||Immediate Effects of Hip Corrective Taping on Basketball Players with Patellofemoral Pain
||Department of Physical Therapy
hip corrective taping
Background and Purpose: Patellofemoral pain syndrome (PFPS) is a common musculoskeletal disorder on athletes. The etiology was feathering multi-factorial. Femur internal rotation was proved to contribute in patella lateral laterization position in patients with PFPS. Excessive hip adduction and internal rotation during various tasks were recognized in patients with PFPS and associated with the increased stress of patellofemoral joint. Therefore, hip movement control can be an important issue when making management decision. Hip stabilization brace was proved to be effective in pain reduction, decreasing hip internal rotation and improving posture stability. Kinesio taping has been applied in the upper extremity for movement correction. However, whether applying Kinesio taping is able to correct the movement patterns of the lower extremity during weight bearing activities remains unknown. Therefore, the purpose of this study was to investigate the immediate effects of hip corrective taping on hip and knee movements during lay-up jump and single-leg squat in basketball players with PFPS. Methods: 12 basketball players (10 males, 2 females) with PFPS and 14 healthy (10 males, 4 females) player were asked to perform lay-up jump and single-leg squat with and without corrective taping. Whole body kinematics and ground reaction forces were recorded using Vicon 3D motion analysis system (200Hz) and an AMTI force plate (1000Hz). The primary objectives of corrective taping in this study were to limit hip adduction and internal rotation and provide guidance of hip abduction and external rotation during tasks. Thus, kinesio tape was applied from 3 cm below medial tibia epicondyle to 3 cm above ipsilateral anterior superior iliac crest spirally with maximal tension. Results: The PFPS group showed greater knee external rotation than healthy players (10.23° v.s. 4.88°) but no significant differences in hip joint kinematic during lay-up jump. However, distance between center of mass and hip joint center in PFPS group was shorter than control group. In terms of taping effects, for lay-up jump task at initial contact, the angle of knee external rotation was significantly decreased after taping. (10.24° vs. 8.02°, p = 0.038). For single-leg squat task, hip internal rotation was significantly decreased (7.94° vs. 4.72°, p = 0.050). A trend of decreased hip adduction were also observed (11.45° vs. 10.16°, p = 0.059). Conclusions: Corrective taping applied in this study may have the effects of decreasing hip adduction and internal rotation in basketball players with PFPS during both static and dynamic tasks. Clinical Relevance: The results of current study provided evidence for corrective taping in basketball players with PFPS to limit hip movement patterns associated with increased patellofemoral joint stress. Clinically this taping method may be beneficial for the other populations with PFPS.
List of Contents
List of Contents V
List of Tables VII
List of Figures VIII
Chapter 1. Introduction 1
1.1. Background and Research Purposes 1
1.2. Hypothesis 2
Chapter 2. Literature Review 4
2.1. Epidemiology of patellofemoral pain syndrome 4
2.2. Biomechanics of patellofemoral joint 4
2.3. Etiology of patellofemoral pain syndrome 6
2.3.1. Patellofemoral pain syndrome is featuring with multifactorial etiology 6
2.3.2. Osseous structure abnormality 7
2.3.3. Muscle function deficiency 8
2.3.4. Neuromuscular control during dynamic tasks on patients with PFPS 10
2.4. Management of PFPS 10
2.4.1. Focus on patellar tracking and distal segment of lower extremity 10
2.4.2. Management focus on the control of hip joint 11
Chapter 3. Methods 13
3.1. Subjects 13
3.2. Instruments 13
3.2.1. Motion analysis system 13
3.2.2. Markers application 14
3.3. Procedure 14
3.3.1. Experiment protocol 14
3.3.2. Task 15
3.3.3. Hip corrective taping 15
3.4. Data reduction and analysis 16
3.4.1. Joint angle 16
3.4.2. The distance between center of mass and lower extremity joint centers 16
3.5. Statistics analysis 17
Chapter 4. Results 18
4.1. Differences between PFPS and control groups 18
4.1.1. Subjects characteristics 18
4.1.2. Kinematics differences between control group and pain group in lay-up jump 18
4.2. Taping effect 19
4.2.1. Kinematics change after taping application in PFPS group in lay-up jump 19
Chapter 5. Discussion 20
5.1. Kinematic difference between PFPS and controls 20
5.2. The effect of correction taping on PFPS subjects 21
5.3. Conclusion 23
5.4. Limitation 23
Appendix I. 40
List of Tables
Table 1. Basic data of control and pain group 31
Table 2. Hip, knee angle and distance between COM and hip and knee joint center control and pain group at initial contact 31
Table 3. Hip and knee angle at maximal ground reaction force 32
Table 4. Peak hip and knee angle in ground phase of lay-up jump 32
Table 5. Peak distance of COM and hip or knee joint center between control and PFPS group 33
Table 6. Peak hip and knee angle in ground phase between control and pain group of single-leg-squat 33
Table 7. Peak distance between COM and HJC and KJC of control and PFPS group in single-leg-squat 34
Table 8. Initial contact angle and distance between pre-taping and taping condition 34
Table 9. Hip and knee angle at maximal vertical ground reaction force between pre-taping and taping condition in pain group 35
Table10. Peak hip and knee angle and distance between pre-taping and taping condition 35
Table 11. Maximal distance of COM and hip or knee joint center between pre-taping and taping condition 36
Table 12. Visual analogy scale of pre-taping and taping condition 37
Table 13. Peak hip and knee angle between pre-taping and taping condition in single-leg squat 37
Table 14. Peak distance of hip and knee joint center to center of mass between pre-taping and taping condition in single-leg-squat 37
List of Figures
Figure 1. Possible etiology of PFPS 38
Figure 2. Lay-up jump illustration 38
Figure 3. Hip corrective taping 39
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