The effect of McConnell taping on vastus medialis and lateralis activity during squatting in adults with patellofemoral pain syndrome

Sung-Eun Lee, Sung-Hyoun Cho, Sung-Eun Lee, Sung-Hyoun Cho

Abstract

This study aims to examine the effect of McConnell taping to patients with patellofemoral pain syndrome on the change of the muscle activity of vastus medialis and vastus lateralis during squatting. The total numbers of participants are 16 patients with pain in their knee. There are three different experiments: no-taping, placebo taping, and McConnell taping. As a result, both the muscle activity of vastus medialis and muscle activity ratio of vastus medialis to vastus lateralis increased in placebo taping compared to no-taping, which wasn't statistically significant. However, the muscle activity of vastus medialis and muscle activity ratio of vastus medialis to vastus lateralis increased in McConnell taping compared to no-taping, which was statistically significant. These results suggest that McConnell taping affects the activity of quadriceps by changing the position of the patella, and thus can effectively be applied in the treatment of patellofemoral pain syndrome.

Keywords: McConnell taping; Patellofemoral pain syndrome; Quadriceps; Squatting.

Figures

Fig. 1
Fig. 1
EMG measurement during squatting.
Fig. 2
Fig. 2
The Normalized EMG data for vastus medialis (VMed), vastus lateralis (VLat) while performing three taping conditions. a)Differences detected by Bonferroni post-hoc analysis (P< 0.05).

References

    1. Aminaka N, Gribble PA. Patellar taping, patellofemoral pain syndrome, lower extremity kinematics, and dynamic postural control. J Athl Train. 2008;43:21–28.
    1. Baker V, Bennell K, Stillman B, Cowan S, Crossley K. Abnormal knee joint position sense in individuals with PFPS. J Orthop Res. 2002;20:208–214.
    1. Barby, Kevin S. Anterior knee pain scale. Australian Journal of Physiotherapy. 2009;55:140.
    1. Bolgla LA, Boling MC. An update for the conservative management of patellofemoral pain syndrome: asystematic review of the literature 2000 to 2010. Int J Sports Phys Ther. 2011;6:112–125.
    1. Christou EA. Patellar taping increases vastus medialis oblique activity in the presence of patellofemoral pain. J Electromyogr Kinesiol. 2004;14:495–504.
    1. Cowan SM, Bennell KL, Hodges PW. Therapeutic patellar taping changes the timing of vasti muscle activation in people with patellofemoral pain. Clin J Sport Med. 2002;12:339–347.
    1. Crossley K, Bennell KL, Green S, McConnell J. A systematic review of physical interventions for patellofemoral pain syndrome. Clin J Sports Med. 2001;11:103–110.
    1. Dixon J, Howe TE. Activation of vastus medialis oblique is not delayed in patients with osteoarthritis of the knee compared to asymptomatic participants during open kinetic chain activities. Man Ther. 2007;12:219–225.
    1. Earl JE, Schmitz RJ, Arnold BL. Activation of the VMO and VL during dynamic mini-squat exercises with and without isometric hip adduction. J Electromyogr Kinesiol. 2001;11:381–386.
    1. Gilleard W, McConnell J, Parsons D. The effect of patellar taping on the onset of vastus medialis obliquus and vastus lateralis muscle activity in persons with patellofemoral pain. Phys Ther. 1998;78:25–32.
    1. Herrington L. The effect of patellofemoral joint taping. Crit Rev Physic Rehabil Med. 2000;12:271–276.
    1. Herrington L. The effect of patellar taping on quadriceps peak torque and perceived pain: a preliminary study. Physic Thera Sport. 2001;2:23–28.
    1. Jeong YH, Kim JI. Effects of a 9-week self-help management aquatic exercise program on pain, flexibility, balance, fatigue and self-efficacy in the patients with osteoarthritis. J Muscle Joint Health. 2010;17:47–57.
    1. Keet JHL, Gray J, Harley Y, Lambert MI. The effect of medial patellar taping on pain, strength and neuromuscular recruitment in subjects with and without patellofemoral pain. Physiotherapy. 2007;93:45–52.
    1. Kendall FP, McCreary EK, Provance PE, Rodger MM, Romani WA. Muscles: Testing and function, with posture and pain. Philadelphia PA: 2005. pp. 212–213.
    1. Lun VM, Wiley JP, Meeuwisse WH, Yanagawa TL. Effectiveness of patellar bracing for treatment of patellofemoral pain syndrome. Clin J Sport Med. 2005;15:235–240.
    1. McConnell J. Management of patellofemoral problems. Man Ther. 1996;1:60–66.
    1. McConnell J. The management of chondromalacia patellae: a long term solution. Aust J Physiother. 1986;32:215–222.
    1. McConnell J. Rehabilitation and nonoperative treatment of patellar instability. Sport Med Arthrosc. 2007;15:95–104.
    1. McConnell J. The physical therapist’s approach to patellofemoral disorders. Clin Sport Med. 2002;21:363–387.
    1. Rathleff MS, Roos EM, Olesen JL, Rasmussen S. Early intervention for adolescents with patellofemoral pain syndrome. BMC Musculoskelet Disord. 2012;27:9.
    1. Smith TO, Davies L, Donell ST. The reliability and validity of assessing medio-lateral patellar position: a systematic review. Man Ther. 2009;14:355–362.
    1. Tang SF, Chen CK, Hsu R, Chou SW, Hong WH, Lew HL. Vastus medialis obliquus and vastus lateralis activity in open and closed kinetic chain exercise in patients with patellofemoral pain syndrome: an electomyographic study. Arch Phys Med Rehabil. 2001;82:1441–1445.
    1. Wilson T. The measurement of patellar alignment in patellofemoral pain syndrome: are we confusing assumptions with evidence? J Orthop Sport Phys Ther. 2007;37:330–341.

Source: PubMed

Sponsoren und Mitarbeiter

Krankheiten

Drogeninterventionen

3
Abonnieren