PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Calcaneus Fixation Taping on Quadriceps Angle and Lower Limb Muscles During Stairway Gait of a Patient with Patellofemoral Pain

무릎넙다리통증증후군 환자의 계단보행 시 발뒤꿈치뼈 교정 테이핑이 슬개대퇴각과 하지근육에 미치는 영향

  • Oh, Kang-O (Department of Physical Therapy, Graduated school of Kyungsung University) ;
  • Lee, Sang-Yeol (Department of Physical Therapy, Kyungsung University)
  • Received : 2019.06.14
  • Accepted : 2019.07.18
  • Published : 2019.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was conducted to determine the structural change in knees caused by quadriceps angle and the muscle activity in lower limbs. Indirect intervention was provided by using taping for stability in the ankle joints, which affected patellofemoral pain. Methods: The subjects in this study were 20 patients with patellofemoral pain who visited ${\bigcirc}{\bigcirc}{\bigcirc} $ Hospital in Busan. The visual analogue scale measured the dynamic quadriceps angle and the degree of pain felt by the patients while walking down stairs, which was a known factor of patellofemoral pain. In addition, muscle activities in the rectus femoris, vastus lateralis, vastus medialis, tibialis anterior, peroneus longus, and biceps femoris, which affect the knees and ankles, were measured using surface electromyography. The muscle activities were converted into %RVC for this study. The data obtained in this study were analyzed with the Wilcoxon signed-rank test using the SPSS Ver. 25.0 statistical program. The significance level ${\alpha}$ was 0.05. Results: The study results showed that the pain and dynamic quadriceps angle were significantly reduced statistically when applying the calcaneus fixation taping (p<0.05). Muscle activity in the lower limbs was significantly decreased in the vastus medialis, vastus lateralis, and tibialis anterior (p<0.05). Conclusion: The summary of the study results verified that the calcaneus fixation taping reduced the pain and dynamic quadriceps angle by providing stability in the ankle joints. It also produced efficient movement due to the difference in lower-limb muscle activity.

