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This literature review explores the effect of patellar taping on biomechanical variables in individuals with Patellofemoral Pain Syndrome (PFPS). Various taping techniques such as McConnell's, Mulligan's, and Kinesiology taping are evaluated, highlighting their impact on factors such as patellar alignment, joint contact area, and neuromuscular control. The review concludes that patellar taping can improve biomechanical variables in patients with PFPS.
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The Effect Of Patellar Taping On Biomechanical Variables In Patellofemoral Pain Syndrome: A literature Review Seyedeh Hedieh Hosseini Makrani Semnan university of medical sciences IRAN
Patellofemoral Pain (PFP) • abnormal biomechanical factor • patellofemoral joint stress • patellofemoral joint reaction force • reduction in patellofemoral joint contact area
Patellofemoral Malalignment patellar translation patella alta quadriceps imbalance
Patellar Taping • alteration in the kinetics of the PFJ • taping method affects the normal tracking of the patella and centralizing it within the trochlear groove
Mulligan’s taping technique Kinesiology taping technique McConnell taping technique
Limitations of the previous reviews • Some of those reviews are now out of date. • do not specifically evaluated the patellofemoral taping effect in PFP. • Did not support weight bearing functional task.
Methods: Databases : PEDro, PubMed/MEDLINE, ScienceDirect, CINAHL, OVID Keywords: (“kinesiotape” OR “kinesiotaping” OR “taping” OR “tape”) AND (“knee” OR “knees” OR “patellofemoral”) AND (“biomechanics” OR “biomechanical”)
Result: Identification Records identified through database searching (n = 151) Inclusion criteria: English language open access 2007-2017 Screening Records identified through database searching (n = 76) Eligibility Records identified through database searching (n = 52) Included Records identified through database searching (n = 10) Flow diagram for the strategy of searching for the studies
DISCUSSION: PE: Positive Effect NE: No Effect
Effect of patellar taping on patellar alignment and joint contact area • investigated effect of mcconell taping on patellar displacement. • utilizing kinesio taping in short time and after 10 sessions. • investigated Effects of 2 Patellofemoral Taping (mcconell and kinesiotaping) on Patellofemoral Joint Alignment and Contact Area.
Effect of patellar taping on patellar alignment and joint contact area • The positive results may be affected by: increased sensory input to muscles, skin and joint in short and long term. patella position mechanical effects of taping neural effects of taping in long term the different loading conditions the imaging condition (static versus dynamic MRI) knee flexion angle the disparity between studies findings may be related to: in short term
Effect of patellar taping on reaction forces: • Effects of taping on Patetellofemoral Joint Reaction Force (PFJRF) by a motion-analysis system and force plate during unilateral squatting. • Effects of kiesiotaping on GRF during stair climbing. • the effects of Kinesiotape, Mulligan’s tape on adolscent ballet dancers knee and hip kinetics during landing.
Effect of patellar taping on neuromuscular control • effects of taping in surface electromyographic (sEMG) onset timing of the VMO/VL. • Effect of taping on isokinetic muscle parameters and joint position senses. • Effect of Patellar Kinesiotaping on single-leg hop function. • application of Kinesiotape on VMO on concentric and eccentric peak torques and functional tests. • Effect of Patellar Kinesiotaping on VMO/VL during stair climbing.
Effect of patellar taping on neuromuscular control Decreasing pain can result in greater quadriceps muscle activity by: boosting the afferent inputs into dorsal horn of the spine and decreasing the inhibition placed upon alpha motor neuron excitability. Different measurment due to difference measurement techniques demographic characteristics of the evaluated populations
Conclusion: • patellar taping seems to improve relatively biomechnicacl variables, especially patellar alignment, in patients with PFPS. • McConnell’s and Mulligan’s tape structurally supportive for patellar allignment. • Kinesiotaping is a more compliant adhesive, allowing full range of motion and improve muscle function and reaction force.
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