Taping and Patellar Maltraction in PFPS Patients

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-17

Study Completion Date

2021-07-31

Brief Summary

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Patellofemoral Pain Syndrome(PFPS) treatment is basically conservative, but there is no general consensus on the most appropriate therapeutic approach. The aim of this study was to examine the misalignment of the patellofemoral joint with MRI and compare the effectiveness of McConnell patellar taping and femoral lateral rotational taping techniques applied to exercise function on pain, patellar maltraction, functional status, balance and quality of life in patients with PFPS.

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Detailed Description

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This is a single blinded randomized controlled trial, will be conducted at Ankara Yıldırım Beyazıt UniversityYenimahalle Education and Research Hospital. Evaluations regarding the parameters and inclusion criteria at the stage of diagnosis will be carried out by the Specialist Physician, exercise therapy and taping practices by the Specialist Physiotherapist, and the MRI measurements by the Specialist Radiologist. Fixed probability stratified randomization method will be preferred in order to ensure proportional gender distribution in the formation of groups and participants will be divided into 3 groups. An exercise program that includes stretching, strengthening and balance exercises accompanied by physiotherapist in the clinic will be applied to all individuals participating in the study for 2 times/week X 6 weeks (12 sessions). Only the exercise program will be applied to the first group. To the second group; McConnell patellar taping technique will be applied using rigid tape(Leukotape® P Rigid Strapping Tape, 38 mm X 10 m, USA) in addition to the exercise program in each session.To the third group; femoral lateral rotation taping technique will be applied using rigid tape in addition to the exercise program. Patients' patellar maltraction, pain function, balance, and quality of life will be assessed before and after treatment with MRI and clinical testing.

Conditions

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Patellofemoral Pain Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Single blind randomized controlled study:Three parallel treatment groups; the control group received only exercise therapy, while the other two groups received two different taping treatments in addition to exercise therapy.

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

The information of the individuals being treated will be hidden from the researcher who will make the MRI measurements.

Study Groups

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Exercise grup

An exercise program that includes stretching, strengthening and balance exercises accompanied by physiotherapist in the clinic will be applied to all individuals participating in the study for 6 weeks, 2 times a week (12 sessions). Each session will take approximately 40 minutes and patients will be asked to repeat the exercises at least 2 sets a day at home when they are not in the clinic (other 5 days a week). The home program will be followed by the exercise daily form.

Group Type ACTIVE_COMPARATOR

Exercise program

Intervention Type OTHER

* Hamstring, quadriceps, gastrocnemius, iliopsoas, iliotibial band (ITB), lateral and medial retinaculum stretching exercises
* Isometric exercises of vastus medialis, gluteus medius and external rotators
* Isotonic exercises of vastus medialis, gluteus medius and external rotators
* Closed kinetic chain exercises
* Balance and coordination exercises
* Core stabilization exercises

McConnell patellar taping grup

McConnell patellar taping technique will be applied using a rigid tape in addition to the exercise program applied to the exercise group. The tape will remain in the body for a maximum of 48 hours and will be renewed by the same physiotherapist in each session.

Group Type EXPERIMENTAL

Exercise program

Intervention Type OTHER

* Hamstring, quadriceps, gastrocnemius, iliopsoas, iliotibial band (ITB), lateral and medial retinaculum stretching exercises
* Isometric exercises of vastus medialis, gluteus medius and external rotators
* Isotonic exercises of vastus medialis, gluteus medius and external rotators
* Closed kinetic chain exercises
* Balance and coordination exercises
* Core stabilization exercises

McConnel patellar taping technique

Intervention Type OTHER

Individuals are placed in a supine position with their knees extended and the quadriceps relaxed. A 5 cm wide hypoallergenic band is applied transversely over the patella without affecting the position of the patella. Then, it is started at the lateral edge of the patella with a rigid tape. The tape is terminated at the medial femoral condyle after a medial pull and / or medial tilt to the patella.

Femoral rotational taping grup

Femoral lateral rotation taping technique will be applied using a rigid tape in addition to the exercise program applied to the exercise group.The tape will remain in the body for a maximum of 48 hours and will be renewed by the same physiotherapist in each session.

Group Type EXPERIMENTAL

Exercise program

Intervention Type OTHER

* Hamstring, quadriceps, gastrocnemius, iliopsoas, iliotibial band (ITB), lateral and medial retinaculum stretching exercises
* Isometric exercises of vastus medialis, gluteus medius and external rotators
* Isotonic exercises of vastus medialis, gluteus medius and external rotators
* Closed kinetic chain exercises
* Balance and coordination exercises
* Core stabilization exercises

Femoral rotational taping technique

Intervention Type OTHER

This technique is applied in a standing position and hip extreme external rotation. Taping is started on the vastus medialis and is pulled diagonally from the anterior of the leg to the lateral and ends on the trochanter major.

Interventions

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Exercise program

* Hamstring, quadriceps, gastrocnemius, iliopsoas, iliotibial band (ITB), lateral and medial retinaculum stretching exercises
* Isometric exercises of vastus medialis, gluteus medius and external rotators
* Isotonic exercises of vastus medialis, gluteus medius and external rotators
* Closed kinetic chain exercises
* Balance and coordination exercises
* Core stabilization exercises

Intervention Type OTHER

McConnel patellar taping technique

Individuals are placed in a supine position with their knees extended and the quadriceps relaxed. A 5 cm wide hypoallergenic band is applied transversely over the patella without affecting the position of the patella. Then, it is started at the lateral edge of the patella with a rigid tape. The tape is terminated at the medial femoral condyle after a medial pull and / or medial tilt to the patella.

Intervention Type OTHER

Femoral rotational taping technique

This technique is applied in a standing position and hip extreme external rotation. Taping is started on the vastus medialis and is pulled diagonally from the anterior of the leg to the lateral and ends on the trochanter major.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Presence of anterior knee pain lasting more than 6 weeks
* Anterior or retropatellar knee pain is present in at least two activities (stair descending, stair climbing, squatting, running, jumping, sitting for a long time
* Presence of malalignment of patellofemoral joint in MRI examination \[Bisect offset index (BOİ) ≥57 and / or patellar tilt angle (PTA) ≥15\]

Exclusion Criteria

* presence of knee trauma history and/or previous knee surgery
* presence limitation in knee joint range of motion
* presence of meniscopathy or lesion in knee ligaments
* presence of patellar subluxation or dislocation
* presence of a neuromuscular (upper or lower motor neuron lesions), cardiovascular or rheumatological disease
* pregnancy status
* presence of MRI contraindications

Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No