Sport Sciences for Health

, Volume 15, Issue 1, pp 91–97 | Cite as

Ankle taping and bracing does not change static and dynamic balance in volleyball players

  • Germanna Medeiros BarbosaEmail author
  • Manuela Azevedo Correia Lima
  • Joseanne Daniele Cezar Ribeiro
  • Palloma Rodrigues Andrade
  • José Jamacy Almeida Ferreira
  • Wouber Hérickson Brito Vieira
  • Heleodório Honorato Santos
Original Article


The purpose of this study was to compare the effects of nonelastic adhesive tape, dynamic bracing, and no-tape/brace on static and dynamic balance during single-leg stance in women’s college volleyball. Seventeen young uninjured players (18.94 ± 2.49 years; 1.71 ± 0.05 m; 65.45 ± 9.49 kg; 9.2 ± 4.1 years played; 4 ± 1 weekly training frequency) were submitted to three conditions presented in randomized order: dynamic bracing; nonelastic adhesive tape and no-tape/brace. In all conditions, the center of gravity displacement (total displacement, TD; anteroposterior displacement, APD and mediolateral displacement, MLD) of the dominant and non-dominant lower limb (DLL and NDLL) was assessed using the static and dynamic platform of the Biodex Balance System. The ANOVA (three-way) test with repeated measures was applied, considering a 5% significance level. The results showed no interaction between any of the independent factors in all displacements (p > 0.05). However, there was a significant main level effect for TD (p = 0.001, mean difference = 1.1°) and MLD (p = 0.013, mean difference = 0.30°), with greater displacement in the dynamic level compared to its static counterpart. There was also a significant main limb effect for APD (p = 0.003, mean difference = 0.73°) and MLD (p ≤ 0.001, mean difference = 0.60°), with a higher degree of instability in MND when compared to MD. In conclusion, the data indicated that the use of nonelastic tape and bracing was not superior to the no-tape/brace condition in controlling center of gravity displacement during single-leg stance.


Stability Unilateral balance Ankle support Postural control 



All authors contributed to the conception and design of this study. G. M. Barbosa wrote the article drafts. W. H. Brito Vieira and H. H. Santos critically revised the writing and data interpretations. All the authors approved the final version.


This work was financially supported by the Brazilian National Council for Scientific and Technological Development (CNPq—2010 grant call).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical approval

