Kowall M G, Kolk G, Nuber G W, Cassisi J E, Stern S H
Department of Orthopedic Surgery, Northwestern University Medical School, Chicago, Illinois, USA.
Am J Sports Med. 1996 Jan-Feb;24(1):61-6. doi: 10.1177/036354659602400111.
The purpose of this prospective study was to evaluate the efficacy of a patellar taping program in the conservative management of patellofemoral pain. Twenty-five patients with patellofemoral pain were randomized into two groups. One group underwent a standard physical therapy program for patellofemoral pain. The other group underwent the same physical therapy program, but use of a patellar taping technique was added to this program. Results of a subjective visual analog scale and changes in isokinetic strength and electromyographic activity of the quadriceps muscle were analyzed. Both the tape and no-tape groups experienced a statistically significant decrease in symptoms (P < 0.05), but no difference in improvement of patellofemoral pain was noted between the groups. Likewise, both groups demonstrated significant improvement in quadriceps muscle isokinetic strength (P < 0.05) and activity (P < 0.001), but no difference in improvement was noted between groups. The results of this study suggest no beneficial effect of adding a patellar taping program to a standard physical therapy program in the conservative treatment of patellofemoral pain. Larger prospective studies are warranted to support this opinion.
这项前瞻性研究的目的是评估髌骨贴扎方案在髌股关节疼痛保守治疗中的疗效。25例髌股关节疼痛患者被随机分为两组。一组接受髌股关节疼痛的标准物理治疗方案。另一组接受相同的物理治疗方案，但在此方案中增加了髌骨贴扎技术的使用。分析了主观视觉模拟量表的结果以及股四头肌等速肌力和肌电图活动的变化。贴扎组和未贴扎组的症状均有统计学意义的减轻（P < 0.05），但两组之间髌股关节疼痛的改善情况没有差异。同样，两组的股四头肌等速肌力（P < 0.05）和活动（P < 0.001）均有显著改善，但两组之间的改善情况没有差异。本研究结果表明，在髌股关节疼痛的保守治疗中，在标准物理治疗方案中增加髌骨贴扎方案没有益处。需要更大规模的前瞻性研究来支持这一观点。
