Effect of Achilles Tendon taping on parameters of gait in asymptomatic-overweight and obese individuals
DOI:
https://doi.org/10.17267/2238-2704rpf.2023.e5184Keywords:
Achilles Tendon, Adult, Body Mass Index, Obesity, OverweightAbstract
INTRODUCTION: Overweight and obesity affect gait variables such as cadence, step length, stride length, and Achilles tendon deterioration. Rigid Achilles tendon Taping reduces stress and enhances joint stability and can be employed as external support during gait training to modify gait parameters. OBJECTIVE: To find out whether taping modifies gait patterns with increasing weight. METHODS AND MATERIALS: 40 subjects were recruited (20 overweight and 20 obese) whose step length, stride length, and cadence were measured before and after rigid Achilles tendon taping. Each person completed the 10-meter walk test using Gait Analyzer application. RESULTS: The Shapiro-Wilk test is used to assess the normality of the data. Wilcoxon Signed Rank Test is used for within-group differences. Within-group differences were significant in gait parameters p<0.05 (Step length p<0.001, Stride length p<0.001 and cadence p=0.009). CONCLUSION: Rigid Achilles tendon taping have a similar effect on gait parameters in overweight and obese individuals. After taping, there was a significant difference in terms of stride length, step length and cadence in the study population before and after Achilles taping. This implies that regardless of body weight, the tape intervention affects gait mechanics in a comparable way and is intended to prevent excessive joint motion, provide proprioceptive input during activities, and lessen discomfort.
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(1) Pirker W, Katzenschlager R. Gait disorders in adults and the elderly: A clinical guide. Wien Klin Wochenschr. 2017;129(3-4):81-95. https://doi.org/10.1007/s00508-016-1096-4
(2) Freedman BR, Gordon JA, Soslowsky LJ. The Achilles tendon: fundamental properties and mechanisms governing healing. Muscles Ligaments Tendons J. 2014;4(2):245-55. Cited: PMID: 25332943.
(3) Ahsan M. Determine the kinematics and kinetics parameters associated with bilateral gait patterns among healthy, overweight, and obese adults. Acta Biomed. 2022;93(5):e2022228. https://doi.org/10.23750%2Fabm.v93i5.13060
(4) Franceschi F, Papalia R, Paciotti M, Franceschetti E, Di Martino A, Maffulli N, et al. Obesity as a risk factor for tendinopathy: a systematic review. Int J Endocrinol. 2014;2014:670262. https://doi.org/10.1155/2014/670262
(5) Wearing SC, Hennig EM, Byrne NM, Steele JR, Hills AP. Musculoskeletal disorders associated with obesity: a biomechanical perspective. Obes Rev. 2006;7(3):239-50. https://doi.org/10.1111/j.1467-789X.2006.00251.x
(6) Ghezelbash F, Shirazi-Adl A, Plamondon A, Arjmand N, Parnianpour M. Obesity and obesity shape markedly influence spine biomechanics: a subject-specific risk assessment model. Ann Biomed Eng. 2017;45(10):2373-82. https://doi.org/10.1007/s10439-017-1868-7
(7) Chen SM, Lo SK, Cook J. The Effect of Rigid Taping with Tension on Mechanical Displacement of The Skin and Change in Pain Perception. J Sci Med Sport. 2018;21(4):342–6. https://doi.org/10.1016/j.jsams.2017.07.008
(8) Constantinou M, Brown M. Therapeutic taping for musculoskeletal conditions. Australia: Churchill Livingstone; 2010.
(9) Goats GC. Taping Techniques: Principles and Practice. British Journal of Sports Medicine. 1995 Dec;29(4):280. Cited: PMCID: PMC1332248.
(10) Youn M. Kinesio Tape vs Rigid Tape - The Key Differences You Must Know [Internet]. Skines. 2023 mar. 7. Available from: https://www.skines.online/blogs/journal/kinesio-tape-vs-rigid-tape-what-s-the-difference
(11) PhysioRoom. Complete Guide to Taping & Strapping [Internet]. 2006 nov. 22. Available from: https://www.physioroom.com/advice/guides/taping-strapping/
(12) Pepa L, Verdini F, Spalazzi L. Gait parameter and event estimation using smartphones. Gait Posture. 2017;57:217-23. https://doi.org/10.1016/j.gaitpost.2017.06.011
(13) World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191-4. https://doi.org/10.1001/jama.2013.281053
(14) Makihara Y, Mannami H, Yagi Y. Gait analysis of gender and age using a large-scale multi-view gait database. In: Kimmel R, Klette R, Sugimoto A, editors. Computer Vision – ACCV 2010. Heidelberg: Springer; 2010. p. 440-51. https://doi.org/10.1007/978-3-642-19309-5_34
(15) Maktouf W, Durand S, Boyas S, Pouliquen C, Beaune B. Interactions among obesity and age- related effects on the gait pattern and muscle activity across the ankle joint. Exp Gerontol. 2020;140:111054. https://doi.org/10.1016/j.exger.2020.111054
(16) Rosso V, Agostini V, Takeda R, Tadano S, Gastaldi L. Influence of BMI on gait characteristics of young adults: 3D evaluation using inertial sensors. Sensors. 2019;19(19):4221. https://doi.org/10.3390%2Fs19194221
(17) Chhabra M, Prabhakar S, Chouhan DK, Dhillon MS. Technical Note: Three-dimensional Gait Analysis. J Postgrad Med Educ Res. 2021;55(4):188-91. https://doi.org/10.5005/jp-journals-10028-1445
(18) Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91. https://doi.org/10.3758/bf03193146
(19) Portney LG, Watkins MP. Foundations of Clinical Research: Application to Practice. 3rd. ed. Philadelphia: F.A. Davis; 2015. p. 170-171.
