Campbell Samantha A, Valier Alison R
Athletic Dept, St. Lawrence University, Canton, NY.
J Sport Rehabil. 2016 Aug;25(3):288-93. doi: 10.1123/jsr.2014-0278. Epub 2015 May 6.
Patellofemoral pain syndrome (PFPS) occurs in 25% of adolescents and adults and is the leading cause of knee pain in runners. Pain is commonly felt when ascending or descending stairs, deep squatting, kneeling, or running. There is no consensus on the etiology of this condition, but insufficient hip strength, malalignment of the lower extremity, hyperpronation of the foot, and patellar incongruence have been suggested. Common treatments of PFPS include strengthening of quadriceps and hip muscles, McConnell taping, electrical stimulation, and foot orthotics, but effectiveness of these treatments is inconclusive. Kinesio Taping is an alternative taping technique for musculoskeletal injuries including PFPS. Although research suggests that Kinesio Taping decreases pain and improves range of motion for some musculoskeletal injuries, its effectiveness in decreasing pain in patients with PFPS in unknown. Furthermore, Kinesio Taping has not been compared with other taping techniques including McConnell taping. Focused Clinical Question: For patients with anterior knee pain consistent with PFPS, does treatment with Kinesio Taping decrease pain more than McConnell taping or no tape at all?
髌股疼痛综合征(PFPS)在25%的青少年和成年人中出现,是跑步者膝盖疼痛的主要原因。在上、下楼梯、深蹲、跪或跑步时通常会感到疼痛。关于这种病症的病因尚无共识,但有人提出髋部力量不足、下肢排列不齐、足过度内旋和髌骨不匹配。PFPS的常见治疗方法包括加强股四头肌和髋部肌肉、麦康奈尔贴扎法、电刺激和足部矫形器,但这些治疗方法的有效性尚无定论。肌内效贴布是一种用于包括PFPS在内的肌肉骨骼损伤的替代贴扎技术。尽管研究表明肌内效贴布可减轻某些肌肉骨骼损伤的疼痛并改善活动范围,但其对减轻PFPS患者疼痛的有效性尚不清楚。此外,肌内效贴布尚未与包括麦康奈尔贴扎法在内的其他贴扎技术进行比较。重点临床问题:对于符合PFPS的前膝疼痛患者,肌内效贴布治疗是否比麦康奈尔贴扎法或不使用贴布更能减轻疼痛?