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IRCT2016040827287N1 IRCT 2016-05-27 Isfahan University of Medical Sciences comparison of two taping methods in patellofemoral pain syndrome Comparison of efficiency of McConnell and kinesiology taping with Mc Connell method in patients with patellofemoral pain syndrome (PFPS) 2014-11-22 anticipated 36 Complete https://irct.ir/trial/22388 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A Patellofemoral pain syndrome. Intervention 1: For Mc Connell group, McConnell tape will immediately be attached over the affected patellar region, in the order of medial glide according to patellar orientation tests. The choice of taping methods is partly based on assessment of the patellar position and partly on the attainment of pain reduction. It will be expected that appropriate taping should improve patient symptoms immediately and reduce the pain by at least 50% during provocative activities. To control lateral glide, one end of the tape is secured to the lateral patellar (knee cap) border and the therapist (patient) glides the patella medially with thumb while maintaining tension in the tape. Then, he/she lifts the medial soft tissue (skin) toward the patella so that several skin folds appears, and secures the tape medially and across the knee. Subjects will be instructed apply the taping corrections and reapply the tape daily and wear the tape during all waking hours for the duration of the trial. Subjects will be instructed to perform strengthening exercises employed at home. These include isometric vastus medialis oblique contraction while sitting with knee at 90 degree of flexion, squat to 30 degree of knee flexion and isometric hip abduction against the wall while patient will stand side- on to a wall. The leg closest to the wall is flexed at the knee so the foot is off the ground. The hips are in line with each other. The patient should have all the weight back through the heel of the standing leg, which is slightly flexed. The patient externally rotates the standing leg without turning the foot, the pelvis, or the shoulders. The patient should sustain the contraction for 20 seconds, until a burning can be felt in the gluteus medius region (4 sets of 10 repetitions). In addition, stretching exercises including hamstrings muscles stretch and anterior hip structures stretch in prone position and one hip externally rotated with both the hip and knee flexed (3 repetitions of 30 seconds each) will be recommended to perform at home. Each exercise will be performed twice daily for 6 weeks. Intervention 2: Kinesiology group: kinesiology tape as the McConnell tape will be attached over the affected patellar region, in the order of medial glide. To control lateral glide, one end of the tape is secured to the lateral patellar (knee cap) border and the therapist (patient) glides the patella medially with thumb while maintaining tension in the tape. Then, he/she lifts the medial soft tissue (skin) toward the patella so that several skin folds appears, and secures the tape medially and across the knee. Subjects will be instructed apply the taping corrections and reapply the tape daily and wear the tape during all waking hours for the duration of the trial. Subjects will be instructed to perform strengthening exercises employed at home. These include isometric vastus medialis oblique contraction while sitting with knee at 90 degree of flexion, squat to 30 degree of knee flexion and isometric hip abduction against the wall while patient will stand side- on to a wall. The leg closest to the wall is flexed at the knee so the foot is off the ground. The hips are in line with each other. The patient should have all the weight back through the heel of the standing leg, which is slightly flexed. The patient externally rotates the standing leg without turning the foot, the pelvis, or the shoulders. The patient should sustain the contraction for 20 seconds, until a burning can be felt in the gluteus medius region (4 sets of 10 repetitions). In addition, stretching exercises including hamstrings muscles stretch and anterior hip structures stretch in prone position and one hip externally rotated with both the hip and knee flexed (3 repetitions of 30 seconds each) will be recommended to perform at home. Each exercise will be performed twice daily for 6 weeks. Intervention 3: Control group: subjects in control group will be instructed to perform strengthening exercises employed at home. These include isometric vastus medialis oblique contraction while sitting with knee at 90 degree of flexion, squat to 30 degree of knee flexion and isometric hip abduction against the wall while patient will stand side- on to a wall. The leg closest to the wall is flexed at the knee so the foot is off the ground. The hips are in line with each other. The patient should have all the weight back through the heel of the standing leg, which is slightly flexed. The patient externally rotates the standing leg without turning the foot, the pelvis, or the shoulders. The patient should sustain the contraction for 20 seconds, until a burning can be felt in the gluteus medius region (4 sets of 10 repetitions). In addition, stretching exercises including hamstrings muscles stretch and anterior hip structures stretch in prone position and one hip externally rotated with both the hip and knee flexed (3 repetitions of 30 seconds each) will be recommended to perform at home. Each exercise will be performed twice daily for 6 weeks.
