Patellar Taping: A Radiographic Examination of the Medial Glide Technique

The purpose of this study was to radiographically de termine the effectiveness of the McConnell medial glide patellar taping technique. Twenty apparently healthy men, between ages 18 and 35, participated in this study. Subjects underwent a series of three radiographs in a modified Merchant view. First, a bilateral tangential view of the patellofemoral joints was taken to establish a baseline. Next, the same view was obtained with the experimental knees taped using the McConnell medial glide technique. Subjects then underwent a standard ized exercise protocol to stress the tape and the ac companying knee structures. This was followed by a third view of the patellofemoral joints. Radiographs were measured using the Merchant congruence angle and analyzed statistically with dependent, mean differ ence tests. Results from this study indicate that the Mc Connell medial glide technique was effective in signifi cantly moving the patella medially (P = 0.003), but that the tape was ineffective in maintaining this significance after exercise (P < 0.001). In 3 subjects (15%) of this sample, the tape was ineffective in moving the patella medially in any degree. One interesting finding was that exercise caused a statistically significant (P = 0.016) lateral shift from baseline in the control knees. This may suggest some clinical significance for patellar taping in preventing excessive lateral shift.

[1]  G. Shelton,et al.  Rehabilitation of patellofemoral dysfunction: a review of literature. , 1991, The Journal of orthopaedic and sports physical therapy.

[2]  C. Ingersoll,et al.  Effects of patella taping on patella position and perceived pain. , 1993, Medicine and science in sports and exercise.

[3]  A. Tria,et al.  Conservative care for patellofemoral pain. , 1992, The Orthopedic clinics of North America.

[4]  W. Hanten,et al.  Exercise effect on electromyographic activity of the vastus medialis oblique and vastus lateralis muscles. , 1990, Physical therapy.

[5]  J. Minkoff,et al.  The role of radiography in the evaluation and treatment of common anarthrotic disorders of the patellofemoral joint. , 1989, Clinics in sports medicine.

[6]  J. Perry,et al.  Quadriceps function. An electromyographic study under isometric conditions. , 1971, The Journal of bone and joint surgery. American volume.

[7]  B. Gerrard The Patello-Femoral Pain Syndrome: A Clinical Trial of the McConnell Programme. , 1989, The Australian journal of physiotherapy.

[8]  K. Shea,et al.  Disorders of patellofemoral alignment. , 1990, The Journal of bone and joint surgery. American volume.

[9]  Fulkerson Jp,et al.  Distal realignment of the patellofemoral joint. Indications, effects, results, and recommendations. , 1992 .

[10]  A. C. Merchant,et al.  Roentgenographic analysis of patellofemoral congruence. , 1974, The Journal of bone and joint surgery. American volume.

[11]  S. Doucette,et al.  The effect of exercise on patellar tracking in lateral patellar compression syndrome , 1992, The American journal of sports medicine.

[12]  Scuderi Gr Surgical treatment for patellar instability. , 1992 .

[13]  J. C. Hughston,et al.  Patellar subluxation and dislocation , 1984 .

[14]  J McCONNELL,et al.  The management of chondromalacia patellae: a long term solution. , 1986, The Australian journal of physiotherapy.

[15]  M. T. Gross,et al.  Comparison of support provided by ankle taping and semirigid orthosis. , 1987, The Journal of orthopaedic and sports physical therapy.

[16]  H. Potter,et al.  Imaging of the patellofemoral joint. , 1995 .

[17]  H. Labelle,et al.  The abnormal lateral patellofemoral angle: a diagnostic roentgenographic sign of recurrent patellar subluxation. , 1978, The Journal of bone and joint surgery. American volume.

[18]  J. C. Hughston Subluxation of the patella. , 1968, The Journal of bone and joint surgery. American volume.

[19]  W. M. Walsh,et al.  Patellar tracking problems in athletes. , 1992, Primary care.

[20]  G. Derscheid,et al.  A statistical analysis to characterize treatment adherence of the 18 most common diagnoses seen at a sports medicine clinic. , 1987, The Journal of orthopaedic and sports physical therapy.

[21]  J. Henry,et al.  Conservative treatment of patellofemoral subluxation , 1979, The American journal of sports medicine.

[22]  R. C. Lehman,et al.  Rehabilitation of patellofemoral dysfunction in the athlete. , 1989, Clinics in sports medicine.

[23]  Shelton Gl Conservative management of patellofemoral dysfunction. , 1992, Primary Care.

[24]  E. Chao,et al.  Three-dimensional kinematics of the taped ankle before and after exercise , 1980, The American journal of sports medicine.

[25]  P.M. Palumbo Dynamic patellar brace: A new orthosis in the management of patellofemoral disorders , 1981, The American journal of sports medicine.

[26]  W A Grana,et al.  Scientific basis of extensor mechanism disorders. , 1985, Clinics in sports medicine.

[27]  J. Levine,et al.  Use of the infrapatella strap in the treatment of patellofemoral pain. , 1979, Clinical orthopaedics and related research.