Activation of Hip Muscles in Runners With Patellofemoral Syndrome

NCT02837289 | Completed DMC

• 1 other identifier: therapy taping in runners
• Study Type: interventional
• Target: 15
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction: Hip motor control deficit and neuromuscular disorders of the gluteus medius influence the mechanics of patellofemoral joints through increased dynamic knee valgus and can lead to Patellofemoral Pain Syndrome (PFPS). Mechanoreceptors can be stimulated by an elastic tape, which sends desired tactile cues via afferent improving the functional support of the musculoskeletal system. Objective: To analyze the response to hip stabilizer muscle activation in street runners with PFPS through the application of elastic tape therapy. Methods: The investigators evaluated street runners between the ages of 18 and 45, who run at least 5km/week and had been suffering from pain for at least 3 months. The volunteers had been assessed in relation to their measurements, experience of pain and training routine, their medius muscle (GM) and biceps femoris muscle (BF) had also been tested with surface electromyography through pre-determined performance tests. The participants of both groups wore a bandage for 6 weeks (1 per week). However for the participants of the placebo group the investigators applied a different anatomical path without tension, eliminating all the therapeutic elements. The volunteers were reassessed following the trial. Hypothesis: Expected to observe that elastic tape therapy do result in any improvement in the activation of hip muscles and improvement of pain in street runners with patellofemoral pain syndrome.

Conditions

Patellofemoral Pain Syndrome

Keywords

patellofemoral pain syndrome; therapy taping; knee; physical therapy; runners

Outcome Measures

Primary Outcomes (1)

• Changes in muscle activation by electromyography after treatment with therapy taping

  Willy et al (2013) suggest that interventions that seek biomechanical correction of the hip can reduce retropatellar pressure and improve the pain and function of individuals with PFD. Thus, it is sought to increase or reduce muscular activation, with a response in the locomotor system, which is confirmed by Hsu (2009) evidencing the relation of the elastic bandage to the muscular activation level. Slupik et al (2007) sought to determine the effect of the elastic bandage on the medial vastus muscle tone during isometric contractions, and they concluded that the bandage offered better support for the musculoskeletal system.

  before and after 6 weeks of intervention

Study Arms (2)

Treatment

OTHER

Therapy taping follows an anatomical pattern from the femur until tibia for correction of dynamic valgus with therapy taping.

Other: Therapy taping

Placebo

OTHER

Placebo taping follows a different anatomical path without tension, eliminating all therapeutic process elements

Other: Placebo taping

Interventions

Therapy taping OTHER

Therapy taping follows an anatomical pattern from the femur until tibia for correction of dynamic valgus with therapy taping.

Treatment

Placebo taping OTHER

Placebo taping follows a different anatomical path without tension, eliminating all therapeutic process elements

Placebo

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Previous retropatellar pain or knee, for at least 3 of the following: up / down stairs, squatting, running, kneeling, sitting for long periods and insidious onset of symptoms unrelated to trauma.

You may not qualify if:

• History of severe / traumatic knee injury, surgery history in the locomotor system;
• Patellar luxation history; clinical evidence of meniscus injury; ligamentous instability; patellar tendinitis.
• Presence of neurological, cardiovascular or rheumatologic diseases; pregnancy; diabetes,
• Abnormal sensitivity in the plantar;
• Medication and / or therapy in the last six months and hypersensitivity or allergy to tape.

Sponsors & Collaborators

• Universidade Estadual de Londrina: lead

Study Sites (1)

university hospital of the State University of Londrina

Londrina, Paraná, 86038-350, Brazil

Location

Related Publications (5)

• Fukuda TY, Rossetto FM, Magalhaes E, Bryk FF, Lucareli PR, de Almeida Aparecida Carvalho N. Short-term effects of hip abductors and lateral rotators strengthening in females with patellofemoral pain syndrome: a randomized controlled clinical trial. J Orthop Sports Phys Ther. 2010 Nov;40(11):736-42. doi: 10.2519/jospt.2010.3246.

  PMID: 21041965 BACKGROUND

• Willy RW, Davis IS. Varied response to mirror gait retraining of gluteus medius control, hip kinematics, pain, and function in 2 female runners with patellofemoral pain. J Orthop Sports Phys Ther. 2013 Dec;43(12):864-74. doi: 10.2519/jospt.2013.4516. Epub 2013 Oct 30.

  PMID: 24175611 BACKGROUND

• Hsu YH, Chen WY, Lin HC, Wang WT, Shih YF. The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. J Electromyogr Kinesiol. 2009 Dec;19(6):1092-9. doi: 10.1016/j.jelekin.2008.11.003. Epub 2009 Jan 14.

  PMID: 19147374 BACKGROUND

• Slupik A, Dwornik M, Bialoszewski D, Zych E. Effect of Kinesio Taping on bioelectrical activity of vastus medialis muscle. Preliminary report. Ortop Traumatol Rehabil. 2007 Nov-Dec;9(6):644-51. English, Polish.

  PMID: 18227756 BACKGROUND

• Thelen MD, Dauber JA, Stoneman PD. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. J Orthop Sports Phys Ther. 2008 Jul;38(7):389-95. doi: 10.2519/jospt.2008.2791. Epub 2008 May 29.

  PMID: 18591761 RESULT

MeSH Terms

Conditions

Patellofemoral Pain Syndrome

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• Christiane Macedo, doctor

  Universidade Estadual de Londrina

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: July 12, 2016
• First Posted: July 19, 2016
• Study Start: July 1, 2016
• Primary Completion: July 2, 2016
• Study Completion: May 3, 2017
• Last Updated: December 2, 2017

Record last verified: 2017-11

Data Sharing

• IPD Sharing: Will not share

Locations

BR (1)