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Patellar taping position

Tsuneari Takahashi, Katsushi Takeshita
INTRODUCTION: Chronic patellofemoral instability occurs mainly in adolescent females and can also be induced by medial patellofemoral ligament (MPFL) injury. There are no case reports of MPFL reconstruction for chronic patellofemoral instability due to MPFL injury in aged populations. CASE PRESENTATION: 81-year-old female presented with left knee pain, giving way, and patellar instability while climbing stairs, which continued for 18 months. Patellar apprehension test was positive, and roentgenogram showed lateral patellar subluxation...
2017: Open Orthopaedics Journal
George Sanchez, Marcio B Ferrari, Anthony Sanchez, Gilbert Moatshe, Jorge Chahla, Nicholas DePhillipo, Matthew T Provencher
Patellar tendon ruptures may be considerably limiting, especially in younger and highly active patients. These injuries ultimately result in a complete inability to maintain extension of the knee, thereby placing strict impediment on physical activity. As a result, a durable repair construct via surgery is necessary to allow patients to return to their preinjury activity level. Because of the inherent difficulty in maintaining patellar tendon position after repair, and to avoid failure of the tendon healing to the patella, we recommend using an internal brace construct...
April 2017: Arthroscopy Techniques
Katie J Lyman, Kassiann Keister, Kara Gange, Christopher D Mellinger, Thomas A Hanson
BACKGROUND: Limited quantitative, physiological evidence exists regarding the effectiveness of Kinesio® Taping methods, particularly with respect to the potential ability to impact underlying physiological joint space and structures. To better understand the impact of these techniques, the underlying physiological processes must be investigated in addition to the examination of more subjective measures related to pain in unhealthy tissues. HYPOTHESIS/PURPOSE: The purpose of this study was to determine whether the Kinesio® Taping Space Correction Method created a significant difference in patellofemoral joint space, as quantified by diagnostic ultrasound...
April 2017: International Journal of Sports Physical Therapy
H Horstmann, J D Clausen, C Krettek, T S Weber-Spickschen
Tendinopathy in the region of the knee joint is a common pathological disorder. People active in sports, in particular, have a high probability of suffering from tendinopathy. Despite its high clinical relevance, the level of evidence of therapy options for tendinopathy in the knee region differs greatly. This review gives an overview of current evidence levels for therapy options in tendinopathy of the quadriceps, patellar and pes anserinus insertion tendons as well as of the distal iliotibial tract tendon...
March 2017: Der Unfallchirurg
Cynthia Gobbi Alves Araújo, Christiane de Souza Guerino Macedo, Daiene Ferreira, Leonardo Shigaki, Rubens A da Silva
The purpose of this study was to assess the effect of patellar taping on muscle activation of the knee and hip muscles in women with Patellofemoral Pain Syndrome during five proprioceptive exercises. Forty sedentary women with syndrome were randomly allocated in two groups: Patellar Taping (based in McConnell) and Placebo (vertical taping on patella without any stretching of lateral structures of the knee). Volunteers performed five proprioceptive exercises randomly: Swing apparatus, Mini-trampoline, Bosu balance ball, Anteroposterior sway on a rectangular board and Mediolateral sway on a rectangular board...
December 2016: Journal of Electromyography and Kinesiology
Wolf Petersen, Andree Ellermann, Ingo Volker Rembitzki, Sven Scheffler, Mirco Herbort, Gert Peter Brüggemann, Raymond Best, Thore Zantop, Christian Liebau
BACKGROUND: It has been previously shown that exercise programs for patellofemoral pain syndrome (PFPS) can be supported by medially directed taping. Evidence supporting the use of patellar braces is limited because previous studies have been low quality. The aim of this study is to compare the outcomes of patients with PFPS after treatment with a medially directed patellar realignment brace and supervised exercise. METHODS: In a prospective randomized multicenter trial, 156 patients with PFPS were included and randomly assigned to 6 weeks of supervised physiotherapy in combination with the patellar realignment brace, or supervised physiotherapy alone...
July 2016: Archives of Orthopaedic and Trauma Surgery
Jun Suganuma, Ryuta Mochizuki, Tadashi Sugiki, Yutaka Inoue, Kazuya Kitamura, Seiji Akutsu, Hiroyuki Ono
PURPOSE: To compare the results of reconstruction of the medial patellofemoral ligament (MPFL) using a synthetic graft (Poly-Tape) between knee joints in which the patella was reduced to the strict center and those in which it was slightly lateral to the center of the trochlea to determine whether patellar position within this range affects the results. METHODS: Forty-six knee joints in 46 patients were examined retrospectively with a minimum follow-up of 2 years...
