Assessing the effect of prophylactic ankle taping on ankle and knee biomechanics during landing tasks in healthy individuals: a cross-sectional observational study
Keywords:
Ankle injuries, Biomechanical phenomena, Kinetics, Hopping training, Kinematics, BiomechanicsAbstract
BACKGROUND: Current research supports the fact that prophylactic ankle taping (AT) is effective in preventing ankle injuries in amateur and elite sports athletes.
OBJECTIVE: This study aimed to investigate the effect of AT on balance, knee valgus during drop jump and single-leg countermovement jump (SL-CMJ) landings, and ankle range of motion (ROM) restriction in healthy participants.
DESIGN AND SETTING: A cross-sectional observational study was conducted at the Universidad Europea de Madrid, Madrid, Spain.
METHODS: Participants: Thirty-nine healthy individuals participated in this study and performed the movements under two conditions (with and without tape). Outcome measurements: ankle ROM, balance, SL-CMJ height, flight time, ground time, and knee valgus. Before any intervention, a random process was developed with a 1:1 allocation ratio, and the participants were assigned to groups A (tape-no tape) and B (no tape-tape).
RESULTS: Significant differences between tape and no-tape moments were observed for drop jump knee valgus flexion (P = 0.007), with an increase in knee valgus in participants with ankle taping. Similarly, the Y-balance testshowed a significant decrease in all variables (P = 0.001 and), ankle dorsiflexion (P = 0.001) in participants with ankle taping.
CONCLUSIONS: AT is effective for immediate ankle ROM restriction. However, an increase in knee valgus during drop jump task and a decrease in lower limb balance were observed during drop jump task. Based on these results, it can be concluded that AT application in healthy individuals should not be recommended as it results in increase in injury risk factors.
Downloads
References
Stoffel KK, Nicholls RL, Winata AR, et al. Effect of ankle taping on knee and ankle joint biomechanics in sporting tasks. Med Sci Sports Exerc. 2010;42(11):2089-97. PMID: 20351591; http://doi.org/10.1249/ MSS.0b013e3181de2e4f.
Handoll HH, Rowe BH, Quinn KM, de Bie R. Interventions for preventing ankle ligament injuries. Cochrane database Syst Rev. 2001;(3):CD000018. PMID: 11686947; http://doi.org/10.1002/14651858.CD000018.
Wilkerson GB, Kovaleski JE, Meyer M, Stawiz C. Effects of the subtalar sling ankle taping technique on combined talocrural-subtalar joint motions. Foot ankle Int. 2005;26(3):239-46. PMID: 15766428; https:// doi.org/10.1177/107110070502600310.
Kemler E, van de Port I, Schmikli S, et al. Effects of soft bracing or taping on a lateral ankle sprain: a non-randomised controlled trial evaluating recurrence rates and residual symptoms at one year. J Foot Ankle Res. 2015;8:13. PMID: 25897326; http://doi.org/10.1186/s13047-015-0069-6.
Karlsson J, Andreasson GO. The effect of external ankle support in chronic lateral ankle joint instability. An electromyographic study.
Am J Sports Med. 1992;20(3):257-61. PMID: 1636854; https://doi. org/10.1177/036354659202000304.
Ricard MD, Sherwood SM, Schulthies SS, Knight KL. Effects of tape and exercise on dynamic ankle inversion. J Athl Train. 2000;35(1):31-7. PMID: 16558605.
McCaw ST, Cerullo JF. Prophylactic ankle stabilizers affect ankle joint kinematics during drop landings. Med Sci Sports Exerc. 1999;31(5):702-7. PMID: 10331891; https://doi.org/10.1097/00005768-199905000-00013.
Riemann BL, Schmitz RJ, Gale M, McCaw ST. Effect of ankle taping and bracing on vertical ground reaction forces during drop landings before and after treadmill jogging. J Orthop Sports Phys Ther. 2002;32(12):628-
PMID: 12492272; https://doi.org/10.2519/jospt.2002.32.12.628.
