Cowan et al39 | Cowan et al40 | Keet et al41 | |
Type of study | Randomised within subject, controlled clinical trial | Randomised crossover trial | A placebo controlled clinical trial with randomised interventions |
Groups | Group 1—10 PFPS patientsGroup 2—12 asymptomatic controls | Group 1—10 PFPS patientsGroup 2—12 asymptomatic patients | Group 1—15 PFPS subjectsGroup 2—20 healthy subjects |
Type of taping | Subjects completed task under each of 3 conditions: (1) no tape; (2) placebo tape; (3) therapeutic tape—included medial tilt and glide, anterior tilt, rotation and fat pad unloading. Placebo tape—vertical patellar taping | Task carried out under 3 conditions: (1) therapeutic tape—medial tilt and glide, anterior tilt, rotation and fat pad unloading; (2) placebo tape; (3) no tape condition | Each subject carried out tasks during 3 knee taping conditions: (1) no tape; (2) placebo tape—directly over patella with no glide (neutral); (3) medial glide tape |
Outcome measures | EMG onset of VMO and VL | EMG amplitude of VMO and VL during concentric phase of stair stepping task | VAS, isokinetic and isometric force output, EMG analysis |
Results | In PFPS group—therapeutic tape altered temporal characteristics of VMO and VL activation, placebo tape had no effectIn asymptomatic group—no change in EMG onset of VMO and VL with either therapeutic or placebo tape | No change in amplitude of vasti with either tape condition in either subject groupSignificant decrease in pain in PFPS group with therapeutic taping | In PFPS group medial taping did not result in a reduction in pain or an increase in Quads forceDecrease in EMG VMO activity in both groups during step test suggests greater efficiency of VMO |
Pedro score | 3/10 | 5/10 | 4/10 |
EMG, electromyogram; PFPS, patellofemoral pain syndrome; VAS, Visual Analogue Scale; VL, vastus lateralis; VMO, vastus medialis oblique.