All procedures involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


  1. 1.
    Fédération Internationale de Volleyball (FIVB) n.d. Accessed 13 Aug 2017
  2. 2.
    Verhagen EALM, Van der Beek AJ, Bouter LM, Bahr RM, Van Mechelen W (2004) A one season prospective cohort study of volleyball injuries. Br J Sport Med 38:477–481. CrossRefGoogle Scholar
  3. 3.
    James LP, Kelly VG, Beckman EM (2014) Injury risk management plan for volleyball athletes. Sport Med 44:1185–1195. CrossRefGoogle Scholar
  4. 4.
    Devetag F, Mazzilli M, Benis R, Torre LA, Bonato A (2018) M. Anterior cruciate ligament injury profile in Italian Serie A1-A2 women’s volleyball league. J Sports Med Phys Fitness 58:92–97. Google Scholar
  5. 5.
    Bahr R, Karlsen R, Lian Ø, Øvrebø RV (1994) Incidence and mechanisms of acute ankle inversion injuries in volleyball. Am J Sports Med 22:595–600. CrossRefGoogle Scholar
  6. 6.
    Marshall SW, Covassin T, Dick R, Nassar LG, Agel J (2007) Descriptive epidemiology of collegiate mens lacrosse injuries: national collegiate athletic association injury surveillance system. J Athl Train 42:234–240. Google Scholar
  7. 7.
    McKeon PO, Mattacola CG (2008) Interventions for the prevention of first time and recurrent ankle sprains. Clin Sports Med 27:371–382. CrossRefGoogle Scholar
  8. 8.
    Quackenbush KE, Barker PRJ, Stone Fury SM, Behm DG (2008) The effects of two adhesive ankle-taping methods on strength, power, and range of motion in female athletes. N Am J Sports Phys Ther 3:25–32Google Scholar
  9. 9.
    Frey C, Feder KS, Sleight J (2010) Prophylactic ankle brace use in high school volleyball players: a prospective study. Foot Ankle Int 31:296–300. CrossRefGoogle Scholar
  10. 10.
    Margarita J, Dizon R, Joy J, Reyes B (2010) A systematic review on the effectiveness of external ankle supports in the prevention of inversion ankle sprains among elite and recreational players. J Sci Med Sport 13:309–317. CrossRefGoogle Scholar
  11. 11.
    Cordova ML, Ingersoll CD, Palmieri RM (2002) Efficacy of prophylactic ankle support: an experimental perspective. J Athl Train 37:446–457. Google Scholar
  12. 12.
    Stasinopoulos D (2004) Comparison of three preventive methods in order to reduce the incidence of ankle inversion sprains among female volleyball players. Br J Sport Med 38:182–185. CrossRefGoogle Scholar
  13. 13.
    Alt W, Lohrer H, Gollhofer A (1999) Functional properties of adhesive ankle taping: neuromuscular and mechanical effects before and after exercise. Foot Ankle Int 20:238–245. CrossRefGoogle Scholar
  14. 14.
    Bennell KL, Goldie PA (1994) The differential effects of external ankle support on postural control. J Orthop Sports Phys Ther 20:287–295. CrossRefGoogle Scholar
  15. 15.
    Baier M, Hopf T (1998) Ankle orthoses effect on single-limb standing balance in athletes with functional ankle instability. Arch Phys Med Rehabil 79:939–944. CrossRefGoogle Scholar
  16. 16.
    Ozer D, Senbursa G, Baltaci G, Hayran M (2009) The effect on neuromuscular stability, performance, multi-joint coordination and proprioception of barefoot taping or preventative bracing. Foot 19:205–210. CrossRefGoogle Scholar
  17. 17.
    Barbanera M, De Andrade E, Souza Mazuchi F, Batista JPB, De Moura Ultremare J, Da Silva Iwashita J, Ervilha UF (2014) Semi-rigid brace and taping decrease variability of the ankle joint position sense. Motriz Rev Educ Fis 20:448–453. CrossRefGoogle Scholar
  18. 18.
    Feuerbach JW, Grabiner MD (1993) Effect of the aircast on unilateral postural control: amplitude and frequency variables. J Orthop Sport Phys Ther 17:149–154. CrossRefGoogle Scholar
  19. 19.
    Beck TW (2013) The Importance of A Priori Sample Size Estimation in Strength and Conditioning Research. J Strength Cond Res 27:2323–2337. CrossRefGoogle Scholar
  20. 20.
    Rodrigues RC, Masiero D, Mizusaki JM, Imoto AM, Peccin MS, Cohen M et al (2008) Tradução, adaptação cultural e validação do “American Orthopaedic Foot and Ankle Society(AOFAS) Ankle-Hindfoot Scale”. Acta Ortopédica Bras 16:107–111. CrossRefGoogle Scholar
  21. 21.
    Alonso AC, Greve JMD, Camanho GL (2009) Evaluating the center of gravity of dislocations in soccer players with and without reconstruction of the anterior cruciate ligament using a balance platform. Clinics 64:163–170. CrossRefGoogle Scholar
  22. 22.
    Gear W, Bookhout JSA (2011) Effect of ankle taping and bracing on dynamic balance and perception of stability. Int J Exerc Sci 5:S13–S14. Google Scholar
  23. 23.
    Cohen J (1988) Statistical power analysis for the behavioral sciences. L. Erlbaum Associates, MahwahGoogle Scholar
  24. 24.
    Beynnon BD, Murphy DF, Alosa DM (2002) Predictive factors for lateral ankle sprains: a literature review. J Athl Train 37:376–380Google Scholar
  25. 25.
    Dizon JMR, Reyes JJB, Alosa D et al (2010) A systematic review on the effectiveness of external ankle supports in the prevention of inversion ankle sprains among elite and recreational players. J Sci Med Sport 13:309–317. CrossRefGoogle Scholar
  26. 26.
    Vosoughi AR, Roustaei N, Mahdaviazad H (2016) American orthopaedic foot and ankle society ankle-Hindfoot scale: a cross-cultural adaptation and validation study from Iran. Foot Ankle Surg S1268-7731:30044–30049. Google Scholar
  27. 27.
    Testerman C, Griend R, Vander (1999) Evaluation of ankle instability using the biodex stability system. Foot Ankle Int 20:317–321. CrossRefGoogle Scholar
  28. 28.
    Schmitz R, Arnold B (1998) Intertester and intratester reliability of a dynamic balance protocol using the biodex stability system. J Sport Rehabil 7:95–101. CrossRefGoogle Scholar
  29. 29.
    Hinman MR (2000) Factors affecting reliability of the biodex balance system: a summary of four studies. J Sport Rehabil 9:240–252. CrossRefGoogle Scholar
  30. 30.
    Sawkins K, Refshauge K, Kilbreath S, Raymond J (2007) The placebo effect of ankle taping in ankle instability. Med Sci Sports Exerc 39:781–787. CrossRefGoogle Scholar
  31. 31.
    Halim-Kertanegara S, Raymond J, Hiller CE, Kilbreath SL, Refshauge KM (2017) The effect of ankle taping on functional performance in participants with functional ankle instability. Phys Ther Sport 23:162–167. CrossRefGoogle Scholar
  32. 32.
    Testa M, Rossettini G (2016) Enhance placebo, avoid nocebo: How contextual factors affect physiotherapy outcomes. Man Ther 24:65–74. CrossRefGoogle Scholar
  33. 33.
    McCurdy K, Langford G (2006) The relationship between maximum unilateral squat strength and balance in young adult men and women. J Sports Sci Med 5:282–288Google Scholar
  34. 34.
    Barfield WR, Kirkendall DT, Yu B (2002) Kinematic instep kicking differences between elite female and male soccer players. J Sports Sci Med 1:72–79Google Scholar
  35. 35.
    Coghill RC, Gilron I, Iadarola MJ (2001) Hemispheric lateralization of somatosensory processing. J Neurophysiol 85:2602–2612CrossRefGoogle Scholar
  36. 36.
    Kiyota T, Fujiwara K (2014) Dominant side in single-leg stance stability during floor oscillations at various frequencies. J Physiol Anthropol 33:25. CrossRefGoogle Scholar
  37. 37.
    Dugan SA, Frontera WR (2000) Muscle fatigue and muscle injury. Phys Med Rehabil Clin N Am 11:385–403CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Physical Therapy DepartmentFederal University of São CarlosSão CarlosBrazil
  2. 2.Physical Therapy DepartmentFederal University of ParaíbaJoão PessoaBrazil
  3. 3.Physical Therapy DepartmentFederal University of Rio Grande do NorteNatalBrazil

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