Department of Physiotherapy, Federal University of Rio Grande do Norte (UFRN) , Natal, Brazil.
Physiother Theory Pract. 2020 Jun;36(6):709-719. doi: 10.1080/09593985.2018.1492657. Epub 2018 Jul 9.
Patellofemoral pain (PFP) is one of the most frequent musculoskeletal dysfunctions in the knee and its treatment is controversial. This study analyzed the effects of Kinesio Taping (KT) immediately and 72 hours after its application on the electromyographic (EMG) activity of the vastus medialis oblique (VMO) muscle, on the isokinetic performance of the quadriceps femoris and on the pain of subjects with PFP. Fifty-four participants were divided into three groups and performed one of the following protocols: (1) control group (CG)-remained at rest; (2) KT tension group (TG)-KT application with tension in the VMO region; and (3) KT without tension group (WTG)-KT application without tension in the same region. VMO and vastus lateralis (VL) EMG activity (RMS and onset), isokinetic performance and pain intensity were evaluated at three moments: before KT application, immediately after and 72 hours after. A mixed model ANOVA was used for statistical analysis with a significance level of 5% ( ≤ 0.05). No differences between the evaluated groups were found in relation to EMG variables and isokinetic performance. A reduction in pain intensity was found in the WTG in comparison to CG, after 72 hours. KT does not alter EMG parameters nor the isokinetic performance of subjects with PFP. However, we noticed reduced pain in the group submitted to the technique without tension 72 hours after its application.
髌股疼痛(PFP)是膝关节最常见的肌肉骨骼功能障碍之一,其治疗存在争议。本研究分析了肌电(EMG)活动、等速性能和 PFP 患者疼痛的即刻和应用后 72 小时 Kinesio 贴扎(KT)对股内侧肌(VMO)、股四头肌等速性能的影响。54 名参与者分为三组,分别进行以下方案之一:(1)对照组(CG)-保持休息;(2)KT 张力组(TG)-在 VMO 区域施加 KT 张力;(3)无张力 KT 组(WTG)-在同一区域施加无张力 KT。在三个时刻评估 VMO 和股外侧肌(VL)的 EMG 活动(RMS 和起始)、等速性能和疼痛强度:在 KT 应用前、应用后即刻和应用后 72 小时。采用混合模型方差分析进行统计分析,显著性水平为 5%(≤0.05)。在 EMG 变量和等速性能方面,评估组之间没有差异。与 CG 相比,WTG 在 72 小时后疼痛强度降低。KT 不会改变 PFP 患者的 EMG 参数或等速性能。然而,我们注意到在应用后 72 小时接受无张力技术的组的疼痛减轻。