Pederson TS, Ricard MD, Merrill G, Schulthies SS, Allsen PE. The effects of spatting and ankle taping on inversion before and after exercise. J Athl Train. 1997;32(1):29-33. PMID: 16558429.
Callaghan MJ. Role of ankle taping and bracing in the athlete. Br J Sports Med. 1997;31(2):102-8. PMID: 9192121; https://doi.org/10.1136/bjsm.31.2.102.
Kemler E, van de Port I, Backx F, van Dijk CN. A systematic review on the treatment of acute ankle sprain: brace versus other functional treatment types. Sports Med. 2011;4(3):185-97. PMID: 21395362; https:// doi.org/10.2165/11584370-000000000-00000.
Kerkhoffs GM, Struijs PA, Marti RK, et al. Different functional treatment strategies for acute lateral ankle ligament injuries in adults. Cochrane Database Syst Rev. 2002;(3):CD002938. PMID: 12137665; https://doi.
org/10.1002/14651858.cd002938.
McKay GD, Goldie PA, Payne WR, Oakes BW. Ankle injuries in basketball: injury rate and risk factors. Br J Sports Med. 2001;35(2):103-8. PMID: 11273971; https://doi.org/10.1136/bjsm.35.2.103.
St-Onge N, Chevalier Y, Hagemeister N, Van De Putte M, De Guise J. Effect of ski binding parameters on knee biomechanics: a three-dimensional computational study. Med Sci Sports Exerc. 2004;36(7):1218-25. PMID: 15235329; https://doi.org/10.1249/01.mss.0000132375.00721.7a.
McLean SG, Huang X, van den Bogert AJ. Association between lower extremity posture at contact and peak knee valgus moment during sidestepping: implications for ACL injury. Clin Biomech (Bristol, Avon). 2005;20(8):863-70. PMID: 16005555; https://doi.org/10.1016/j. clinbiomech.2005.05.007.
Myer GD, Ford KR, Khoury J, Succop P, Hewett TE. Development and validation of a clinic-based prediction tool to identify female athletes at high risk for anterior cruciate ligament injury. Am J Sports Med. 2010;38(10):2025-33. PMID: 20595554; https://doi. org/10.1177/0363546510370933.
Myer GD, Ford KR, Di Stasi SL, et al. High knee abduction moments are common risk factors for patellofemoral pain (PFP) and anterior cruciate ligament (ACL) injury in girls: is PFP itself a predictor for subsequent ACL injury? Br J Sports Med. 2015;49(2):118-22. PMID: 24687011; https:// doi.org/10.1136/bjsports-2013-092536.
Sigward SM, Cesar GM, Havens KL. Predictors of Frontal Plane Knee Moments During Side-Step Cutting to 45 and 110 Degrees in Men and Women: Implications for Anterior Cruciate Ligament Injury. Clin J Sport Med. 2015;25(6):529-34. PMID: 25290102; https://doi.org/10.1097/ jsm.0000000000000155.
Aparicio-Sarmiento A, Hernández-García R, Cejudo A, Palao JM, Sainz de Baranda P. Reliability of a Qualitative Instrument to Assess High-Risk Mechanisms during a 90° Change of Direction in Female Football Players. Int J Environ Res Public Health. 2022;19(7):4143. PMID: 35409830; https://doi.org/10.3390/ijerph19074143.
Santos MJ, McIntire K, Foecking J, Liu W. The effects of ankle bracing on motion of the knee and the hip joint during trunk rotation tasks. Clin Biomech. 2004;19(9):964-71. PMID: 15475130; https://doi.org/10.1016/j. clinbiomech.2004.07.002.
Williams SA, Ng L, Stephens N, Klem N, Wild C. Effect of prophylactic ankle taping on ankle and knee biomechanics during basketball-specific tasks in females. Phys Ther Sport. 2018;32:200-6. PMID: 29803127; https://doi.org/10.1016/j.ptsp.2018.04.006.
Chatswood NS, editor. Sports medicine for sports trainers. Sports Medicine Austraila. 10th ed. Mosby Inc.; 2013.
