Clifford A M, Dillon S, Hartigan K, O'Leary H, Constantinou M
School of Allied Health and Health Research Institute, University of Limerick, Limerick, Ireland.
School of Health and Human Performance, Dublin City University, Dublin 9, Ireland.
Gait Posture. 2020 Oct;82:266-272. doi: 10.1016/j.gaitpost.2020.09.010. Epub 2020 Sep 15.
Taping is frequently used as part of the multi-modal management for patellofemoral pain syndrome (PFPS). McConnell Patellofemoral Joint Taping (PFJT) and Tibial Internal Rotation Limitation Taping (TIRLT) are proposed to be useful adjuncts to the management of PFPS. However, it is unclear if TIRLT offers similar benefits to PFJT, and its effect on pain and lower limb kinematics have not been investigated previously.
What are the effects of TIRLT, PFJT and no taping on perceived pain and lower limb kinematics during a lunge and single leg squat (SLS) in people with PFPS?
This cross-sectional study compared the effects of TIRLT, PFJT and no taping, on knee pain and lower limb kinematics during two pain-provoking movements in people with PFPS. Participants with PFPS (n = 23) performed a lunge and SLS under three randomised conditions: TIRLT, PFJT and no taping. The Codamotion system captured and analysed lower limb kinematic data in the sagittal, transverse and coronal planes. Peak knee pain intensity during the movement was assessed using the Numerical Rating Scale (NRS).
Participants reported significantly less pain with the TIRLT and PFJT techniques compared with no tape during the lunge (p = 0.005 and p = 0.011, respectively) and SLS (p= 0.002 and p = 0.001, respectively). There was no evidence of altered lower limb kinematics accompanying pain reductions with either taping technique.
Both forms of taping may be useful adjuncts as the short-term benefit of pain relief may enable participation in more active forms of rehabilitation.
贴扎常用于髌股疼痛综合征（PFPS）的多模式管理。麦康奈尔髌股关节贴扎（PFJT）和胫骨内旋限制贴扎（TIRLT）被认为是PFPS管理的有用辅助手段。然而，尚不清楚TIRLT是否能带来与PFJT类似的益处，且此前尚未对其对疼痛和下肢运动学的影响进行研究。
TIRLT、PFJT和不进行贴扎对PFPS患者在弓步和单腿深蹲（SLS）过程中感知到的疼痛及下肢运动学有何影响？
这项横断面研究比较了TIRLT、PFJT和不进行贴扎对PFPS患者在两种诱发疼痛动作过程中膝关节疼痛和下肢运动学的影响。PFPS患者（n = 23）在三种随机条件下进行弓步和SLS：TIRLT、PFJT和不进行贴扎。Codamotion系统采集并分析矢状面、横断面和冠状面的下肢运动学数据。使用数字评分量表（NRS）评估运动过程中的膝关节疼痛峰值强度。
与不进行贴扎相比，参与者在弓步（分别为p = 0.005和p = 0.011）和SLS（分别为p = 0.002和p = 0.001）过程中使用TIRLT和PFJT技术时报告的疼痛明显减轻。没有证据表明两种贴扎技术在减轻疼痛的同时会改变下肢运动学。
两种贴扎形式都可能是有用的辅助手段，因为短期的疼痛缓解益处可能使患者能够参与更积极的康复形式。