Keywords

References

  1. Aminaka N, Pietrosimone BG, Armstong CW, et al. Patellifemoral pain syndrome alters neuromuscular control and kinetic during stair ambulation. Journal of Electromyigraphy and Kinesiolgy. 2011;21(5):645-651. https://doi.org/10.1016/j.jelekin.2011.03.007
  2. Anderson MK, Hall SJ, Martin M. Foundations of athletic training: prevention, assessment, and management. Philadelphia. Lippincott Williams & Wilkins. 2004.
  3. Bell DR, Padua DA, Clark MA. Muscle strength and flexibility characteristics of people displaying excessive medial knee displacement. Archives of Physical Medicine and Rehabilitation. 2008;89(7):1323-1328. https://doi.org/10.1016/j.apmr.2007.11.048
  4. Bennell K, Duncan M, Cowan S, et al. Effects of vastus medialis oblique retraining versus general quadriceps strengthening on vasti onset. Medicine and Science in Sports and Exercise. 2010;42(5):856-864. https://doi.org/10.1249/MSS.0b013e3181c12771
  5. Boling M, Padua D, Marshall S, et al. A prospective investigation of pattellofemoral pain syndrome the joint undertaking to monitor and prevent ACL injury (JUMP-ACL) cohort. American Journal of Sports Medicine. 2009;37(11):2108-2116. https://doi.org/10.1177/0363546509337934
  6. Brody LT, Thein JM. Nonoperation treatment for patellofemoral pain. Journal of Orthopaedic & Sports Physical Therapy. 1998;28(5):336-344. https://doi.org/10.2519/jospt.1998.28.5.336
  7. Carlson RE, Fleming LL, Hutton WC. The biomechanical relationship between the tendoachilles, plantar fascia and metatarsophalangeal joint dorsiflexion angle. Foot & Ankle International. 2000;21(1):18-25. https://doi.org/10.1177/107110070002100104
  8. Chester R, Smith TO, Sweeting D, et al. The relative timing of VMO and VL in the aetiology of anterior knee pain: a systematic review and meta-analysis. BMC Musculoskeletal Disorders. 2008;9(1):64. https://doi.org/10.1186/1471-2474-9-64
  9. Delahunt E, McGrath A, Doran N, et al. Effect of taping on actual and perceived dynamic postural stability in persons with chronic ankle instability. Archives of Physical Medicine and Rehabilitation. 2010;91(9):1383-1389. https://doi.org/10.1016/j.apmr.2010.06.023
  10. Herrington L, Malloy S, Richards J. The effect of patella taping on vastus medialis oblique and vastus lateralis EMG activity and knee kinematic vatiables during stair descent. Journal of Electromyography and Kinesiology. 2005;15(6);604-607. https://doi.org/10.1016/j.jelekin.2005.05.002
  11. Hopper D, Samsson K, Hulenik T, et al. The influence of Mulligan ankle taping during balance performance in subjects with unilateral chronic ankle instability. Physical Therapy in Sport. 2009;10(4):125-130. https://doi.org/10.1016/j.ptsp.2009.07.005
  12. Kim HH. The effect of patellar taping on the EMG activity of the vastus medialis oblique and vastus lateralis during stair stepping. Journal of Muscle Joint Health. 2011;18(2):249-256. https://doi.org/10.5953/JMJH.2011.18.2.249
  13. Lankhorst NE, Bierma-Zeinstra SM, Van middelkoop M. Risk factors for patellfemoral pain syndrome: a systematic review. Journal of Orthopaedic & Sports Physical Therapy. 2012;42:81-94. https://doi.org/10.2519/jospt.2012.3803
  14. Larsen B, Andreasen E, Urfer A, et al. Patellar taping: a radiographic examination of the medial glide technique. The American Journal of Sports Medicine. 1995;23(4):465-471. https://doi.org/10.1177/036354659502300417
  15. Lee JH, Yoon JW, Cynn HS. Foot exercise and taping in patients with patellofemoral pain and pronated foot. Journal of Bodywork & Movement Therapies. 2017;21:216-222. https://doi.org/10.1016/j.jbmt.2016.07.010
  16. MacGregor K, Gerlach S, Mellor R, et al. Cutaneous stimulation from patella tape causes a differential increase in vasti muscle activity in people with patellofemoral pain. Journal of Orthopaedic Research. 2005;23(2):351-358. https://doi.org/10.1016/j.orthres.2004.07.006
  17. McConnell J. The management of chondromalacia patellae: a longterm solution. The Australian Journal of Physiotherapy. 1986;32(4):245-223. https://doi.org/10.1016/S0004-9514(14)60654-1
  18. Mulligan B, Hing W, Hall T, et al. The mulligan concept of manual therapy: textbook of techniques. Australia. Elsevier Health Science. 2014.
  19. Nha KW, Papannagari R, Gill TJ, et al. In vivo patellar tracking: clinical motions and patellofemoral indices. Journal of Orthopaedic Research. 2008;26(8):1067-1074. https://doi.org/10.1002/jor.20554
  20. Neumann DA. Kinesioloy of the musculoskeletal system: foundation for rehabilitation. London. Elsevier Health Sciences. 2013.
  21. Nijs J, Van Geel C, Van der auwera C. Diagnostic value of five clinical tests in patellofemoral pain syndrome. Physical Therapy. 2006;11(1): 69-77.
  22. Purcell SB, Schuckman BE, Docherty CL, et al. Differeces in ankle range of motion before and after exercise in 2 tape condition. American Journal of Sports Medicine.2009;37(2):383-389. https://doi.org/10.1177/0363546508325925
  23. Refshauge KM, Raymond J, Kilbreath SL, et al. The effect of ankle taping on detection of inversion-eversion movements in participants with recurrent ankle sprain. American Journal of Sports Medicine. 2009;37(2):371-375. https://doi.org/10.1177/0363546508324309
  24. Schulthies SS, Francis RS, Fisher AG, et al. Does the Q angle reflect the force on the patella in the frontal plane? Physical Therapy. 1995;75(1):24-30. https://doi.org/10.1093/ptj/75.1.24
  25. Simoneau GG, Degner RM, Kramper CA, et al. Changes in ankle joint proprioception resulting from strips of the athletic tape applied over the skin. Journal of Athletic Training. 1997;32(2):141-147.
  26. Someeh M, Norasteh AA, Daneshmandi H, et al. Influence of Mulligan ankle taping on functional performance tests in healthy athletes and athletes with chronic ankle instabillity. International Joural of Athletic Terapy & Training. 2015;20(1):39-45.
  27. Solomon DH, Simel DL, Bates DW, et al. The rational clinical examination. Does this patient have a torn meniscus or ligament of the knee? Value of the physical examination. JAMA. 2001;286(3):1610-1620. https://doi.org/10.1001/jama.286.13.1610
  28. Tang SFT, Chen CK, Hsu R, et al. Vastus medialis oblique and vastus lateralis activity in open and closed kinetic chain exercise in patients with patellofemoral pain syndrome: an electromyographic study. Archives of Physical Medicine and Rehabilitation. 2001;82(10):1441-1445. https://doi.org/10.1053/apmr.2001.26252
  29. Tiberio D. The effect of excessive subtalar joint pronation on patellofemoral mechanics: a theoretical model. Journal of Orthopaedic & Sports Physical Therapy. 1987;(4):160-165.
  30. Vicemzino B, Paungmail A, Tey A. Mulligan' mobilization with movement, positional faults and pain relief: Current conceps from acritical review of literature. Manual Therapy. 2007;12(2):98-108. https://doi.org/10.1016/j.math.2006.07.012
  31. Welsh C, Hanney WJ, Podschun L, et al. Rehabilitation of a Female Dancer with patellofemoral Pain Syndrome: Applying Concepts of Regional Interdependence in Practice. North American Journal of Sports Physical Therapy.2010;5(2):85-97.
  32. Woo KY. Chronic wound-associated pain, psychological stress, and wound healing. Surgical Technology International. 2012;22:57-65.