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Effects of Rigid and Kinesio Taping on Balance and Performance in Chronic Ankle Instability (FAST-CAI)

12 juni 2026 bijgewerkt door: Onur Atakan Sekibağ, Istanbul Nisantasi University

Immediate and Fatigue-Related Effects of Rigid and Kinesio Subtalar Sling Taping on Dynamic Balance, Proprioception, and Functional Performance in Individuals With Chronic Ankle Instability

The goal of this clinical trial is to evaluate the immediate effects of rigid subtalar sling taping, kinesio subtalar sling taping, and sham taping on balance, proprioception, ankle mobility, and functional performance in physically active adults with chronic ankle instability.

The main questions it aims to answer are:

  • Does rigid subtalar sling taping improve dynamic balance, ankle proprioception, ankle dorsiflexion mobility, and functional performance in individuals with chronic ankle instability?
  • Does rigid subtalar sling taping provide greater benefits than kinesio subtalar sling taping or sham taping under fatigue and recovery conditions?

Researchers will compare rigid subtalar sling taping, kinesio subtalar sling taping, and sham taping to determine their effects on balance, proprioception, ankle mobility, and functional performance before fatigue, after fatigue, and following recovery.

Participants will:

  • Complete baseline assessments of dynamic balance, ankle proprioception, ankle dorsiflexion mobility, and functional performance.
  • Be randomly assigned to receive rigid subtalar sling taping, kinesio subtalar sling taping, or sham taping.
  • Repeat all outcome assessments immediately after tape application.
  • Perform a standardized fatigue protocol consisting of running, hopping, jumping, and heel-raise exercises until predefined fatigue criteria are reached.
  • Complete all outcome assessments immediately after the fatigue protocol.
  • Rest in a seated position for 20 minutes.
  • Complete a final set of outcome assessments following recovery.

The study aims to identify whether subtalar sling taping can improve functional performance and neuromuscular control in physically active individuals with chronic ankle instability and whether these effects are maintained after fatigue and recovery.

Studie Overzicht

Toestand

Voltooid

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

Chronic ankle instability (CAI) is a common long-term consequence of lateral ankle sprains and is characterized by recurrent episodes of ankle giving way, impaired sensorimotor control, reduced dynamic balance, and functional limitations during physical activity. Persistent deficits in proprioception, postural control, and movement performance may increase the risk of recurrent injury and negatively affect participation in sports and recreational activities.

External ankle support strategies are frequently used to improve stability and reduce the risk of recurrent ankle sprains. Among these strategies, rigid taping and kinesio taping are widely applied in both rehabilitation and sports settings. Rigid taping is primarily intended to provide mechanical support and limit excessive joint motion, whereas kinesio taping is believed to enhance sensorimotor function through cutaneous stimulation and improved neuromuscular feedback. Despite their widespread use, evidence regarding their comparative effectiveness remains inconsistent, particularly under fatigue conditions.

Fatigue is considered an important contributor to injury risk because it may impair proprioception, dynamic balance, joint stability, and functional performance. Since many ankle sprains occur during the later stages of physical activity when fatigue is present, understanding whether taping interventions can preserve performance under fatigue may have important implications for injury prevention and rehabilitation.

This randomized controlled trial was designed to compare the immediate and fatigue-related effects of rigid subtalar sling taping, kinesio subtalar sling taping, and sham taping in physically active individuals with chronic ankle instability. Assessments were performed before intervention, immediately after tape application, following a standardized fatigue protocol, and after a recovery period to evaluate both immediate responses and the ability of the interventions to maintain performance under physiologically demanding conditions.

The findings of this study may contribute to evidence-based recommendations regarding taping applications for individuals with chronic ankle instability and may help clinicians select appropriate external support strategies during rehabilitation, return-to-sport decision-making, and injury prevention programs.

Studietype

Ingrijpend

Inschrijving (Werkelijk)

90

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

  • Turkije (Türkiye)
    • Istanbul
      • Istanbul, Istanbul, Turkije (Türkiye)
        • Istanbul Nisantasi University

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Volwassen

Accepteert gezonde vrijwilligers

Nee

Beschrijving

Inclusion Criteria:

  • Age between 18 and 35 years.
  • Physically active individuals participating in physical activity at least three times per week.
  • History of at least one significant lateral ankle sprain.
  • Self-reported episodes of ankle giving way, recurrent sprains, or feelings of instability during the previous six months.
  • Cumberland Ankle Instability Tool (CAIT) score ≤24.
  • Ability to understand study procedures and provide written informed consent.

Exclusion Criteria:

  • Acute lower-extremity injury within the previous three months.
  • Previous lower-extremity fracture requiring surgical management.
  • History of lower-extremity surgery.
  • Vestibular, neurological, or systemic disorders affecting balance, movement, or proprioception.
  • Current musculoskeletal pain that limits participation in testing procedures.
  • Known allergy or sensitivity to adhesive tape materials.
  • Participation in another rehabilitation or intervention study during the study period.
  • Inability to complete the fatigue protocol or functional performance assessments safely.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Dubbele

