The effects of different taping methods on patellofemoral alignment, pain and function in individuals with patellofemoral pain: A randomized controlled trial.

Autor: Songur A; Department of Physiotherapy and Rehabilitation, Institute of Health Sciences, Ankara Yildirim Beyazit University, Ankara, Turkey., Demirdel E; Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Yıldırım Beyazıt University, Ankara, Turkey., Kılıc O; Department of Physical Medicine and Rehabilitation - Rheumatology, Gulhane Training and Research Hospital, Ankara, Turkey., Akin ME; Department of Radiology, Ankara Yildirim Beyazit University, Yenimahalle Training and Research Hospital, Ankara, Turkey., Alkan A; Department of Biostatistics and Medical Informatics, Faculty of Medicine, Ankara Yildirim Beyazit University, Ankara, Turkey., Akkaya M; Department of Orthopedics and Traumatology, Ankara Yildirim Beyazit University, Ankara City Hospital, Ankara, Turkey.
Jazyk: angličtina
Zdroj: PM & R : the journal of injury, function, and rehabilitation [PM R] 2024 May; Vol. 16 (5), pp. 474-484. Date of Electronic Publication: 2023 Oct 18.
DOI: 10.1002/pmrj.13067
Abstrakt: Background: Athletic taping has long been a physiotherapeutic application in individuals with patellofemoral pain (PFP). However, the therapeutic effects of local and proximal taping have not been fully determined.
Objective: To evaluate the effects of two different taping techniques applied in addition to exercise on patellofemoral alignment, pain, and function in individuals with PFP.
Design: Randomized controlled trial.
Setting: An outpatient hospital clinic.
Participants: Individuals with PFP aged 18-50 years (n = 36).
Interventions: Group 1 underwent only the exercise program. Group 2 underwent the exercise plus McConnell patellar taping (MPT), and Group 3 underwent the exercise plus femoral rotational taping (FRT) (6 weeks).
Main Outcome Measures: Bisect offset index (BOI) and patellar tilt angle (PTA) were measured in relaxed and maximum voluntary contractions of the quadriceps muscle (MVCq) using magnetic resonance imaging. Pain intensity was assessed by the Visual Analog Scale for three conditions: at daytime rest, during activity, and at nighttime. Functional level was assessed by the Kujala Patellofemoral Scoring System.
Results: Significant improvements in the BOI of Group 2 at rest (p = .015; r = 0.593) and in PTA of Group 3 at MVCq (p = .010; r = 0.613) were found. Improvements in pain under all three conditions were significant within groups (all, p values < .050 and r > 0.5). The change in pain was similar between groups (all, p values > .05). All groups showed significant improvement in functional level (all, p values < .010 and r > 0.5). However, the increase in Group 3 was higher than that in Group 1 (p = .019).
Conclusion: This study shows that MPT and FRT applications increase functionality and can affect patellofemoral alignment in different ways. In the treatment of PFP, more successful results can be obtained with appropriate taping techniques for the local and proximal region.
(© 2023 American Academy of Physical Medicine and Rehabilitation.)
Databáze: MEDLINE
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