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Patellar Taping in the Treatment of Patellofemoral Pain

A Prospective Randomized Study

Department of Orthopedic Surgery, Northwestern University Medical School, Chicago, Illinois

Gina Kolk, PT

Northwestern Memorial-Baxter Physical Therapy Center, Chicago, Illinois

Gordon W. Nuber, MD

Department of Orthopedic Surgery, Northwestern University Medical School, Chicago, Illinois

Jeffrey E. Cassisi, PhD

Illinois Institute of Psychology, Chicago, Illinois

Steven H. Stern, MD

Department of Orthopedic Surgery, Northwestern University Medical School, Chicago, Illinois

The purpose of this prospective study was to evaluate the efficacy of a patellar taping program in the conser vative management of patellofemoral pain. Twenty-five patients with patellofemoral pain were randomized into two groups. One group underwent a standard physical therapy program for patellofemoral pain. The other group underwent the same physical therapy program, but use of a patellar taping technique was added to this program. Results of a subjective visual analog scale and changes in isokinetic strength and electromyo graphic activity of the quadriceps muscle were ana lyzed. Both the tape and no-tape groups experienced a statistically significant decrease in symptoms (P < 0.05), but no difference in improvement of patellofemo ral pain was noted between the groups. Likewise, both groups demonstrated significant improvement in quad riceps muscle isokinetic strength (P < 0.05) and activ ity (P < 0.001), but no difference in improvement was noted between groups. The results of this study sug gest no beneficial effect of adding a patellar taping program to a standard physical therapy program in the conservative treatment of patellofemoral pain. Larger prospective studies are warranted to support this opinion.

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