public Fatemeh Rezaeian Ramsheh
Hezar jarib street
Isfahan Iran (Islamic Republic of) 8174673461 +98 31 3668 0048 rezaeian_ramsheh@yahoo.com Isfahan University of Medical Sciences scientific Fatemeh Rezaeian Ramsheh
Hezar jarib street
Isfahan Iran (Islamic Republic of) 8174673461 +98 31 3668 0048 rezaeian_ramsheh@yahoo.com Isfahan University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: age less than 40 years old; anterior or retro patellar pain, insidious in nature, which was aggravated by at least two of the following common functional activities of daily life: prolonged sitting, stair climbing, squatting, running, kneeling, hopping/ jumping; persistence for at least 3 months; lateral glide of patella; Exclusion criteria: any traumatic, inflammatory or infectious pathology in the lower extremity; dislocation and subluxation in the patellofemoral joint; history of surgery in the knee joint; any signs of secondary osteoarthritis in the knee joint; skin disorder or allergy after 24 hours; any deformity and fracture in the knee joint or lower extremity no limit 40 years Both M22.4 Chondromalacia patellae Treatment - Devices Treatment - Devices Treatment - Other For Mc Connell group, McConnell tape will immediately be attached over the affected patellar region, in the order of medial glide according to patellar orientation tests. The choice of taping methods is partly based on assessment of the patellar position and partly on the attainment of pain reduction. It will be expected that appropriate taping should improve patient symptoms immediately and reduce the pain by at least 50% during provocative activities. To control lateral glide, one end of the tape is secured to the lateral patellar (knee cap) border and the therapist (patient) glides the patella medially with thumb while maintaining tension in the tape. Then, he/she lifts the medial soft tissue (skin) toward the patella so that several skin folds appears, and secures the tape medially and across the knee. Subjects will be instructed apply the taping corrections and reapply the tape daily and wear the tape during all waking hours for the duration of the trial. Subjects will be instructed to perform strengthening exercises employed at home. These include isometric vastus medialis oblique contraction while sitting with knee at 90 degree of flexion, squat to 30 degree of knee flexion and isometric hip abduction against the wall while patient will stand side- on to a wall. The leg closest to the wall is flexed at the knee so the foot is off the ground. The hips are in line with each other. The patient should have all the weight back through the heel of the standing leg, which is slightly flexed. The patient externally rotates the standing leg without turning the foot, the pelvis, or the shoulders. The patient should sustain the contraction for 20 seconds, until a burning can be felt in the gluteus medius region (4 sets of 10 repetitions). In addition, stretching exercises including hamstrings muscles stretch and anterior hip structures stretch in prone position and one hip externally rotated with both the hip and knee flexed (3 repetitions of 30 seconds each) will be recommended to perform at home. Each exercise will be performed twice daily for 6 weeks. Kinesiology group: kinesiology tape as the McConnell tape will be attached over the affected patellar region, in the order of medial glide. To control lateral glide, one end of the tape is secured to the lateral patellar (knee cap) border and the therapist (patient) glides the patella medially with thumb while maintaining tension in the tape. Then, he/she lifts the medial soft tissue (skin) toward the patella so that several skin folds appears, and secures the tape medially and across the knee. Subjects will be instructed apply the taping corrections and reapply the tape daily and wear the tape during all waking hours for the duration of the trial. Subjects will be instructed to perform strengthening exercises employed at home. These include isometric vastus medialis oblique contraction while sitting with knee at 90 degree of flexion, squat to 30 degree of knee flexion and isometric hip abduction against the wall while patient will stand side- on to a wall. The leg closest to the wall is flexed at the knee so the foot is off the ground. The hips are in line with each other. The patient should have all the weight back through the heel of the standing leg, which is slightly flexed. The patient externally rotates the standing leg without turning the foot, the pelvis, or the shoulders. The patient should sustain the contraction for 20 seconds, until a burning can be felt in the gluteus medius region (4 sets of 10 repetitions). In addition, stretching exercises including hamstrings muscles stretch and anterior hip structures stretch in prone position and one hip externally rotated with both the hip and knee flexed (3 repetitions of 30 seconds each) will be recommended to perform at home. Each exercise will be performed twice daily for 6 weeks. Control group: subjects in control group will be instructed to perform strengthening exercises employed at home. These include isometric vastus medialis oblique contraction while sitting with knee at 90 degree of flexion, squat to 30 degree of knee flexion and isometric hip abduction against the wall while patient will stand side- on to a wall. The leg closest to the wall is flexed at the knee so the foot is off the ground. The hips are in line with each other. The patient should have all the weight back through the heel of the standing leg, which is slightly flexed. The patient externally rotates the standing leg without turning the foot, the pelvis, or the shoulders. The patient should sustain the contraction for 20 seconds, until a burning can be felt in the gluteus medius region (4 sets of 10 repetitions). In addition, stretching exercises including hamstrings muscles stretch and anterior hip structures stretch in prone position and one hip externally rotated with both the hip and knee flexed (3 repetitions of 30 seconds each) will be recommended to perform at home. Each exercise will be performed twice daily for 6 weeks. Pain. Timepoint: Pre intervention, after intervention. Method of measurement: Visual Analog Scale. Disability. Timepoint: Pre intervention, after intervention. Method of measurement: Kujala Patellofemoral Scale. Functional limitation. Timepoint: Pre intervention, after intervention. Method of measurement: Modified Functional Index Questionnaire. Isfahan University of Medical Sciences Approved 2014-09-25 Isfahan University of Medical Sciences Isfahan University of Medical Sciences, Hezar jarib street, Isfahan, Iran Isfahan Iran (Islamic Republic of)