Rigid Taping and Patella Stabilizing Brace Methods in pwPFPS (Patient With Patellofemoral Pain Syndrome)

December 22, 2024 updated by: Aysenur Erekdag, Istanbul University - Cerrahpasa

Immediate Effect of Rigid Taping and Patella Stabilizing Brace on Proprioception, Functionality, and Balance in Patients With Patellofemoral Pain Syndrome

Patellofemoral pain syndrome (PFPS) is a common musculoskeletal disease with an annual prevalence of 22.7%. Pain in the anterior of the knee and/or retropatellar and/or peripatellar region patellofemoral compression force increases, squatting, climbing stairs, prolonged sitting is characterized by increased pain related activities such as flexion after.

A large number of different treatment strategies have been proposed to examine these underlying factors and to address the resulting disorders and activity limitations. PFPS in the conservative treatment of patellar taping, stretching the shortened structures, the vastus medialis obliquus, strengthening activity modification, biofeedback, neuromuscular electrical stimulation, ultrasound, and foot orthoses and brace is located. The most frequently used for the treatment of patients with high effect size physiotherapy treatment and exercise training combined treatment in order to control the pain in the short and medium term, while the external knee supports-foot orthoses (brace), kinesiotape, rigid-band is used. It is known that the most commonly recommended external support for patients in the fight against PFPS in the clinical setting is kinesiological taping and brace. However, since kinesiotaping does not show orthotic properties like brace, their comparison with each other and the study of their effects give misleading results. The use of McConnell taping, which can show similar effects with both kinesiotaping and brace, gives clinically positive results. When the literature was examined, there was no study that examined the effectiveness of brace and rigid taping comparatively. In our study, we aim to investigate the extent to which we can change the impaired patella position in PFPS with the use of rigid tape and brace in accordance with this information in the literature and to examine the possible effects of rigid tape and brace, which we will apply to patients with PFPS, on balance, proprioception, gait and functionality in patients. In line with the results we will obtain, it is aimed to increase the effectiveness of treatment and shorten the recovery time by determining the external support that will help patients exercise and their movements in daily life.

H1: McConnell taping and patella stabilizing brace applications applied to patients with PFPS differ from each other in terms of proprioception, functionality, balance and gait parameters.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Voluntary participants who have been diagnosed with PFPS and agreed to voluntary health subjects will be included in the study. Signed voluntary consent will be obtained from participants. Participants will be divided into tree groups. One of the intervention groups will be taped first, then brace; the other will be used brace first, then tape. Healthy individuals will form the control group.

Study Type

Observational

Enrollment (Actual)

36

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey
      • Istanbul, Turkey, 34500
        • Istanbul University-Cerrahpasa

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 50 years (Adult)

Accepts Healthy Volunteers

Yes

Sampling Method

Probability Sample

Study Population

Patients who have been diagnosed with PFPS, healthy people for control group

Description

Inclusion Criteria:

  • being 18-50 years old
  • Having been diagnosed with patellofemoral pain syndrome
  • BMI <30 kg/m2
  • For the last 3 months, the pain in the front of the knee in descending stairs, squatting and functional activities has been > 3 points on the visual analog scale

Exclusion Criteria:

  • The presence of an organic lesion (chondromalesia patella, syndrome of excessive lateral pressure, peripatellar bursitis, bening-malignant neoplasm, tendonitis) that can cause pain in the front of the knee
  • Having had steroid injections in the knee within the last 6 months and/or having received a physiotherapy program for the knee
  • Having undergone lower extremity surgery
  • Having a diagnosis of Grade 2 and above osteoarthritis according to Kellgren Lawrence
  • Presence of Patellar Tendinopathy
  • Presence of a history of trauma to the lower extremities
  • The presence of neurological problems that will affect balance and walking
  • Having any rheumatological disease
  • The use of an assistive device for the ambulance

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Cohort
  • Time Perspectives: Prospective

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Intervention Group 1
McConnell taping first and then patella stabilizing brace applied to healty participants and patients with PFPS
Device: McConnell taping
non-stretch rigid McConnell tape will be applied
Device: Patella Stabilizer Brace
An orthotic application that wraps the patellofemoral joint, which has a patellar cavity and supports the patella, and provides stabilization with velcro
Intervention Group 2
first patella stabilizing brace and then applied McConnell taping to healty participants and patients with PFPS
Device: McConnell taping
non-stretch rigid McConnell tape will be applied
Device: Patella Stabilizer Brace
An orthotic application that wraps the patellofemoral joint, which has a patellar cavity and supports the patella, and provides stabilization with velcro
No Intervention Group
no intervention to healty participants and patients with PFPS

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Kujala Patellofemoral Scoring
Time Frame: up to three weeks
It is a tool that allows functional evaluation in knee complaints due to patellofemoral structure.
up to three weeks
Visual Analog Scale
Time Frame: up to three weeks
The maximum pain intensity assessment of the participants during walking, climbing stairs, descending stairs, sitting and squatting activities will be performed using a 10 cm VAS.
up to three weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
10 Stair Up Test
Time Frame: up to three weeks
Participants will go up and down with both feet 10 times on a hard step 20 centimeters above the ground.
up to three weeks
Squat
Time Frame: up to three weeks
Participants will be asked to squat from their knees to the point where they cannot see their toes. It will be recorded how many seconds the participants did the 5 repetitions.
up to three weeks
Joint Position Sense
Time Frame: up to three weeks
To assess the knee proprioception of the participants, the method of active presence of a passively determined position will be applied. The patient's extremity is brought to a position and she is expected to bring it to the same position.
up to three weeks
Single Leg Stance Test
Time Frame: up to three weeks
Evaluates the standing balance of the participants.
up to three weeks
Y Balance Test
Time Frame: up to three weeks
The Y balance test is a dynamic test performed in a one-legged posture that requires strength, flexibility, core control and proprioception.
up to three weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Istanbul University - Cerrahpasa

Investigators

  • Study Director: Yildiz Analay Akbaba, Assoc. Prof., Istanbul University - Cerrahpasa

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 1, 2023

Primary Completion (Actual)

September 18, 2024

Study Completion (Actual)

December 22, 2024

Study Registration Dates

First Submitted

November 10, 2022

First Submitted That Met QC Criteria

November 17, 2022

First Posted (Actual)

November 29, 2022

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

December 22, 2024

Last Verified

December 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • A-9230347

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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