Patellar Taping on Proprioceptive Exercises in Young Women With Patellofemoral Pain Syndrome

NCT02322515 | Completed DMC

• 1 other identifier: Unopar-Rubens
• Study Type: interventional
• Target: 40
• Locations: 0 countries
• Sites: N/A

Brief Summary

The relevance of this study is to determine the effects of a patellar taping on muscle activation of the vastus medialis oblique (VMO), vastus lateralis (VL) and gluteus medius (GM) during different proprioceptive exercises frequently utilized in rehabilitation program.

Conditions

Anterior Knee Pain Syndrome

Keywords

Knee; Proprioception; Electromyography; Taping

Outcome Measures

Primary Outcomes (1)

• Muscular activation level (EMG measures)

  Surface EMG signals will be record in the the vastus medialis oblique (VMO), vastus lateralis (VL) and gluteus medius (GM) muscles, before and immedialty after with taping, during seven proprioceptive exercises.

  Baseline and immediately after with the taping

Secondary Outcomes (1)

• Postural control measures (force platform)

  Baseline and immediately after with the taping

Study Arms (2)

Intervention Taping

EXPERIMENTAL

The experimental group will use a rigid patellar taping (G1, n = 22) for the correction of lateralization of the patella and stabilization of the knee. The lateral stabilization will be made with self-adhesive taping positioned in the lateral border of the patella and tensioned in relation to the medial portion of the femur condyle, which allows an edge of the medial board patella and a stretching of lateral structures of the knee. All procedure will follow the recommendation from McConnell studies with regard to the patellar femoral syndrome.

Other: Intervention taping

Placebo Taping

PLACEBO COMPARATOR

The placebo group will use a rigid patellar taping (G2, n = 22), but without no correction of lateralization of the patella and/or stabilization of the knee. The taping will be placed incorrectly such as in the vertical position of knee and without any tension or traction around structures and patella.

Other: Placebo Taping

Interventions

Intervention taping OTHER

A rigid patellar taping will be used for the correction in lateralization of the patella and more stabilization of the knee.

Also known as: Patellar taping

Intervention Taping

Placebo Taping OTHER

A rigid patellar taping will be used in the vertical position and without no correction in lateralization of the patella and/or stabilization of the knee.

Also known as: Sham taping

Placebo Taping

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• anterior or retropatellar knee pain on at least two of the following activities: prolonged sitting, stairs, squatting, running, kneeling, and hopping/jumping,
• pain on patellar palpation,
• pain while stepping down from a 25-cm step or during a double leg squat,
• symptoms for at least 1 month, average pain level of 3 cm or more on a 10-cm VAS.

You may not qualify if:

• signs or symptoms of other pathology including coexisting pathology, a recent history (within 3 months) of knee surgery,
• history of patellar dislocation/subluxation, or clinical evidence of meniscal lesion, ligamentous instability, traction, apophysitis around the patellofemoral complex, patellar tendon pathology, chondral damage, osteoarthritis, or referred pain from the spine, features that could affect the implementation of the trial,
• previous experience with patellar taping, an inability to attend a physical therapy clinic for a 6-wk treatment program,
• allergic reaction to adhesive tape,
• pregnancy, and an inability to understand the experimental protocol.

Sponsors & Collaborators

• Universidade Norte do Paraná: lead
• Universidade Estadual de Londrina: collaborator

Related Publications (4)

• Cowan SM, Bennell KL, Crossley KM, Hodges PW, McConnell J. Physical therapy alters recruitment of the vasti in patellofemoral pain syndrome. Med Sci Sports Exerc. 2002 Dec;34(12):1879-85. doi: 10.1097/00005768-200212000-00004.

  PMID: 12471291 BACKGROUND

• McCONNELL J. The management of chondromalacia patellae: a long term solution. Aust J Physiother. 1986;32(4):215-23. doi: 10.1016/S0004-9514(14)60654-1.

  PMID: 25025219 BACKGROUND

• Lee SE, Cho SH. The effect of McConnell taping on vastus medialis and lateralis activity during squatting in adults with patellofemoral pain syndrome. J Exerc Rehabil. 2013 Apr;9(2):326-30. doi: 10.12965/jer.130018. Epub 2013 Apr 25.

  PMID: 24278879 BACKGROUND

• Araujo CG, de Souza Guerino Macedo C, Ferreira D, Shigaki L, da Silva RA. Mcconnell's patellar taping does not alter knee and hip muscle activation differences during proprioceptive exercises: A randomized placebo-controlled trial in women with patellofemoral pain syndrome. J Electromyogr Kinesiol. 2016 Dec;31:72-80. doi: 10.1016/j.jelekin.2016.09.006. Epub 2016 Sep 21.

  PMID: 27693990 DERIVED

MeSH Terms

Conditions

Patellofemoral Pain Syndrome

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• Rubens A DA SILVA, PhD

  Universidade Norte do Paraná

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Titular professor

Study Record Dates

• First Submitted: December 15, 2014
• First Posted: December 23, 2014
• Study Start: January 1, 2015
• Primary Completion: July 1, 2015
• Study Completion: August 1, 2015
• Last Updated: December 2, 2015

Record last verified: 2015-11