The Effects of Kinesiotape and Strength Training on Knee Pain and Quadriceps Strength in People with Patellofemoral Pain Syndrome (PFPS)

Document Type : Original Article(s)

Authors

1 Department of Sport Pathology and Corrective Exercises, School of Physical Education and Sport Sciences, The University of Isfahan, Isfahan, Iran

2 Associate Professor, Department of Sport Pathology and Corrective Exercises, School of Physical Education and Sport Sciences, The University of Isfahan, Isfahan, Iran

3 Assistant Professor, Department of Sport Biomechanics, School of Physical Education and Sport Sciences, The University of Isfahan, Isfahan, Iran

4 MSc Student, Department of Exercise Physiology, School of Physical Education and Sport Sciences, The University of Isfahan, Isfahan, Iran

Abstract

Background: Patellofemoral pain syndrome (PFPS) is the most prevalent knee disorder. In fact, one in every four knee patients suffers from this syndrom. The purpose of the present study was to compare the effects of kinesiotape and strength training on knee pain and quadriceps strength in people with patellofemoral pain syndrome.Methods: Thirty one male patients with patellofemoral pain syndrome, with a mean age of 25 ± 1 year, a mean height of 173.6 ± 6.15 cm, and a mean weight of 71.25 ± 7.1 kg, were randomly assigned into three groups of kinesiotape, exercise, and combined kinesiotape-exercise. All groups underwent six weeks of intervention. Pre- and post-tests were administered. A visual analogue scale and the Biodex isokinetic dynamometer were used to measure pain and strength of the knee muscles, respectively. Repeated measures analysis of variance (ANOVA) was used to analyze the data. The significance level was considered as α = 0.05.Findings: After six weeks of intervention, significant pain reductions were observed in the kinesiotape, and combined kinesiotape-exercise groups (P ˂ 0.05). However, mean of maximum quadriceps muscle torque improved significantly only in the combined kinesiotape-exercise group (P ˂ 0.05). Conclusion: The results of the present study showed that taping significantly reduced pain. It could be concluded that using kinesiotape increased the contact surface between patella and intercondylar groove and decreased pressure which in turn improved pain.

