Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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A Study of Immediate Effects of Taping in Patients with Knee Osteo-arthritis


Affiliations
1 Pad. Dr. D.Y. Patil College of Physiotherapy Nerul, Navi Mumbai, India
     

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Introduction:

Osteoarthritis - or degenerative joint disease (DJD) - is a common rheumatological disorder. In view of limited cure of the disease, management of symptoms is the mainstay of treatment which aims at reducing pain and limiting functional impairments. Knee taping is believed to relieve pain by improving alignment of the patello-femoral joint and/or unloading inflamed soft tissues.

Material&Method:

• Aims&Objectives: To study the immediate effects of taping on pain in patients with osteoarthritis of the knees by assessing the VAS score on four activities of daily living: walking, squatting, ascending and descending stairs and on functional disability tests like walking speed, Time Get Up and Go test and step test.

• Study Design: Hospital based Longitudinal Study

Subjects:

Inclusion criteria: Patients with unilateral or bilateral knee pain, clinically and radiologically diagnosed grade 1 and grade 2 osteoarthritis, (according to Kellgren and Lawrence classification) as patello-femoral and/or tibio-femoral osteoarthritis of knees were included. Exclusion criteria: Knee instability, acute stage osteoarthritis, Rheumatoid and other knee arthritis.

• Study Factors:

Intervention: Patellar Taping by McConnell technique and Tibio-femoral taping by Mulligan Technique.

Outcome factors: Post taping Pain measurement by VAS Scale, Observed Disability Measures like TUG (Timed Get Up and Go test), Walking speed, and Step test.

Results: Sixty subjects enrolled with mean age of 57.17 years. Pain relief using VAS scores on the 4 activities i.e. walking, squatting, ascending stairs and descending stairs, TUG scores, Step test scores and Walking Speed showed statistically significant improvements after taping in both unilateral and bilateral OA knee subjects.

Conclusion: Knee taping significantly improve pain and disability in individuals with osteoarthritis of the knees as an immediate effect.


Keywords

Knee Osteoarthritis, Taping, Mcconnell Technique, Mulligan Technique
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  • Carol & Richard Eustice. About.com Guide to arthritis [Online]. 2010 April 09. Available from: URL:http://osteoarthritis.about.com/od/osteoarthritis101/a/what_is_OA.htm

  • Hinman RS, Bennell KL, Crossley KM, McConnell J. Immediate effects of adhesive tape on pain and disability in individuals with knee osteoarthritis. Rheumatology 2003; 42: 865-869.

  • J Cushnaghan, C McCarthy, P Dieppe. Taping the patella medially: a new treatment for osteoarthritis of the knee joint. BMJ 1994; 308: 753-755.

  • Rana S Hinman, Kay M Crossley, Jenny McConnell, Kim L Bennell. Efficacy of knee tape in the management of osteoarthritis of the knee: blinded randomized controlled trial. BMJ 2003 Jul 19; 327: 135.

  • Felson DT, Naimark A, Anderson J, Kazis L, Castelli W, Meenan RF. The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Arthritis Rheum 1987;30: 914-918.

  • Bagge E, Bjelle A, Eden S, Svanborg A. Osteoarthritis in the elderly: clinical and radiological findings in 79 and 85 year olds. Annals of the Rheumatic Diseases 1991; 50: 535-539.

  • Odding E, Valkenburg HA, Algra D, Vandenouweland FA, Grobbee DE, Hofman A. Associations of radiological osteoarthritis of the hip and knee with locomotor disability in the Rotterdam Study. Annals of the Rheumatic Diseases 1998; 57: 203-238.

  • Handfield T, Kramer J. Effect of McConnell taping on perceived pain and knee extensor torques during isokinetic exercise performed by patients with patellofemoral pain syndrome. Physiotherapy Canada 2000; 52: 39-44.

  • Powers CM, Landel R, Sosnick T et al. The effects of patellar taping on stride characteristics and joint motion in subjects with patellofemoral pain. Journal of Orthopaedic & Sports Physical Therapy 1997; 26: 286-291.

  • Ernst GP, Kawaguchi J, Saliba E. Effect of patellar taping on knee kinetics of patients with patellofemoral pain syndrome. Journal of Orthopaedic & Sports Physical Therapy 1999; 29: 661-667.

  • Gilleard W, McConnell J, Parsons D. The effect of patellar taping on the onset of vastus medialis obliquus and vastus lateralis muscle activity in persons with patellofemoral pain. Physical Therapy 1998; 78: 25-32.

  • Werner S, Knutsson E, Eriksson E. Effect of taping the patella on concentric and eccentric torque and EMG of knee extensor and flexor muscles in patients with patellofemoral pain syndrome. Knee Surgery, Sports Traumatology, Arthroscopy 1993; 1: 169-177.

  • McAlindon TE, Snow S, Cooper C, Dieppe PA. Radiographic patterns of osteoarthritis of the knee joint in the community: The importance of the patellofemoral joint. Annals of the Rheumatic Diseases 1992; 51: 844-849.

  • Ledingham J, Regan M, Jones A, Doherty M. Radiographic patterns and associations of osteoarthritis of the knee in patients referred to hospital. Annals of the Rheumatic Diseases 1993; 52: 520-526.

