The effect of taping, quadriceps strengthening and stretching prescribed separately or combined on patellofemoral pain

Mason, Marjon, Keays, Susan L. and Newcombe, Peter A. (2011) The effect of taping, quadriceps strengthening and stretching prescribed separately or combined on patellofemoral pain. Physiotherapy Research International, 16 2: 109-119. doi:10.1002/pri.486


Author Mason, Marjon
Keays, Susan L.
Newcombe, Peter A.
Title The effect of taping, quadriceps strengthening and stretching prescribed separately or combined on patellofemoral pain
Journal name Physiotherapy Research International   Check publisher's open access policy
ISSN 1358-2267
1471-2865
Publication date 2011-06-01
Year available 2010
Sub-type Article (original research)
DOI 10.1002/pri.486
Volume 16
Issue 2
Start page 109
End page 119
Total pages 11
Place of publication West Sussex, United Kingdom
Publisher John Wiley & Sons
Collection year 2012
Language eng
Formatted abstract
Background and Purpose. Quadriceps strengthening, quadriceps stretching and patellar taping are commonly prescribed together for patellofemoral pain patients. This study aimed to examine the effectiveness of each of these techniques in isolation for one week and in combination for one week. Methods. A prospective double-blind randomized control study was designed involving 41 subjects with 60 knees diagnosed with patellofemoral pain. The knees were randomized in onto one of four groups (n = 15): infrapatellar taping, quadriceps strengthening, quadriceps stretching and control. The taping was worn continually for the week; the strengthening group followed a programme of non-weight-bearing terminal range quadriceps exercises, the stretching group performed rectus femoris stretches. The control group did not receive treatment. All subjects received advice. Seven pre- and post-treatment measures included isokinetic quadriceps strength, quadriceps length, pain measured during four activities and maximum eccentric, posturally controlled, pain-free knee flexion angle during a step-down. Results showed significant changes over time (p < 0.01) in two out of seven measures for the taping group, in five out of seven for the strengthening group and five out of seven for the stretching group and none in the control group. When the three modalities were combined for one week, (n = 60) all seven measures improved significantly (p < 0.01). Conclusion. In isolation, quadriceps stretching and quadriceps strengthening resulted in more improvements than taping. Combining these treatments is recommended as the initial approach to treating patellofemoral pain but further individualized more functional, global treatment is essential.
Keyword Exercises
Patellofemoral
Quadriceps
Taping
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes This article was published online on July 14, 2010.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Nursing, Midwifery and Social Work Publications
 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 22 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Thu, 13 Oct 2011, 14:06:48 EST by Dr Peter Newcombe on behalf of School of Social Work and Human Services