Araújo Cynthia Gobbi Alves, de Souza Guerino Macedo Christiane, Ferreira Daiene, Shigaki Leonardo, da Silva Rubens A
Center of Research in Healthy Sciences, Masters and Doctoral Program in Rehabilitation Sciences, Laboratory of Functional Assessment and Human Motor Performance (LAFUP), Universidade Norte do Paraná (UNOPAR), Londrina-PR, Brazil.
Department of Physical Therapy, Universidade Estadual de Londrina (UEL), Londrina-PR, Brazil(1).
J Electromyogr Kinesiol. 2016 Dec;31:72-80. doi: 10.1016/j.jelekin.2016.09.006. Epub 2016 Sep 21.
The purpose of this study was to assess the effect of patellar taping on muscle activation of the knee and hip muscles in women with Patellofemoral Pain Syndrome during five proprioceptive exercises. Forty sedentary women with syndrome were randomly allocated in two groups: Patellar Taping (based in McConnell) and Placebo (vertical taping on patella without any stretching of lateral structures of the knee). Volunteers performed five proprioceptive exercises randomly: Swing apparatus, Mini-trampoline, Bosu balance ball, Anteroposterior sway on a rectangular board and Mediolateral sway on a rectangular board. All exercises were performed in one-leg stance position with injured knee at flexion of 30° during 15s. Muscle activation was measured by surface electromyography across Vastus Medialis, Vastus Lateralis and Gluteus medius muscles. Maximal voluntary contraction was performed for both hip and knee muscles in order to normalize electromyography signal relative to maximum effort during the exercises. ANOVA results reported no significant interaction (P>0.05) and no significant differences (P>0.05) between groups and intervention effects in all exercise conditions. Significant differences (P<0.01) were only reported between muscles, where hip presented higher activity than knee muscles. Patellar taping is not better than placebo for changes in the muscular activity of both hip and knee muscles during proprioceptive exercises.
ClinicalTrials.gov NCT02322515.
本研究旨在评估在五项本体感觉练习中,髌骨贴扎对患有髌股疼痛综合征的女性膝关节和髋关节肌肉激活的影响。40名患有该综合征的久坐女性被随机分为两组:髌骨贴扎组(基于麦康奈尔技术)和安慰剂组(髌骨垂直贴扎,不拉伸膝关节外侧结构)。志愿者随机进行五项本体感觉练习:摆动器械、迷你蹦床、博苏平衡球、在矩形板上前后摇摆以及在矩形板上内外侧摇摆。所有练习均在单腿站立姿势下进行,受伤膝关节屈曲30°,持续15秒。通过表面肌电图测量股内侧肌、股外侧肌和臀中肌的肌肉激活情况。对髋关节和膝关节肌肉均进行最大自主收缩,以便将肌电图信号相对于练习期间的最大努力进行标准化。方差分析结果显示,在所有运动条件下,组间和干预效果之间无显著交互作用(P>0.05),也无显著差异(P>0.05)。仅在肌肉之间报告了显著差异(P<0.01),其中髋关节的活动高于膝关节肌肉。在本体感觉练习期间,髌骨贴扎在改变髋关节和膝关节肌肉的肌肉活动方面并不优于安慰剂。
ClinicalTrials.gov NCT02322515 。