Comparison of short-term effects of mobilization with movement and Kinesiotaping on pain, function and balance in patellofemoral pain

Serdar Demirci, Gizem Irem Kinikli, Michael J Callaghan, Volga Bayrakci Tunay, Serdar Demirci, Gizem Irem Kinikli, Michael J Callaghan, Volga Bayrakci Tunay

Abstract

Objective: The aim of this study was to compare the short-term effects of Mobilization with movement (MWM) and Kinesiotaping (KT) on patients with patellofemoral pain (PFP) respect to pain, function and balance.

Methods: Thirty-five female patients diagnosed with unilateral PFP were assigned into 2 groups. The first group (n = 18) received two techniques of MWM intervention (Straight Leg-Raise with Traction and Tibial Gliding) while KT was applied to the other group (n = 17). Both groups received 4 sessions of treatment twice a week for a period of 2 weeks with a 6-week-home exercise program. Pain severity, knee range of motion, hamstring flexibility, and physical performance (10-step stair climbing test, timed up and go test), Kujala Patellofemoral Pain Scoring and Y-Balance test were assessed. These outcomes were evaluated before the treatment, 45 min after the initial treatment, at the end of the 4-session-treatment during 2-week period and 6 weeks later in both groups.

Results: Both treatment groups had statistically significant improvements on pain, function and balance (p < 0.05). Pain at rest (p = 0.008) and the hamstring muscle flexibility (p = 0.027) were demonstrated significant improvements in favor of MWM group.

Conclusions: Our results demonstrated similar results for both treatment techniques in terms of pain, function and balance. The MWM technique with exercise had a short-term favorable effect on pain at rest and hamstring muscle flexibility than the KT technique with exercise in patients with PFP.

Level of evidence: Level I, therapeutic study.

Keywords: Manual therapy; Mulligan's mobilization; Patellofemoral pain; Taping.

Copyright © 2017 Turkish Association of Orthopaedics and Traumatology. Production and hosting by Elsevier B.V. All rights reserved.

Figures

Fig. 1
Fig. 1
Flow chart of the study process. (MWM, Mobilization with movement; KT, Kinesiotaping).
Fig. 2
Fig. 2
Straight leg-raise with traction.
Fig. 3
Fig. 3
a) MWM during active knee flexion and extension. b) MWM in weight bearing position.
Fig. 4
Fig. 4
Self-applied MWM home exercise.
Fig. 5
Fig. 5
Kinesiotaping application.

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