November 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
Joaquin Calatayud, Fernando Martin, Pedro Gargallo, Jessica García-Redondo, Juan Carlos Colado, Pedro J Marín
PURPOSE/BACKGROUND: A restriction in ankle dorsiflexion range of motion (ROM) has been linked to several clinical manifestations such as metatarsalgia, heel pain, nerve entrapment, ankle joint equinus, patellar and ankle injuries. The purpose of the present study was to examine the validity and reliability of the Leg Motion system for measuring ankle dorsiflexion ROM. STUDY DESIGN: Descriptive repeated-measures study. METHODS: Twenty-six healthy male university students were recruited to test the reliability of the Leg Motion system, which is a portable tool used for assessment of ankle dorsiflexion during the weight-bearing lunge test...
April 2015: International Journal of Sports Physical Therapy
Chen-Yi Song, Han-Yi Huang, Sheng-Chang Chen, Jiu-Jenq Lin, Alison H Chang
OBJECTIVES: To explore the hip and knee joint kinematics as well as muscle activation between participants with patellofemoral pain syndrome (PFPS) and controls, and to investigate the immediate effect of proximal femoral rotational taping on pain, joint kinematics, and muscle activation during single-leg squat (SLS). DESIGN: Cross-sectional study. METHODS: Sixteen female participants with PFPS, and eight healthy female controls participated...
July 2015: Journal of Science and Medicine in Sport
Fotios P Tjoumakaris, Theodore J Ganley, Rahul Kapur, John Kelly, Brian J Sennett, Joseph Bernstein
Through extensive survey analysis, we investigated expert opinion in sports medicine. The study had 3 purposes: to provide clinical guidance for cases in which the correct action is not necessarily apparent, to examine expert opinion itself, and to delineate areas of future study. A total of 500 members of the American Medical Society for Sports Medicine and the American Orthopaedic Society for Sports Medicine evaluated a set of 25 statements on unresolved issues in sports medicine. The following 10 statements were deemed false: "It's okay for 12-year-old pitchers to throw curve balls; it's the pitch count that matters"; "Resistance training ('weight lifting') should be avoided until physeal closure"; "Jogging during pregnancy is to be avoided"; "At an athletic event, if sideline coverage is offered by an emergency medical technician and athletic trainer, there is little additional benefit from having a physician present"; "Contact sport athletes who sustain a second concussion should be excluded from contact sports permanently"; "The utility of pre-season medical screening is derived from the history; as such, student-athletes should complete a questionnaire, with physical examination reserved for only those with a positive relevant history"; "Femoroacetabular impingement is a myth-the designation of anatomic variation as disease"; "An AC (acromioclavicular) separation in a contact athlete should not be treated surgically if the athlete won't give up the sport; it will fail"; "Ankle taping induces weakness and atrophy of the dynamic stabilizers of the ankle"; "Only autografts should be used in ACL (anterior cruciate ligament) surgery, as allografts have an unnecessary high failure rate in clinical practice...
November 2011: Physician and Sportsmedicine
Michael J Callaghan, Shane McKie, Paul Richardson, Jacqueline A Oldham
BACKGROUND: Patellar taping is a common treatment modality for physical therapists managing patellofemoral pain. However, the mechanisms of action remain unclear, with much debate as to whether its efficacy is due to a change in patellar alignment or an alteration in sensory input. OBJECTIVE: The purpose of this study was to investigate the sensory input hypothesis using functional magnetic resonance imaging when taping was applied to the knee joint during a proprioception task...
June 2012: Physical Therapy
Ghulam Abbas, Ceri Diss
PURPOSE: To assess normal patellar tracking during walking using the 9-camera infrared system. METHODS: Four men and 6 women aged 25 to 33 (mean, 29) years each performed 16 walking trials on one occasion. They had prominent patellae with minimal soft tissues (minimising skin artefacts), and their knees and lower limbs were normal and symmetrical. 12 retro-reflective markers (2.5 cm in diameter) were taped to anatomic landmarks of the lower body. Two additional markers (1...
December 2011: Journal of Orthopaedic Surgery
H H Pässler
An innovative technique for anterior cruciate ligament (ACL) reconstruction has been developed in 1998 which allows the grafts to be fixed by press-fit to the femoral and tibial tunnel without any hardware. The semitendinosus (ST) and gracilis tendons (GT) are built into a sling by tying a knot with the tendon ends and securing the knot after conditioning by sutures. For the femoral tunnel the anteromedial porta is used. The correct anatomic position of the single femoral tunnel is checked using intraoperative lateral fluoroscopy by placing the tip of a K-wire to a point between the anteromedial and posterolateral bundle insertion sites...
