Document Type : Original Articles


1 Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

2 Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran,

3 Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran


Background: Ankle sprains are common musculoskeletal injuries in sports and physical activities, often leading to balance impairments. The research investigated the impact of combined fibular repositioning taping (FRT) and facilitatory fibularis longus taping on postural balance and proprioception of the ankle joint in individuals with Chronic Ankle Instability (CAI).
Methods:The double-blind randomized controlled trial was conducted at the Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences (SUMS). A total of 40 patients aged between 18 and 50 were randomly allocated to either the intervention or placebo group. In the intervention group, participants received a combined FRT and facilitatory fibularis longus taping. In contrast, participants in the placebo group received an adhesive gauze from the medial malleolus to the midpoint of the tibia. Static and dynamic postural stability and stability limits were evaluated using the Biodex Balance SD system. Proprioception of the ankle joint was assessed using the active ankle joint repositioning test with a Biodex isokinetic dynamometer. Data within each group were compared before and immediately after taping and 48 hours after taping.
Results: The comparison of static postural stability before and immediately after the taping application revealed a significant decrease within groups (P = 0.01). Additionally, there was a statistically significant difference between groups before and 48 hours after taping (P = 0.002). A significant difference was observed between groups immediately after taping (P = 0.03) for dynamic postural stability at the double leg stance position. In contrast, no significant difference was found between groups 48 hours after taping (P = 0.05).
Conclusion:The results suggest that combined FRT and facilitatory fibularis longus taping could enhance static and dynamic postural stability in individuals with CAI.