(20) Macdonald R. Pocketbook of taping techniques. Churchill Livingstone; 2010. p. 235.
(21) Shrestha A, Goyal M. Impact of Achilles tendon taping on parameters of gait in asymptomatic-overweight and obese individuals. J Physiother Res. 2023;13:e4867. https://doi.org/10.17267/2238-2704rpf.2023.e4867
(22) Silsupadol P, Teja K, Lugade V. Reliability and Validity of a Smartphone-Based Assessment of Gait Parameters Across Walking Speed and Smartphone Locations: Body, Bag, Belt, Hand, And Pocket. Gait Posture. 2017;58:516-22. https://doi.org/10.1016/J.Gaitpost.2017.09.030
(23) Kirkwood RN, Moreira BS, Vallone MLDC, Mingoti SA, Dias RC, Sampaio RF. Step length appears to be a strong discriminant gait parameter for elderly females highly concerned about falls: a cross-sectional observational study. Physiotherapy. 2011;97(2):126-31. https://doi.org/10.1016/j.physio.2010.08.007
(24) Oberg T, Karsznia A, Oberg K. Basic gait parameters: reference data for normal subjects, 10-79 years of age. J Rehabil Res Dev. 1993;30:210-2. Cited: PMID: 8035350.
(25) O’Keefe DJ. Brief Report: Post Hoc Power, Observed Power, A Priori Power, Retrospective Power, Prospective Power, Achieved Power: Sorting Out Appropriate Uses of Statistical Power Analyses. Commun Methods Meas. 2007;1(4):291-9. https://doi.org/10.1080/19312450701641375
(26) Ling C, Kelechi T, Mueller M, Brotherton S, Smith S. Gait and function in class III obesity. J Obesity. 2012;2012:257468. https://doi.org/10.1155/2012/257468
(27) He L, Yu T, Zhang W, Wang B, Ma Y, Li S. Causal Associations of Obesity with Achilles Tendinopathy: A Two-Sample Mendelian Randomization Study. Front Endocrinol. 2022;13:902142. https://doi.org/10.3389/fendo.2022.902142
(28) Mayo Clinic. Achilles tendinitis [Internet]. 2021 sep. 30. Available from: https://www.mayoclinic.org/diseases-conditions/achilles-tendinitis/diagnosis-treatment/drc-20369025
(29) Weasler P. How to Protect Your Achilles Tendon with Taping [Internet]. Vive Health; 2020 [updated in 2020 nov 18]. Available from: https://www.vivehealth.com/blogs/resources/achilles-tendon-taping
(30) Cupler ZA, Alrwaily M, Polakowski E, Mathers KS, Schneider MJ. Taping for conditions of the musculoskeletal system: an evidence map review. Chiropr Man Therap. 2020;28(1):52. https://doi.org/10.1186/s12998-020-00337-2
(31) Kazis LE, Anderson JJ, Meenan RF. Effect sizes for interpreting changes in health status. Med Care. 1989;27(suppl 3):S178-89. https://doi.org/10.1097/00005650-198903001-00015
(32) Villasenor Alva JA, Estrada EG. A generalization of Shapiro–Wilk's test for multivariate normality. Commun Stat Theory Methods. 2009;38(11):1870-83. http://dx.doi.org/10.1080/03610920802474465
(33) Prusak KM, Prusak KA, Hunter I, Seeley MK, Hopkins JT. Comparison of two taping techniques on navicular drop and center-of-pressure measurements during stance. Athletic Training Sports Health Care. 2014;6(6):252-60. http://dx.doi.org/10.3928/19425864-20141125-13
(34) Lai PPK, Leung AKL, Li ANM, Zhang M. Three-dimensional gait analysis of obese adults. Clin Biomech. 2008;23(suppl 1):S2-S6. https://doi.org/10.1016/j.clinbiomech.2008.02.004
(35) Forhan M, Gill SV. Obesity, functional mobility and quality of life. Best Pract Res Clin Endocrinol Metab. 2013;27(2):129-37. https://doi.org/10.1016/j.beem.2013.01.003
(36) World Health Organization. Obesity and overweight [Internet]. 2021 jun. 9. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
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Copyright (c) 2023 Amrita Shrestha, Kanu Goyal, Manu Goyal
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This work is licensed under a Creative Commons Attribution 4.0 International License.
