Effects of Taping and Elastic Bandage on Postural Control in Athletes with Patellofemoral Pain: A Randomized Control Trial
Abstract
Background: Patellofemoral pain syndrome (PFPS) is the most common overuse syndrome in athletes. The aim of this study was to compare the effects of taping and elastic bandage on postural control in athletes with PFPS. Materials and Methods: Fifteen males and 19 females with PFPS participated in this clinical trial study for more than 1 month and were randomly divided into two groups; group 1 was taped based on McConnell method and in group 2 elastic bandage was used. The static postural control in both groups was measured before and after interventions using the force- plate through measuring the center of pressure (COP) and estimation of differences between center of pressure and center of mass (COP-COM moment arms) in AP and ML directions. Moreover, dynamic postural control was measured by star excursion balance test (SEBT). Paired t-test and covariance analysis were used for analysis of the data. Results: Results indicated that after taping reach distances increased significantly (p< 0.05) in anterior, anterolateral, lateral and posterior directions but after elastic bandage reach distances increased in posterior, posteromedial and medial directions. After both taping and bandage, COP and COP-COM moment arm measures did not show significant differences. Conclusion: The findings of this investigation showed that in athletes with patellofemoral pain, taping and elastic bandage improved dynamic postural control. However, dynamic methods are successfully used to assess the effects of taping and bandage on postural control. Static variables compared with dynamic measures potentially lack the ability to detect subtle differences of postural control in athletes with PFPS. [GMJ. 2015;4(3):82-89]References
Myer GD, Ford KR, Barber Foss KD, Goodman A, Ceasar A, Rauh MJ, et al. The incidence and potential pathomechanics of patellofemoral pain in female athletes. Clinical Biomechanics. 2010;25(7):700-7.
Pal S, Draper CE, Fredericson M, Gold GE, Delp SL, Beaupre GS, et al. Patellar maltracking correlates with vastus medialis activation delay in patellofemoral pain patients. The American journal of sports medicine. 2011;39(3):590-8.
Pal S, Besier TF, Draper CE, Fredericson M, Gold GE, Beaupre GS, et al. Patellar tilt correlates with vastus lateralis: vastus medialis activation ratio in maltracking patellofemoral pain patients. Journal of Orthopaedic Research. 2012;30(6):927-33.
Herrington L. The effect of patella taping on quadriceps strength and functional performance in normal subjects. Physical Therapy in Sport. 2004;5(1):33-6.
Bockrath K, Wooden C, Worrell T, Ingersoll CD, Farr J. Effects of patella taping on patella position and perceived pain. Medicine and science in sports and exercise. 1993;25:989.
Cowan SM, Bennell KL, Hodges PW. Therapeutic patellar taping changes the timing of vasti muscle activation in people with patellofemoral pain syndrome. Clinical Journal of Sport Medicine. 2002;12(6):339-47.
Hassan B, Mockett S, Doherty M. Influence of elastic bandage on knee pain, proprioception, and postural sway in subjects with knee osteoarthritis. Annals of the rheumatic diseases. 2002;61(1):24-8.
Lephart S, Fu F. The role of proprioception in the treatment of sports injuries. Sports Exercise and Injury. 1995;1(2):96-102.
Magee DJ, Zachazewski JE, Quillen WS. Scientific Foundations and Principles of Practice in Musculoskeletal Rehabilitation-E-Book: Saunders; 2007.
Herrington L, Hatcher J, Hatcher A, McNicholas M. A comparison of Star Excursion Balance Test reach distances between ACL deficient patients and asymptomatic controls. The Knee. 2009;16(2):149-52.
Aminaka N, Gribble PA. Patellar taping, patellofemoral pain syndrome, lower extremity kinematics, and dynamic postural control. Journal of Athletic training. 2008;43(1):21.
Eng J, Winter D. Estimations of the horizontal displacement of the total body centre of mass: considerations during standing activities. Gait & Posture. 1993;1(3):141-4.
Munro AG, Herrington LC. Between-session reliability of the star excursion balance test. Physical Therapy in Sport. 2010;11(4):128-32.
Herrington L. The effect of patellar taping on patellar position measured using ultrasound scanning. The Knee. 2010;17(2):132-4.
Aminaka N, Gribble PA. A systematic review of the effects of therapeutic taping on patellofemoral pain syndrome. Journal of Athletic training. 2005;40(4):341.
Powers C, Landel R, Sosnick T, Kirby J, Mengel K, Cheney A, et al. The effects of patellar taping on stride characteristics and joint motion in subjects with patellofemoral pain. The Journal of orthopaedic and sports physical therapy. 1997;26(6):286.
Friden T, Zätterström R, Lindstrand A, Moritz U. A stabilometric technique for evaluation of lower limb instabilities. The American journal of sports medicine. 1989;17(1):118-22.
Goldie P, Bach T, Evans O. Force platform measures for evaluating postural control: reliability and validity. Archives of physical medicine and rehabilitation. 1989;70(7):510.
Hertel J, Braham RA, Hale SA, Olmsted-Kramer LC. Simplifying the star excursion balance test: analyses of subjects with and without chronic ankle instability. The Journal of orthopaedic and sports physical therapy. 2006;36(3):131.
McKeon PO, Hertel J. Systematic review of postural control and lateral ankle instability, part I: can deficits be detected with instrumented testing. Journal of Athletic training. 2008;43(3):293.
Cote KP, Brunet ME, II BMG, Shultz SJ. Effects of pronated and supinated foot postures on static and dynamic postural stability. Journal of Athletic training. 2005;40(1):41.
Wikstrom EA, Fournier KA, McKeon PO. Postural control differs between those with and without chronic ankle instability. Gait & Posture. 2010;32(1):82-6.
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