Struzik A, Juras G, Pietraszewski B, Rokita A. Effect of drop jump technique on the reactive strength index. J Hum Kinet. 2016;52:157-
PMID: 28149403; https://doi.org/10.1515/hukin-2016-0003.
O’Malley E, Richter C, King E, et al. Countermovement Jump and Isokinetic Dynamometry as Measures of Rehabilitation Status After Anterior Cruciate Ligament Reconstruction. J Athl Train. 2018;53(7):68795; PMID: 30109947. https://doi.org/10.4085/1062-6050-480-16.
Irawan DS, Huoth C, Sinsurin K, et al. Concurrent Validity and Reliability of Two-dimensional Frontal Plane Knee Measurements during Multidirectional Cutting Maneuvers. Int J Sports Phys Ther. 2022;17(2):148-55. PMID: 35136683; https://doi.org/10.26603/001c.31651.
Hanzlíková I, Richards J, Athens J, Hébert-Losier K. The Influence of Asymptomatic Hypermobility on Unanticipated Cutting Biomechanics.
Sports Health. 2021;13(6):548-53. PMID: 33682537; https://doi. org/10.1177/1941738121999063.
Munro A, Herrington L, Carolan M. Reliability of 2-dimensional video assessment of frontal-plane dynamic knee valgus during common athletic screening tasks. J Sport Rehabil. 2012;21(1):7-11. PMID: 22104115; https://doi.org/10.1123/jsr.21.1.7.
Olson TJ, Chebny C, Willson JD, Kernozek TW, Straker JS. Comparison of 2D and 3D kinematic changes during a single leg step down following neuromuscular training. Phys Ther Sport. 2011;12(2):93-9. PMID: 21496772; https://doi.org/10.1016/j.ptsp.2010.10.002.
Maykut JN, Taylor-Haas JA, Paterno M V, DiCesare CA, Ford KR. Concurrent validity and reliability of 2d kinematic analysis of frontal plane motion during running. Int J Sports Phys Ther. 2015;10(2):136-46. PMID: 25883862.
Pusara A, Heamawatanachai S, Sinsurin K, Jorrakate C. Reliability of a low-cost webcam recording system for three-dimensional lower limb gait analysis. Int Biomech. 2019;6(1):85-92. PMID: 34042008; https://doi. org/10.1080/23335432.2019.1671221.
Pueo B, Penichet-Tomas A, Jimenez-Olmedo JM. Validity, reliability and usefulness of smartphone and kinovea motion analysis software for direct measurement of vertical jump height. Physiol Behav. 2020;227:113144. PMID: 32822710; https://doi.org/10.1016/j. physbeh.2020.113144.
Bertelsen ML, Jensen JF, Nielsen MH, Nielsen RO, Rasmussen S. Footstrike patterns among novice runners wearing a conventional, neutral running shoe. Gait Posture. 2013;38(2):354-6. PMID: 23280125; https://doi. org/10.1016/j.gaitpost.2012.11.022.
Balsalobre-Fernández C, Tejero-González CM, del Campo-Vecino J, Bavaresco N. The concurrent validity and reliability of a low-cost, highspeed camera-based method for measuring the flight time of vertical jumps. J strength Cond Res. 2014;28(2):528-33. PMID: 23689339; https:// doi.org/10.1519/jsc.0b013e318299a52e.
Damsted C, Nielsen RO, Larsen LH. Reliability of video-based quantification of the knee- and hip angle at foot strike during running. Int J Sports Phys Ther. 2015;10(2)147-54. PMID: 25883863.
Bosco C, Luhtanen P, Komi PV. A simple method for measurement of mechanical power in jumping. Eur J Appl Physiol Occup Physiol. 1983;50(2):273-82. PMID: 6681758; https://doi.org/10.1007/ bf00422166.
Plisky PJ, Gorman PP, Butler RJ, et al. The reliability of an instrumented device for measuring components of the star excursion balance test. N Am J Sports Phys Ther. 2009;(4):92-9. PMID: 21509114.
