The Effects of Patellar Taping on Stride Characteristics and Joint Motion in Subjects With Patellofemoral Pain

Powers, Christopher M.; Landel, R. F.; Sosnick, Tamara; Kirby, Janet; Mengel, Ken; Cheney, Andrea; Perry, Jacquelin

doi:10.2519/jospt.1997.26.6.286

Cited by 90 publications

(53 citation statements)

References 9 publications

(8 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Based on the current study, it will be useful to assess whether interventions designed to treat patellofemoral pain could affect knee joint motion. One previous study by Powers et al [46] found small but significant improvements in knee joint motion following an intervention. Our research group is planning to assess the impact of a physiotherapy intervention on sagittal plane knee motion.…”

Section: Whut M E the Clinicul Iniplicutions?mentioning

confidence: 94%

Knee flexion during stair ambulation is altered in individuals with patellofemoral pain

Crossley

Cowan

Bennell

et al. 2004

Journal Orthopaedic Research

113

View full text Add to dashboard Cite

Reduced knee flexion is a logical gait adaptation for individuals with patellofemoral pain (PFP) to lessen the patellofemoral joint reaction force and minimise pain during stair ambulation. This gait adaptation may be related to the co‐ordination of individual vasti components. Purpose: This study investigated the amount of stance‐phase knee flexion in individuals with (n = 48) and without (n = 18) PFP using a cross‐sectional design. The relationship between stance‐phase knee flexion and onset timing of individual vasti activity was also examined. Method: Stance‐phase knee flexion was measured in 2‐dimensions using a PEAK movement analysis system during stair ascent and descent. Individuals with PFP were separated into those with synchronous onset of the EMG activity of vastus medialis obliquus (VMO) and vastus lateralis (VL), and those where the onset of VMO EMG activity was delayed relative to the VL. Results: The amount of knee flexion at heel‐strike and peak was less in the individuals with PFP compared with the healthy controls. In addition, there were trends towards individuals with PFP who had a delayed EMG onset of VL having reduced knee flexion during stair descent compared with PFP individuals with simultaneous vasti onsets and the control participants. Conclusion: These results indicate that the amount of stance‐phase knee flexion is lower in individuals with PFP and that this may be related to onset timing of the vasti. © 2003 Orthopaedic Research Society. Published by Elsevier Ltd. All rights reserved.

show abstract

Section: Whut M E the Clinicul Iniplicutions?mentioning

confidence: 94%

Knee flexion during stair ambulation is altered in individuals with patellofemoral pain

Crossley

Cowan

Bennell

et al. 2004

Journal Orthopaedic Research

113

View full text Add to dashboard Cite

show abstract

“…There is a lack of consensus in the literature regarding the reliability of therapists in assessing the specific components of tilt, glide, and rotation of the patella, which taping is purported to alter. 16,25,34,41 The present study, therefore, took the pragmatic approach of investigating current clinical practice. Therapist 2 had 5 years experience in the assessment and treatment of PFPS using the McConnell approach.…”

Section: Patella Tapingmentioning

confidence: 99%

Effects of Taping on Pain and Function in Patellofemoral Pain Syndrome: A Randomized Controlled Trial

Whittingham¹,

Palmer²,

Macmillan³

2004

J Orthop Sports Phys Ther

102

View full text Add to dashboard Cite

Study Design: A randomized controlled trial. Objectives: To investigate the effectiveness of daily patella taping and exercise on pain and function in individuals with patellofemoral pain syndrome. Background: Patella taping and muscle-strengthening programs are commonly used to treat patellofemoral pain syndrome. There is, however, little evidence for the effectiveness of these approaches. Methods and Measures: Twenty-four men and 6 women aged 17 to 25 years (mean ± SD, 18.7 ± 1.2 years) participated in the study. Subjects were randomly and exclusively assigned to 1 of 3 treatment groups: patella taping combined with a standardized exercise program, placebo patella taping and exercise program, or exercise program alone (n = 10 in each group). Taping was applied and exercises performed on a daily basis for 4 weeks. Outcome measures were visual analog scales for pain and the functional index questionnaire, recorded at weekly intervals by a therapist who was blinded to group allocation. Results: Separate mixed-model ANOVAs, with repeated measures on time, indicated statistically significant improvements in pain and function over time for all groups (P Ͻ.01) and also significant differences between groups for all measures (P Ͻ.01). Separate independent samples t tests showed that the group receiving taping and exercises had better pain and function scores following treatment than the placebo taping-and-exercise group and the exercise-alone group. There were no significant differences between the placebo taping-and-exercise group and exercise-alone group at any time point. Conclusions: These findings indicate that over a period of 4 weeks a combination of daily patella taping and exercises was successful in improving pain and function in individuals with patellofemoral pain syndrome. The combination of patella taping and exercise was superior to the use of exercise alone.

show abstract

“…McConnell originally hypothesized that patellar taping normalized patellar tracking by mechanically shifting the patella. 11 Although it is not clear if tape actually alters patellar position, [12][13][14] it is well documented that immediate pain relief occurs with patellar taping 12,14,[16][17][18][19][20] and that this pain relief is greater than that seen with tape applied over the skin without attempts to realign the patella. [20][21][22] There is evidence that neuromotor control of the vasti is altered in individuals with PFP.…”

Section: Introductionmentioning

confidence: 99%

Effect of patellar taping on vasti onset timing, knee kinematics, and kinetics in asymptomatic individuals with a delayed onset of vastus medialis oblique

2006

View full text Add to dashboard Cite

This randomized within-subject study investigated the effects of patellar tape on the onset of electromyographic (EMG) activity of vastus medialis obliquus (VMO) relative to vastus lateralis (VL), knee kinematics, and kinetics in 12 currently asymptomatic individuals with a VMO timing deficit and a history of patellofemoral pain. Participants were required to complete stair stepping and normal-pace and fast-pace walking tasks under three experimental conditions; no tape, control tape and therapeutic tape. EMG onsets of VMO and VL were measured by surface electrodes, stance phase knee flexion by the PEAK movement analysis system and vertical ground reaction force by a force plate. A two-way repeated measures analysis of variance showed that neither therapeutic tape nor control tape had any effect on the EMG VMO-VL onset timing difference. Therapeutic tape, but not control tape, led to significant increases in stance phase knee flexion. The first peak vertical ground reaction force was lowered by both control and therapeutic tape but only during fast walking. The results suggest that tape induced effects on neuromotor control of the vasti seen in other studies are related to reductions in pain rather than the presence of a baseline timing deficit. However, this cannot explain the improvements in stance phase knee flexion observed with tape. ß

show abstract

The Effects of Patellar Taping on Stride Characteristics and Joint Motion in Subjects With Patellofemoral Pain

Cited by 90 publications

References 9 publications

Knee flexion during stair ambulation is altered in individuals with patellofemoral pain

Knee flexion during stair ambulation is altered in individuals with patellofemoral pain

Effects of Taping on Pain and Function in Patellofemoral Pain Syndrome: A Randomized Controlled Trial

Effect of patellar taping on vasti onset timing, knee kinematics, and kinetics in asymptomatic individuals with a delayed onset of vastus medialis oblique

Contact Info

Product

Resources

About