Document Title: Gigante-AJSM-Jan01

Article Title: The effects of patellar taping on patellofemoral incongruence: A computed tomography study

Author: Antonio Gigante, Fabiana Magrini Pasquinelli, Paolo Paladini, Serena Ulisse, Francesco Greco.  

Publication: The American Journal of Sports Medicine

ISSN: 03635465

Date: January-February 2001.

(Figures included. Reference-denoting numbers appear in the same point size as document text.)

Volume: 29

Issue: 1

Pages: 88-92  

Key Words: Knee, tomography, patellofemoral, taping, incongruence, pain.

This article delves into the biomechanical effects of various means of forcing the patella to track in its groove (i.e. usually forcing it to track more medially, hence medialization). He notes that merely forcing the patella sideways does not solve the root problems behind poor femoral-groove tracking, and cannot address improper angulation/tilt.

ABSTRACT

Patellar taping for the purpose of patellar medialization is a nonoperative rehabilitation technique used in the treatment of patellofemoral pain. Despite early reports of excellent success rates, the indications for this treatment and its efficacy on patellofemoral pain are unclear. The present computed tomography study was undertaken to evaluate the effect of patellar taping on patellofemoral incongruence. Sixteen female patients (age range, 16 to 25 years) with anterior knee pain related to patellofemoral incongruence underwent computed tomography examination with their quadriceps muscles relaxed and contracted both before and after patellar taping. Patellar lateralization was measured as lateral patellar displacement, and patellar tilt was measured as lateral patellar angle. Patellar taping did not significantly affect patellofemoral lateralization or tilt. The results of this study do not support the use of this method for passive correction of patellofemoral incongruence. Although patellar taping may well be effective in controlling anterior knee pain during physical therapy, it does not do so by medializing the patella.

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