Journal of the American Podiatric Medical Association, Vol 89, Issue 3 118-123, Copyright © 1999 by American Podiatric Medical Association

CLINICAL TRIAL

Antipronation taping and temporary orthoses. Effects on tibial rotation position after exercise

A Hadley, S Griffiths, L Griffiths and B Vicenzino
Department of Physiotherapy, University of Queensland, Brisbane, Australia.

Abnormal lower-limb biomechanics--in particular, abnormal pronation of the subtalar joint with concomitant increased internal rotation of the tibia--is one of the major causes of overuse injuries of the lower limb. A randomized, controlled, within-subjects research design (N = 14) was used to investigate the effect of a temporary felt orthosis and an antipronation taping technique to control the transverse tibial rotation position immediately after application and after each of two 10-minute periods of exercise. The results showed that the taping technique was superior to both the orthosis and no intervention in controlling tibial rotation position immediately after application and after 10 minutes of exercise. After 20 minutes of exercise, neither the tape nor the orthosis was significantly superior to the control; however, the trends suggested that some residual control was maintained. Future studies are needed to determine the amount of foot pronation control required to relieve symptoms in a symptomatic population in order to determine the clinical effectiveness of these treatment methods.