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Rigid Subtalar Sling Taping
Participants will receive rigid subtalar sling taping applied by a trained investigator prior to performance testing and the fatigue protocol.
Ander: Rigid Subtalar Sling Taping
A rigid athletic tape application designed to provide mechanical support to the subtalar and ankle joints and restrict excessive motion associated with chronic ankle instability.
Experimenteel: Kinesio Subtalar Sling Taping
Participants will receive kinesio subtalar sling taping applied by a trained investigator prior to performance testing and the fatigue protocol.
Ander: Kinesio Subtalar Sling Taping
A kinesiology tape application designed to enhance sensorimotor feedback and improve neuromuscular control without substantially restricting ankle motion.
Sham-vergelijker: Sham Taping
Participants will receive a sham taping application that does not provide mechanical support or intended sensorimotor facilitation prior to performance testing and the fatigue protocol.
Ander: Sham Taping
A placebo taping application intended to mimic taping procedures without providing meaningful mechanical support or sensorimotor enhancement.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Y-Balance Test Composite Score
Tijdsspanne: Baseline, immediately after taping, immediately after the fatigue protocol, and 20 minutes after completion of the fatigue protocol.
Dynamic balance performance assessed using the Y-Balance Test (YBT) Composite Score. The composite score is calculated as the sum of the anterior, posteromedial, and posterolateral reach distances divided by three times the participant's leg length and multiplied by 100. Scores are expressed as a percentage, with higher scores indicating better dynamic balance performance. There is no fixed minimum or maximum score, although values typically range between 0 and 100%.
Baseline, immediately after taping, immediately after the fatigue protocol, and 20 minutes after completion of the fatigue protocol.

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Ankle Joint Position Sense Error
Tijdsspanne: Baseline, immediately after taping, immediately after the fatigue protocol, and 20 minutes after completion of the fatigue protocol.
Ankle proprioception assessed using active ankle Joint Position Sense (JPS) error measured in degrees (°). The outcome represents the absolute difference between the target angle and the reproduced angle. The minimum possible value is 0°, with lower values indicating better proprioceptive accuracy and higher values indicating worse proprioceptive performance.
Baseline, immediately after taping, immediately after the fatigue protocol, and 20 minutes after completion of the fatigue protocol.
Weight-Bearing Lunge Test Distance
Tijdsspanne: Baseline, immediately after taping, immediately after the fatigue protocol, and 20 minutes after completion of the fatigue protocol.
Ankle dorsiflexion range of motion assessed using the Weight-Bearing Lunge Test (WBLT). The maximum distance (cm) from the great toe to the wall while maintaining heel contact with the ground is recorded. Higher values indicate greater ankle dorsiflexion mobility. There is no fixed maximum value.
Baseline, immediately after taping, immediately after the fatigue protocol, and 20 minutes after completion of the fatigue protocol.
Single-Leg Hop Distance
Tijdsspanne: Baseline, immediately after taping, immediately after the fatigue protocol, and 20 minutes after completion of the fatigue protocol.
Functional performance assessed using the Single-Leg Hop Test. The maximum forward hop distance is measured in centimeters (cm). Higher values indicate better functional performance. There is no fixed maximum value.
Baseline, immediately after taping, immediately after the fatigue protocol, and 20 minutes after completion of the fatigue protocol.
Side Hop Test Performance
Tijdsspanne: Baseline, immediately after taping, immediately after the fatigue protocol, and 20 minutes after completion of the fatigue protocol.
Functional performance assessed using the Side Hop Test. The total time required to complete the test is recorded in seconds (s). Lower values indicate better performance. There is no fixed maximum value.
Baseline, immediately after taping, immediately after the fatigue protocol, and 20 minutes after completion of the fatigue protocol.
Figure-of-8 Hop Test Performance
Tijdsspanne: Baseline, immediately after taping, immediately after the fatigue protocol, and 20 minutes after completion of the fatigue protocol.
Functional performance assessed using the Figure-of-8 Hop Test. The total completion time is recorded in seconds (s). Lower values indicate better functional performance. There is no fixed maximum value.
Baseline, immediately after taping, immediately after the fatigue protocol, and 20 minutes after completion of the fatigue protocol.

Andere uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Borg Rating of Perceived Exertion
Tijdsspanne: Immediately after completion of the fatigue protocol.
Perceived exertion measured immediately following the fatigue protocol using the Borg Rating of Perceived Exertion Scale. Scores range from 6 to 20, with higher scores indicating greater perceived exertion.
Immediately after completion of the fatigue protocol.
Post-Fatigue Heart Rate
Tijdsspanne: Immediately after completion of the fatigue protocol.
Heart rate measured immediately following completion of the fatigue protocol using a wearable heart rate monitor and expressed in beats per minute (bpm). Higher values indicate greater cardiovascular response to exercise.
Immediately after completion of the fatigue protocol.
Fatigue Protocol Duration
Tijdsspanne: Immediately after completion of the fatigue protocol.
Total duration required to complete the fatigue protocol, recorded in seconds. Longer durations indicate greater time required to reach the predefined fatigue criteria.
Immediately after completion of the fatigue protocol.
Number of Fatigue Protocol Rounds
Tijdsspanne: Immediately after completion of the fatigue protocol.
Total number of completed fatigue protocol circuits performed before reaching the predefined fatigue criteria. Higher values indicate a greater number of completed circuits.
Immediately after completion of the fatigue protocol.

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Istanbul Nisantasi University

Onderzoekers

  • Hoofdonderzoeker: Onur Atakan Sekibağ, PT, MSc, PhD(c), Istanbul Nişantaşı University

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Algemene publicaties

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

1 juni 2025

Primaire voltooiing (Werkelijk)

1 december 2025

Studie voltooiing (Werkelijk)

31 december 2025

Studieregistratiedata

Eerst ingediend

30 mei 2026

Eerst ingediend dat voldeed aan de QC-criteria

30 mei 2026

Eerst geplaatst (Werkelijk)

4 juni 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

15 juni 2026

Laatste update ingediend die voldeed aan QC-criteria

12 juni 2026

Laatst geverifieerd

1 juni 2026

Meer informatie

Termen gerelateerd aan deze studie

Trefwoorden

Andere studie-ID-nummers

  • OASTaping

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

JA

Beschrijving IPD-plan

De-identified individual participant data underlying the results reported in this study will be available upon reasonable request to the corresponding author.

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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