Patellofemoral pain syndrome (PFPS) is a common musculoskeletal disease with an annual prevalence of 22.7%. Pain in the anterior of the knee and/or retropatellar and/or peripatellar region patellofemoral compression force increases, squatting, climbing stairs, prolonged sitting is characterized by increased pain related activities such as flexion after. A large number of different treatment strategies have been proposed to examine these underlying factors and to address the resulting disorders and activity limitations. PFPS in the conservative treatment of patellar taping, stretching the shortened structures, the vastus medialis obliquus, strengthening activity modification, biofeedback, neuromuscular electrical stimulation, ultrasound, and foot orthoses and brace is located. The most frequently used for the treatment of patients with high effect size physiotherapy treatment and exercise training combined treatment in order to control the pain in the short and medium term, while the external knee supports-foot orthoses (brace), kinesiotape, rigid-band is used. It is known that the most commonly recommended external support for patients in the fight against PFPS in the clinical setting is kinesiological taping and brace. However, since kinesiotaping does not show orthotic properties like brace, their comparison with each other and the study of their effects give misleading results. The use of McConnell taping, which can show similar effects with both kinesiotaping and brace, gives clinically positive results. When the literature was examined, there was no study that examined the effectiveness of brace and rigid taping comparatively. In our study, we aim to investigate the extent to which we can change the impaired patella position in PFPS with the use of rigid tape and brace in accordance with this information in the literature and to examine the possible effects of rigid tape and brace, which we will apply to patients with PFPS, on balance, proprioception, gait and functionality in patients. In line with the results we will obtain, it is aimed to increase the effectiveness of treatment and shorten the recovery time by determining the external support that will help patients exercise and their movements in daily life. H1: McConnell taping and patella stabilizing brace applications applied to patients with PFPS differ from each other in terms of proprioception, functionality, balance and gait parameters.
Voluntary participants who have been diagnosed with PFPS and agreed to voluntary health subjects will be included in the study. Signed voluntary consent will be obtained from participants. Participants will be divided into tree groups. One of the intervention groups will be taped first, then brace; the other will be used brace first, then tape. Healthy individuals will form the control group.
Study Type
OBSERVATIONAL
Enrollment
36
non-stretch rigid McConnell tape will be applied
An orthotic application that wraps the patellofemoral joint, which has a patellar cavity and supports the patella, and provides stabilization with velcro
Istanbul University-Cerrahpaşa
Istanbul, Turkey (Türkiye)
Kujala Patellofemoral Scoring
It is a tool that allows functional evaluation in knee complaints due to patellofemoral structure.
Time frame: up to three weeks
Visual Analog Scale
The maximum pain intensity assessment of the participants during walking, climbing stairs, descending stairs, sitting and squatting activities will be performed using a 10 cm VAS.
Time frame: up to three weeks
10 Stair Up Test
Participants will go up and down with both feet 10 times on a hard step 20 centimeters above the ground.
Time frame: up to three weeks
Squat
Participants will be asked to squat from their knees to the point where they cannot see their toes. It will be recorded how many seconds the participants did the 5 repetitions.
Time frame: up to three weeks
Joint Position Sense
To assess the knee proprioception of the participants, the method of active presence of a passively determined position will be applied. The patient's extremity is brought to a position and she is expected to bring it to the same position.
Time frame: up to three weeks
Single Leg Stance Test
Evaluates the standing balance of the participants.
Time frame: up to three weeks
Y Balance Test
The Y balance test is a dynamic test performed in a one-legged posture that requires strength, flexibility, core control and proprioception.
Time frame: up to three weeks
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