Keywords

References

  1. Powers CM. Rehabilitation of patellofemoral joint disorders: a critical review. J Orthop Sports Phys Ther 1998; 28(5): 345-54.
  2. Laprade J, Culham E, Brouwer B. Comparison of five isometric exercises in the recruitment of the vastus medialis oblique in persons with and without patellofemoral pain syndrome. J Orthop Sports Phys Ther 1998; 27(3): 197-204.
  3. McConnell J. The management of chondromalacia patellae: along term solution. Australian Journal Physiotherapy 1986; 32(4): 215-23.
  4. Salsich GB, Brechter JH, Farwell D, Powers CM. The effects of patellar taping on knee kinetics, kinematics, and vastus lateralis muscle activity during stair ambulation in individuals with patellofemoral pain. J Orthop Sports Phys Ther 2002; 32(1): 3-10.
  5. Christou EA. Patellar taping increases vastus medialis oblique activity in the presence of patellofemoral pain. J Electromyogr Kinesiol 2004; 14(4): 495-504.
  6. Ng GY, Cheng JM. The effects of patellar taping on pain and neuromuscular performance in subjects with patellofemoral pain syndrome. Clin Rehabil 2002; 16(8): 821-7.
  7. Herrington L. The effect of Patellofemoral joint taping; a review. Critical Reviews in Physical and Rehabilitation Medicine 2000; 12(3): 271-6.
  8. Souza DR, Gross MT. Comparison of vastus medialis obliquus: vastus lateralis muscle integrated electromyographic ratios between healthy subjects and patients with patellofemoral pain. Phys Ther 1991; 71(4): 310-6.
  9. Thomee R, Augustsson J, Karlsson J. Patellofemoral pain syndrome: a review of current issues. Sports Med 1999; 28(4): 245-62.
  10. Nyland JA, Ullery LR, Caborn DN. Medial patellar taping changes the peak plantar force location and timing of female basketball players. Gait Posture 2002; 15(2): 146-52.
  11. Hertel J, Earl JE, Tsang KKW, Miller SJ. Combining isometric knee extension exercise with hip adduction or abduction does not increase quadriceps EMG activity. Br J Sports Med 2004; 38(2): 210-3.
  12. Zachazewski JE, Magee JD, Quillen SW. Athletic Injuries and Rehabilitation. Philadelphia: Saunders; 1996. p. 693-725.
  13. Gilleard W, McConnell J, Parsons D. The effect of patellar taping on the onset of vastus medialis obliquus and vastus lateralis muscle activity in persons with patellofemoral pain. Phys Ther 1998; 78(1): 25-32.
  14. Fulkerson JP. The etiology of patellofemoral pain in young, active patients: a prospective study. Clin Orthop Relat Res 1983; (179): 129-33.
  15. Levin I. Chondromalacia patellae. Physician Sports Medicine 1979; 7(8): 41-9.
  16. Soderberg GL, Cook TM. An electromyographic analysis of quadriceps femoris muscle setting and straight leg raising. Phys Ther 1983; 63(9): 1434-8.
  17. Wild JJ Jr, Franklin TD, Woods GW. Patellar pain and quadriceps rehabilitation. An EMG study. Am J Sports Med 1982; 10(1): 12-5.
  18. Shelton GL. Conservative management of patellofemoral dysfunction. Prim Care 1992; 19(2): 331-50.
  19. Walsh WM, Helzer-Julin M. Patellar tracking problems in athletes. Prim Care 1992; 19(2): 303-30.
  20. Whittingham M, Palmer S, Macmillan F. Effects of taping on pain and function in patellofemoral pain syndrome: a randomized controlled trial. J Orthop Sports Phys Ther 2004; 34(9): 504-10.
  21. Mohamad-khani Z, Khayambashi Kh, Ghaznavi K. The Effect of Hip Abductor and External Rotator Strengthening on Female with Patellofemoral Pain Syndrome [Thesis]. Isfahan: The University of Isfahan; 2010.
  22. Keet J, Gray J, Harley Y, Lambert M. The effect of medial patellar taping on pain, strength and neuromuscular recruitment in subjects with and without patellofemoral pain. Physiotherapy 2007; 93(1): 45-52.
  23. Coqueiro KR, Bevilaqua-Grossi D, Berzin F, Soares AB, Candolo C, Monteiro-Pedro V. Analysis on the activation of the VMO and VLL muscles during semisquat exercises with and without hip adduction in individuals with patellofemoral pain syndrome. J Electromyogr Kinesiol 2005; 15(6): 596-603.
  24. Hanten WP, Schulthies SS. Exercise effect on electromyographic activity of the vastus medialis oblique and vastus lateralis muscles. Phys Ther 1990; 70(9): 561-5.
  25. McConnell J. An investigation of certain biomechanical variables predisposing an adolescent male to retropatellar pain. Proceedings of the 2nd International Congress: Australian Physiotherapy Association; 1984; Perth, Australia.
  26. Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: a comparison of six methods. Pain 1986; 27(1): 117-26.
  27. Earl JE, Schmitz RJ, Arnold BL. Activation of the VMO and VL during dynamic mini-squat exercises with and without isometric hip adduction. J Electromyogr Kinesiol 2001; 11(6): 381-6.
  28. Bumpa T. Periodization and Strength Training Design in Sport. Trans: Rajabi H, Aghaalinejad H, Siahkoohian M. Tehran: Physical Education and Sport Sciences Research Center of Ministry of Higher Education; 2002. p.248.
  29. Wilson T, Carter N, Thomas G. A multicenter, single-masked study of medial, neutral, and lateral patellar taping in individuals with patellofemoral pain syndrome. J Orthop Sports Phys Ther 2003; 33(8): 437-43.
  30. Herrington L. The effect of patellar taping on quadriceps peak torque and perceived pain: a preliminary study physical therapy in sport. Physical Therapy in Sport 2001; 2(1): 23-8.
  31. Bockrath K, Wooden C, Worrell T, Ingersoll CD, Farr J. Effects of patella taping on patella position and perceived pain. Med Sci Sports Exerc 1993; 25(9): 989-92.
  32. Akbari A, Hoseinifar M, Kheirabadi N, Jahanshahi-Javaran P. The effect comparison of exercise therapy and percutaneous electrical stimulation on pain and health status of patients with PFPS. Armaghan-e-Danesh 2008; 13(1): 15-26.
  33. Fu TC, Wong AM, Pei YC, Wu KP, Chou SW, Lin YC. Effect of Kinesio taping on muscle strength in athletes-a pilot study. J Sci Med Sport 2008; 11(2): 198-201.
  34. Herrington L, Payton C. Effects of corrective taping of the patella on patients with patellofemoral pain. Physiotherapy 1997; 83(11): 566-72.
Journal of Isfahan Medical School
Volume 29, Issue 159 - Serial Number 159
September and October 2011
Pages 1657-1668

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History

  • Receive Date: 22 November 2010
  • Revise Date: 02 November 2024
  • Accept Date: 06 April 2022

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