July 2010: Der Unfallchirurg
Aditya Derasari, Timothy J Brindle, Katharine E Alter, Frances T Sheehan
BACKGROUND: Patellar taping is widely used clinically to treat patients with patellofemoral pain syndrome (PFPS). Although patellar taping has been demonstrated to reduce patellofemoral pain in patients with PFPS, the kinematic source for this pain reduction has not been identified. OBJECTIVE: The purpose of this study was to quantify the changes in the 6-degrees-of-freedom patellofemoral kinematics due to taping in patients with PFPS. DESIGN: A within-subject design and a sample of convenience were used...
March 2010: Physical Therapy
Lee Herrington
Previous research into the effect of patellar taping has found conflicting results and when studies have found positive findings these effects appear to be negated by exercise. The purpose of this study was to re-examine the effect of patellar taping on patellar position using ultrasound scanning. Twelve asymptomatic subjects (six males and six females (age 20.4+/-1.2 years)) had their patellar position examined, prior to and following the application of tape, and also following exercise (25 step ups). Mean patellar position (distance border patella to edge lateral femoral condyle) prior to application of tape was 6...
March 2010: Knee
Toby O Smith, Leigh Davies, Simon T Donell
Medio-lateral patellar position is regarded as a sign of patellofemoral pain syndrome and patellar instability. Its assessment is important in accurately performing patellofemoral therapeutic taping techniques. The purpose of this paper is to systematically review the literature to determine the reliability and validity of evaluating medio-lateral patellar position. An electronic database search was performed accessing AMED, British Nursing Index, CINAHL, the Cochrane database, EMBASE, Ovid Medline, Physiotherapy Evidence Database (PEDro), PubMed and Zetoc to July 2008...
August 2009: Manual Therapy
Mary Carlson, Jerry Wilkerson
BACKGROUND AND PURPOSE: Lateral patello-femoral pain can shorten an athletic career and generally decrease an individual's physical activity and functional level, such as preventing stair climbing and reducing the ability to rise from a chair. Leg length inequality is associated with patello-femoral pain. A leg length test that best distinguishes the difference between people who have lateral patello-femoral pain and those who do not would have clinical utility. The purpose of the present study was, first, to determine if unilateral, lateral patello-femoral pain was associated with the longer leg when inequality of leg lengths existed and, second, to determine if leg length direct measurement, indirect measurement or quadriceps angle (Q angle) could correctly classify participants according to the presence or absence of patello-femoral pain...
March 2007: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
Michael J Callaghan, James Selfe, Alec McHenry, Jacqueline A Oldham
The aim of this study was to assess the effect of patellar taping of the proprioceptive status of patients with patellofemoral pain syndrome (PFPS). A total of 32 subjects (18 males, 14 females of age 31.9 +/- 11.2, body mass index 25.8 +/- 5.3) with PFPS were tested for Joint Position Sense (JPS) using a Biodex dynamometer. Outcomes of interest were the absolute error (AE), the variable error (VE) and the relative error (RE) of the JPS values for both active (AAR) and passive (PAR) angle reproduction at an angular velocity of 2 degrees /s with a start angle at 90 degrees and target angles of 60 degrees and 20 degrees ...
June 2008: Manual Therapy
Jonathan D Lesher, Thomas G Sutlive, Giselle A Miller, Nicole J Chine, Matthew B Garber, Robert S Wainner
STUDY DESIGN: Predictive validity/diagnostic test study. OBJECTIVE: To determine the predictive validity and interrater reliability of selected clinical exam items and to develop a clinical prediction rule (CPR) to determine which patients respond successfully to patellar taping. BACKGROUND: Patellar taping is often used to treat patients with PFPS. However, the characteristics of the patients who respond best to patellar taping intervention have not been identified...
November 2006: Journal of Orthopaedic and Sports Physical Therapy
Islay McEwan, Lee Herrington, Jeanette Thom
Patellar taping is regarded as an important element of the treatment of patellofemoral joint pain. Key to the successful use of patellar taping is the assessment of patella position. The reliability and validity of the techniques used to assess patella position has been questioned. The aim of the study was to assess the validity of the clinical assessment technique of patella medio-lateral position and patella lateral tilt against the criterion measure of MRI. Twenty-four subjects eight females and 16 males had their patella position examined in the study (mean age 24...
August 2007: Manual Therapy
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