Balsalobre-Fernández C, Romero-Franco N, Jiménez-Reyes P. Concurrent validity and reliability of an iPhone app for the measurement of ankle dorsiflexion and inter-limb asymmetries. J Sports Sci. 2019;37(3):249-53. PMID: 29962280; https://doi.org/10.1 080/02640414.2018.1494908.
Romero-Morales C, López-Nuevo C, Fort-Novoa C, et al. Ankle Taping Effectiveness for the Decreasing Dorsiflexion Range of Motion in Elite Soccer and Basketball Players U18 in a Single Training Session:
A Cross-Sectional Pilot Study. Appl Sci. 2020;10(11):3759. https://doi. org/10.3390/app10113759.
Helme M, Tee J, Emmonds S, Low C. Does lower-limb asymmetry increase injury risk in sport? A systematic review. Phys Ther Sport. 2021;49:204-13. https://doi.org/10.1016/j.ptsp.2021.03.001.
Klem NR, Wild CY, Williams SA, Ng L. Effect of External Ankle Support on Ankle and Knee Biomechanics During the Cutting Maneuver in Basketball Players. Am J Sports Med. 2017;45(3):685-91. PMID: 27872123; https://doi.org/10.1177/0363546516673988.
Cordova ML, Takahashi Y, Kress GM, Brucker JB, Finch AE. Influence of external ankle support on lower extremity joint mechanics during drop landings. J Sport Rehabil. 2010;19(2):136-48. PMID: 20543215; https:// doi.org/10.1123/jsr.19.2.136.
Sigward SM, Ota S, Powers CM. Predictors of frontal plane knee excursion during a drop land in young female soccer players. J Orthop Sports Phys Ther. 2008;38(11):661-7. PMID: 18978451; https://doi.org/10.2519/ jospt.2008.2695.
Kiapour AM, Kiapour A, Goel VK, et al. Uni-directional coupling between tibiofemoral frontal and axial plane rotation supports valgus collapse mechanism of ACL injury. J Biomech. 2015;48(10):1745-51. PMID: 26070647; https://doi.org/10.1016/j.jbiomech.2015.05.017.
Senter C, Hame SL. Biomechanical analysis of tibial torque and knee flexion angle: implications for understanding knee injury. Sports Med. 2006;36(8):635-41. PMID: 16869706; https://doi.org/10.2165/00007256200636080-00001.
Gross TS, Nelson RC. The shock attenuation role of the ankle during landing from a vertical jump. Med Sci Sports Exerc. 1988;20(5):506-14. PMID: 3193868.
Sacco Ide CN, Takahasi HY, Suda EY, et al. Ground reaction force in basketball cutting maneuvers with and without ankle bracing and taping. Sao Paulo Med J. 2006;124(5):245-52. PMID: 17262153; https:// doi.org/10.1590/s1516-31802006000500002.
Lee BG, Lee JH. Immediate effects of ankle balance taping with kinesiology tape on the dynamic balance of young players with functional ankle instability. Technol Heal care. 2015;23(3):333-41. PMID: 25735310; https://doi.org/10.3233/thc-150902.
Shin YJ, Kim MK. Immediate effect of ankle balance taping on dynamic and static balance of soccer players with acute ankle sprain. J Phys Ther Sci. 2017;29(4):622-4. PMID: 28533597; https://doi.org/10.1589/ jpts.29.622.
Pereiro-Buceta H, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, et al. The Effect of Simulated Leg-Length Discrepancy on the Dynamic
Parameters of the Feet during Gait-Cross-Sectional Research. Healthcare (Basel). 2021;9(8):932. PMID: 34442069; https://doi.org/10.3390/ healthcare9080932.
Sánchez-Gómez R, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, et al. Reliability Study of Diagnostic Tests for Functional Hallux Limitus. Foot Ankle Int. 2020;41(4):457-62. PMID: 31994419; https:// doi.org/10.1177/1071100719901116.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 São Paulo Medical Journal

This work is licensed under a Creative Commons Attribution 4.0 International License.