Therapeutic Exercise and Taping in Patients with Patellofemoral Pain Syndrome: The Proximal-to-Distal Relationship between Hip and Knee
|Keywords:||髕股關節疼痛;髕骨;髖;貼紮;patellofemoral pain;patella;hip;taping||Issue Date:||2012||Abstract:||
Background: The phenomenon of medial collapse is commonly seen in patients with patellofemoral pain syndrome (PFPS). A femoral rotational taping is designed to correct such abnormality. The purposes of this study were to explore the hip and knee joint kinematics as well as muscle activation, and dynamic postural control between PFPS patients and controls, and to investigate the immediate effect of proximal femoral rotational taping on joint kinematics, muscle activation, postural control, and pain during a single-leg squat (SLS) and the anterior direction of the Star Excursion Balance Test (SEBT).
Methods: Sixteen female patients with PFPS, and 8 healthy female controls participated. SLS and SEBT were performed with measurement of 3-dimensional hip and patellar kinematic, and hip (gluteus maximus, Gmax and gluteus medius, Gmed) and thigh (rectus femoris, RF) muscle activation on the stance leg. Pain and maximum excursion distance from SEBT were recorded. The coefficients of variance (CV) of hip and patella kinematics during SEBT were calculated to represent the segmental stability of pelvis, femur and patella.
Results: PFPS group had increased peak hip adduction angle and decreased hip flexion compared with the control during SLS and SEBT tasks. Additionally, PFPS group exhibited significant increase of Gmed and decrease of RF activity compared with the control during initial 0-15 degrees of SLS. Application of femoral rotational taping could decrease pain and RF muscle activation during 15-30 degrees of SLS for patient group, as well as shift the patella into more posterior and inferior position. Similarly, during SEBT, femoral rotational taping could decrease pain and increase excursion distance while decreasing the peak hip adduction as well as changing patella kinematics including medial rotation/shift, and posterior/inferior shift in PFPS group. The medial-lateral and proximal-distal stability of pelvis and femur was also increased with femoral taping during SEBT.
Conclusion: Femoral rotational taping could alter patellofemoral kinematics, decrease pain, and improve dynamic postural control in treatment of young female patients with PFPS.
|Appears in Collections:||物理治療學系所|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.