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Effects of Femoral Rotational Taping on Dynamic Postural Stability in Female Patients With Patellofemoral Pain

Song, Chen-Yi PT, PhD*; Lin, Jiu-Jenq PT, PhD; Chang, Alison H. PT, DPT, MS

Clinical Journal of Sport Medicine: September 2017 - Volume 27 - Issue 5 - p 438–443
doi: 10.1097/JSM.0000000000000392
Original Research
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Objective: To investigate the effects of femoral rotational taping on task performance, dynamic postural control, and pain during the Star Excursion Balance Test (SEBT) in patients with patellofemoral pain (PFP) compared to healthy controls.

Design: Case–control study, pretest–posttest.

Setting: Laboratory.

Participants: Twenty-four female participants (16 with PFP, 8 controls).

Interventions: Participants in both the PFP and control groups performed SEBT with no taping, sham taping, and femoral rotational taping.

Main Outcome Measures: The maximum anterior excursion distance, 3-dimensional hip and knee kinematics of the stance leg, and pain score (VAS) during SEBT were recorded. The coefficients of variance (CV) of kinematic data gathered from electromagnetic sensors on pelvis and femur were calculated to represent segmental stability.

Results: When performing the SEBT in the anterior direction, application of femoral rotational taping increased maximum excursion distance (65.57% vs 66.15% leg length, P = 0.027), decreased hip adduction excursion (47.6 vs 32.1 degrees, P = 0.010), and pain (3.34 vs 2.38, P = 0.040) in the PFP group. Femoral rotational taping also improved the medial-lateral (7.1 vs 4.6, P = 0.015) and proximal-distal stability (7.5 vs 4.5, P = 0.020) of the pelvis, and medial-lateral stability (7.2 vs 6.1, P = 0.009) of the femur.

Conclusions: The results support the use of femoral rotational taping for improving dynamic postural control and reducing pain during SEBT.

Clinical Relevance: Femoral rotational taping could be used in the management of young female patients with PFP.

*Department of Health Promotion and Gerontological Care, Taipei College of Maritime Technology, New Taipei City, Taiwan;

School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan; and

Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Evanston, IL.

Corresponding Author: Alison H. Chang, PT, DPT, MS, Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, 645 N. Michigan Ave, Suite 1100, Chicago, IL 60611 (hsini@northwestern.edu).

The authors report no conflicts of interest.

Received January 21, 2016

Accepted September 01, 2016

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