  1. Hertel J, Corbett RO. An updated model of chronic ankle instability. J. Athl. Train. 2019;54(6):572-88.

    1. Halabchi F, Hassabi M. Acute ankle sprain in athletes: Clinical aspects and algorithmic approach. World J. Orthop. 2020;11(12):534-558.
    2. Wang W, Liao D, Kang X, Zheng W, Xu W, Chen S, et al. Development of a valid Chinese version of the Cumberland Ankle Instability Tool in Chinese-speaking patients with chronic ankle instability disorders. Sci Rep. 2021;11(1):1-8.
    3. Kobayashi T, Koshino Y, Miki T. Abnormalities of foot and ankle alignment in individuals with chronic ankle instability: a systematic review. BMC Musculoskelet Disord. 2021;22(1):1-8.
    4. Fuerst P, Gollhofer A, Wenning M, Gehring D. People with chronic ankle instability benefit from brace application in highly dynamic change of direction movements. J Foot Ankle Res. 2021;14(1):1-11.
    5. Weerasekara I, Osmotherly PG, Snodgrass S, Tessier J, Rivett DA. Is the fibula positioned anteriorly in weight-bearing in individuals with chronic ankle instability? A case control study. J Man Manip Ther. 2021;29(3):168-75.
    6. Kim K-M, Ingersoll CD, Hertel J. Altered postural modulation of Hoffmann reflex in the soleus and fibularis longus associated with chronic ankle instability. J Electromyogr Kinesiol. 2012;22(6):997-1002.
    7. De Ridder R, Willems T, Vanrenterghem J, Roosen P. Effect of tape on dynamic postural stability in subjects with chronic ankle instability. Int J Sports Med. 2015;36(04):321-6.
    8. Jackson K, Simon JE, Docherty CL. Extended use of Kinesiology tape and balance in participants with chronic ankle instability. J Athl Train. 2016;51(1):16-21.
    9. Gottlieb U, Hoffman JR, Springer S. The immediate carryover effects of peroneal functional electrical stimulation differ between people with and without chronic ankle Iistability. Sensors. 2022;22(4):1-12.
    10. Hsiao C-K, Tsai Y-J, Lu C-W, Hsiung J-C, Hsiao H-Y, Chen Y-C, et al. Effects of kinesio taping on forearm supination/pronation performance fatigability. BMC Musculoskelet. Disord. 2022;23(1):1-10.
    11. Kase K. Clinical Therapeutic Applications of the Kinesio Taping® Method. 2nd Edition Albuquerque. 2003.
    12. Kim J-H, Cho M-R, Park J-H, Shin J-C, Cho J-H, Park G-C, et al. The effects of Kinesiotape on acute lateral ankle sprain: study protocol for a randomized controlled trial. Trials. 2018;19(1):1-10.
    13. Moiler K, Hall T, Robinson K. The role of fibular tape in the prevention of ankle injury in basketball: A pilot study. JOSPT. 2006;36(9):661-8.
    14. Someeh M, Norasteh AA, Daneshmandi H, Asadi A. Immediate effects of Mulligan's fibular repositioning taping on postural control in athletes with and without chronic ankle instability. PhysTher Sport. 2015;16(2):135-9.
    15. Takahashi E, Chun Y, Kim J, Pettaway A, Baker R, Lee S, et al. Immediate effects of ankle tapes on dynamic postural control and kinematics in chronic ankle instability. Int J Exerc Sci: 2018; 50(5S):684-685.
    16. Shea DC. Effect of  Kinsio tape on  stabilization and strengthening in people with chronic ankle sprains : 2018. [ A dissertation].
    17. Hopper D, Samsson K, Hulenik T, Ng C, Hall T, Robinson K. The influence of Mulligan ankle taping during balance performance in subjects with unilateral chronic ankle instability. PhysTher Sport. 2009;10(4):125-30.
    18. Delahunt E, McGrath A, Doran N, Coughlan GF. Effect of taping on actual and perceived dynamic postural stability in persons with chronic ankle instability. Arch Phys Med Rehabil. 2010;91(9):1383-9.
    19. Wheeler TJ, Basnett CR, Hanish MJ, Miriovsky DJ, Danielson EL, Barr J, et al. Fibular taping does not influence ankle dorsiflexion range of motion or balance measures in individuals with chronic ankle instability. J Sci Med Sport. 2013;16(6):488-92.
    20. Hadadi M, Haghighat F, Sobhani S. Can fibular reposition taping improve balance performance in individuals with chronic ankle instability? A randomized controlled trial. Musculoskelet. Sci. Pract. 2020;46:1-5.
    21. Gribble PA, Delahunt E, Bleakley C, Caulfield B, Docherty C, Fourchet F, et al. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. J Orthop Sports Phys Ther. 2013;43(8):585-91.
    22. Chou E, Kim K-M, Baker AG, Hertel J, Hart JM. Lower leg neuromuscular changes following fibular reposition taping in individuals with chronic ankle instability. Man Ther.. 2013;18(4):316-20.
    23. Kim MK, Shin YJ. Immediate effects of ankle balance taping with kinesiology tape for amateur soccer players with lateral ankle sprain: a randomized cross-over design. Medical science monitor: Int J Clin Exp. 2017;23:5534-5541.
    24. Cachupe WJ, Shifflett B, Kahanov L, Wughalter EH. Reliability of biodex balance system measures. Meas Phys Educ Exer.2001;5(2):97-108.
    25. Karimi N, Ebrahimi I, Kahrizi S, Torkaman G. Evaluation of postural balance using the biodex balance system in subjects with and without low back pain. Pak J Med Sci. 2008;24(3):372-7.
    26. Chun W, Kim H-s, Park S, Park J, Shim S, Park S. The Influence of pronated foot posture on knee isokinetic strength, static and dynamic postural stability in healthy young individuals. Phys Ther Korea. 2021;28(3):168-76.
    27. Khalili SM, Barati AH, Oliveira R, Nobari H. Effect of combined balance exercises and Kinesio taping on balance, postural stability, and severity of ankle instability in female athletes with functional ankle instability. Life. 2022;12(178):1-12.
    28. Zettlemoyer A, Patterson R, Baker R, Nasypany A. Using the Mulligan Mobilization with Movement and fibular repositioning to treat high school patients with grade one lateral ankle sprain. Clinical Practice in Athletic Training. 2022;5(1):22-30.
    29. Biz C, Nicoletti P, Tomasin M, Bragazzi NL, Di Rubbo G, Ruggieri P. Is kinesio taping effective for sport performance and ankle function of athletes with chronic ankle instability (CAI)? A systematic review and meta-analysis. Medicina. 2022;58(5):1-15.
    30. Kim H-S, Park J-Y. Effect of muscle taping and joint taping on static and dynamic balance in normal adults with chronic ankle instability. J. Korean soc integr med. 2022;10(1):101-8.
    31. Kulkarni N, Palekar TJ. The immediate effects of Mulligan Taping on pain and weight distribution in lateral ankle instability: A case study. Executive Editor. 2019;13(1):97-100.
    32. Smith MD, Vitharana TN, Wallis GM, Vicenzino B. Response profile of fibular repositioning tape on ankle osteokinematics, arthrokinematics, perceived stability and confidence in chronic ankle instability. Musculoskelet Sci Pract.. 2020;50:102272.
    33. Halseth T, McChesney JW, DeBeliso M, Vaughn R, Lien J. The effects of kinesio™ taping on proprioception at the ankle. J Sports Sci. Med. 2004;3(1):1-9.
    34. Simon J, Garcia W, Docherty CL. The effect of kinesio tape on force sense in people with functional ankle instability. Clin J Sport Med. 2014;24(4):289-94.
    35. Chang H-Y, Chou K-Y, Lin J-J, Lin C-F, Wang C-H. Immediate effect of forearm Kinesio taping on maximal grip strength and force sense in healthy collegiate athletes. Phys Ther Sport. 2010;11(4):122-7.
    36. Seo H-D, Kim M-Y, Choi J-E, Lim G-H, Jung S-I, Park S-H, et al. Effects of kinesio taping on joint position sense of the ankle. J Phys Ther Sci. 2016;28(4):1158-60.
    37. Yin L, Wang L. Acute effect of kinesiology taping on postural stability in individuals with unilateral chronic ankle instability. Front Physiol. 2020;11(192):1-8.
    38. East MN, Blackburn JT, DiStefano LJ, Zinder SM, Norcross MF. Effects of fibular repositioning tape on ankle kinematics and muscle activity. Athl Train Sports Health Care. 2010;2(3):113-22.