  • Iwano T, Kurosawa H, Tokuyama H, Hoshikawa Y. Roentographic and clinical findings of patellofemoral arthritis. Clinical Orthopaedics and Related Research 1990; 252: 190-197.

  • Elahi S, Cahue S, Felson DT, Engelman L, Sharma L. The association between varus—valgus alignment and patellofemoral osteoarthritis. Arthritis & Rheumatism 2000; 43: 1874-1880.

  • Harrison MM, Cooke TDV, Fisher SB, Griffin MP. Patterns of knee arthrosis and patellar subluxation. Clinical Orthopaedics and Related Research 1994; 309: 56-63.

  • Grabiner M, Koh T, Draganich L. Neuromechanics of the patellofemoral joint.Medicine and Science in Sports and Exercise 1994; 26: 10-21.

  • Bockrath K., C. Wooden, T. Worrell, C.D. Ingersoll, J. Farr. Effects of patella taping on patella position and perceived pain. Med. Sci. Sports Exerc. 1993; 25(9): 989-992.

  • Lee Herrington. The effect of patella taping on quadriceps strength and functional performance in normal subjects. Physical Therapy in Sport 2004; 5(1): 33-36.

  • Herrington L. The effect of patellar taping on quadriceps peak torque and perceived pain: a preliminary study. Physical Therapy in Sport 2001; 2: 23-28.

  • Ng GYF, Cheng JMF. The effects of patellar taping on pain and neuromuscular performance in subjects with patellofemoral pain syndrome. Clinical Rehabilitation 2002; 16: 821-827.

  • Callaghan MJ, Selfe J, Bagley PJ, Oldham JA. The Effects of Patellar Taping on Knee Joint Proprioception. Journal of Athletic Training 2002 Jan-Mar; 37(1): 19-24.

  • Christou EA. Patellar taping increases vastus medialis oblique activity in the presence of patellofemoral pain. Journal of Electromyography and Kinesiology 2004; 14: 495-504.

  • Salsich Gretchen B, Brechter Jacklyn H, Farwell Daniel, Powers Christopher M. The Effects of Patellar Taping on Knee Kinetics, Kinematics, and Vastus Lateralis Muscle Activity During Stair Ambulation in Individuals With Patellofemoral Pain. Journal of Orthopaedic & Sports Physical Therapy 2002 Jan; 32(1): 3-10.

  • P.L. Chen, Wei Hsien Hong, C.H. Lin, W.C. Chen. Biomechanics Effects of Kinesio Taping for Persons with Patellofemoral Pain Syndrome during Stair Climbing. Proceedings of the 4th Kuala Lumpur International Conference on Biomedical Engineering 2008, BIOMED 2008 Jun 25-28; Kuala Lumpur, Malaysia; Vol 21; 395-397.


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  • A Study of Immediate Effects of Taping in Patients with Knee Osteo-arthritis

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Authors

Pooja Arora
Pad. Dr. D.Y. Patil College of Physiotherapy Nerul, Navi Mumbai, India
Shilpa Arya
Pad. Dr. D.Y. Patil College of Physiotherapy Nerul, Navi Mumbai, India
Sujata Yardi
Pad. Dr. D.Y. Patil College of Physiotherapy Nerul, Navi Mumbai, India

Abstract


Introduction:

Osteoarthritis - or degenerative joint disease (DJD) - is a common rheumatological disorder. In view of limited cure of the disease, management of symptoms is the mainstay of treatment which aims at reducing pain and limiting functional impairments. Knee taping is believed to relieve pain by improving alignment of the patello-femoral joint and/or unloading inflamed soft tissues.

Material&Method:

• Aims&Objectives: To study the immediate effects of taping on pain in patients with osteoarthritis of the knees by assessing the VAS score on four activities of daily living: walking, squatting, ascending and descending stairs and on functional disability tests like walking speed, Time Get Up and Go test and step test.

• Study Design: Hospital based Longitudinal Study

Subjects:

Inclusion criteria: Patients with unilateral or bilateral knee pain, clinically and radiologically diagnosed grade 1 and grade 2 osteoarthritis, (according to Kellgren and Lawrence classification) as patello-femoral and/or tibio-femoral osteoarthritis of knees were included. Exclusion criteria: Knee instability, acute stage osteoarthritis, Rheumatoid and other knee arthritis.

• Study Factors:

Intervention: Patellar Taping by McConnell technique and Tibio-femoral taping by Mulligan Technique.

Outcome factors: Post taping Pain measurement by VAS Scale, Observed Disability Measures like TUG (Timed Get Up and Go test), Walking speed, and Step test.

Results: Sixty subjects enrolled with mean age of 57.17 years. Pain relief using VAS scores on the 4 activities i.e. walking, squatting, ascending stairs and descending stairs, TUG scores, Step test scores and Walking Speed showed statistically significant improvements after taping in both unilateral and bilateral OA knee subjects.

Conclusion: Knee taping significantly improve pain and disability in individuals with osteoarthritis of the knees as an immediate effect.


Keywords


Knee Osteoarthritis, Taping, Mcconnell Technique, Mulligan Technique

References