condition had the best ankle movement sense ability, followed by the non-taped condition, Kinesio placebo taped condition, athletic placebo taped condition and the athletic taped condition in the plantarflexion (PF), dorsiflexion (DF), inversion and eversion directions. Furthermore, the Kinesio taped condition had the best passive ankle reproduction JPS ability, followed by the non-taped condition, Kinesio placebo taped condition, athletic placebo taped condition and the athletic taped condition in PF, DF, inversion, eversion and PF with inversion directions. Moreover, the dancer’s non-sprain side had the best ankle movement sense ability compared to the dancer’s recurrent sprain side and the controls in PF, DF, inversion and eversion directions. In addition, the dancer’s non-sprain side had the best ankle passive reproduction JPS ability compared to the controls and the dancer’s recurrent sprain side in PF, DF, inversion, eversion and PF with inversion directions.
We might suggest that the subjects with FAI could take Kinesio taping method (without tension) to avoid recurrent ankle sprain. Furthermore, proper Kinesio taping methods enhanced the accuracy in ankle proprioception. In addition, there were no significant differences on traditional athletic taping condition compare to non-taping condition in ankle proprioception. Therefore, we might suggest that the subjects with acute ankle sprain could takle traditional athletic taping method to protect and stabilize ankle to avoid severe ankle sprain.

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