Federal University of São Paulo (UNIFESP), Human Movement Sciences Department, Campus Baixada Santista, Santos, São Paulo, Brazil; State Public Servant Institute of São Paulo (IAMSPE), Physical Therapy Department, São Paulo, São Paulo, Brazil.
State Public Servant Institute of São Paulo (IAMSPE), Orthopaedics and Trauma Department, São Paulo, São Paulo, Brazil.
J Bodyw Mov Ther. 2020 Jan;24(1):47-55. doi: 10.1016/j.jbmt.2019.05.022. Epub 2019 May 22.
Patellofemoral pain syndrome (PFPS), characterized by retropatellar and peripatellar pain, is a common disorder affecting young women. Treatment has included exercise-based therapy and taping techniques for rapid reduction of symptoms and pain. Although Kinesio Taping® (KT) has been studied as adjunctive therapy, evidence on its effectiveness is limited and conflicting.
To determine the feasibility of performing a double-blind randomized controlled trial (RCT) using KT® for PFPS treatment and to determine an ideal sample size.
Double-blind, randomized, controlled pilot study.
Forty-three women (aged 18-45 years) with at least a 3-month history of PFPS were randomized based on the mechanical correction techniques: using KT® for patellar medialization (KT-PM), using KT® for lateral rotation of the femur and tibia (KT-LRFT), and the control group (CG). All groups underwent the same muscle strengthening and motor control procedures for 12 weeks. Knee pain and function were evaluated at baseline, at 6 weeks, at treatment completion (12 weeks), and during the 12-week follow-up using the numerical pain rating scale (NPRS) at rest and during effort, Anterior Knee Pain Scale (AKPS), and single jump hop test.
There were clinically significant differences between the KT-LRFT and the CG in terms of AKPS and NPRS scores during effort at the 6-week and 12-week follow-ups. All groups (within group) showed a significant improvement in pain and function.
A complete RCT using KT® for the treatment of PFPS is feasible with some changes regarding outcome measures and treatment protocols.
髌股疼痛综合征（PFPS）表现为髌股和髌周疼痛，是一种常见的影响年轻女性的疾病。治疗包括运动疗法和贴扎技术，以快速缓解症状和疼痛。虽然肌内效贴布（Kinesio Taping®，KT）已被研究作为辅助治疗，但关于其有效性的证据有限且存在争议。
确定使用 KT®治疗 PFPS 的双盲随机对照试验（RCT）的可行性，并确定理想的样本量。
双盲、随机、对照初步研究。
43 名（年龄 18-45 岁）至少有 3 个月 PFPS 病史的女性患者，根据机械矫正技术随机分组：使用 KT®进行髌骨内移（KT-PM）、使用 KT®进行股骨和胫骨外侧旋转（KT-LRFT），以及对照组（CG）。所有组均接受 12 周相同的肌肉强化和运动控制程序。在基线、6 周、治疗结束（12 周）和 12 周随访时，使用数字疼痛评分量表（NPRS）在休息和用力时、前膝痛量表（AKPS）和单足跳跃测试评估膝关节疼痛和功能。
在 6 周和 12 周随访时，KT-LRFT 组与 CG 组在 AKPS 和用力时 NPRS 评分方面存在临床显著差异。所有组（组内）在疼痛和功能方面均有显著改善。
使用 KT®治疗 PFPS 的完整 RCT 是可行的，需要对结局测量和治疗方案进行一些更改。
