patellar taping and drop squat

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WELCOME

EFFICACY OF PATELLAR TAPING AND DROP SQUATS TRAINING PROGRAM FOR MANAGEMENT OF PATELLOFEMORAL PAIN SYNDROME : 

EFFICACY OF PATELLAR TAPING AND DROP SQUATS TRAINING PROGRAM FOR MANAGEMENT OF PATELLOFEMORAL PAIN SYNDROME SENTHILKUMAR THIYAGARAJAN M.P.T (ortho), MIAP Lecturer, masterskill university college of health sciences,

Introduction : 

Introduction PFPS as anterior knee pain arising in the patellar subcondral bone. Alteration in patellar tracking, increased PFJ forces, or combinations of these biomechanical feature are risk factors of PFPS (Sameer Dixit et al 2007). More recent theory suggests that pain due to “A supra physiological mechanical loading and chemical irritation of the nerve endings denoting loss of tissue homeostasis. In this study deals the patellar taping technique with drop squat exercise to realign the PFJ and consequently to reduce the pain level in the PFPS

Purpose of this study : 

Purpose of this study To evaluate the effectiveness of patellar taping with drop squat training program to reduce pain and improve PFJ function in patients with PFPS

Objectives : 

Objectives To correct the imbalance between VMO and VL To realign the patella during the functional activities related to PFJ To correct the imbalances in the forces controlling patellar tracking

Hypothesis of this study : 

Hypothesis of this study Null hypothesis There is no significant improvement with patellar taping and drop squat exercise training program for PFPS Alternate hypothesis There is significant improvement with patellar taping and drop squat exercise training program for PFPS

Inclusion criteria : 

Inclusion criteria Female athletes age less than 30 years Anterior or retropatellar pain, insidious nature, which aggravated by atleast two of the following functional activities Prolonged sitting(“theatre” sign) Stair climbing Squatting Running kneeling Hopping/jumping

Exclusion criteria : 

Exclusion criteria Any trauma, inflammatory or infectious pathology in the knee joint Dislocation or subluxation in the PFJ History of surgery in the knee joint Any signs of secondary OA Osgood-Schlatter disease Plica syndrome Osteochondritis dissecans

Methodology : 

Methodology A total number of 20 female athletes with PFPS was selected by purposive random sampling method after due consideration to the inclusion and exclusion criteria. The study was conducted for a period of 1 month at physiotherapy department, shanmuga hospital, salem, india. Selected 20 subjects before train drop squat exercise patellar movement controlled by patellar taping application.

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Before treated with taping and drop squat pain and knee function measured by the use of VAS and Lysholm knee function Scale. After completion of treatment program subjects post test values of pain and knee function level recorded.

Data presentation : 

Data presentation

Discussion : 

Discussion Non parametric Wilcoxon signed rank test used to assess the pain and lysholm scale. Based on this analysis P < 0.05 . So rejecting the null hypothesis accepting the alternate hypothesis. This study shows marked changes in pain level and improved PFJ function after treated with taping and drop squat. In the Lysholm scale marked changes in the area of pain, support, instability, squatting.

Conclusion : 

Conclusion This study has investigated the effects of patellar taping with drop squat training program for patients experiencing PFPS. The two measurements tools utilized to evaluate the effectiveness of these treatment. The results of this study are encouraging the use of patellar taping and drop squat training to correct biomechanical factors controlling patellar tracking

Limitations : 

Limitations Less number of subjects used in this study Only female athletes used in this study The study only concentrating the muscles forces imbalance No control group used in this study

RECOMMADATION : 

RECOMMADATION Further study needs to analysis the kinetic force changes in PFJ after applying taping and drop squat Further study needs with soft tissue techniques and flexibility exercises Further Study needs to analysis the different types of patellar taping Similar study can be done to find out the efficacy of core strengthening program

Referrences : 

Referrences Javid Mostamand, patellar taping on joint reaction forces during squatting in subjects with PFPS, centre for sports and exercise medicine, 31 July 2009 Whittingham et al, Effects of taping on pain and function in patellofemoral pain syndrome: a randomized controlled trial, J ortho sports phys therap 2004-sep; vol 34(issue 9) pp 504-10 Wilson, Tony et al, A multicenter, single-masked study of medial, neutral, and lateral patellar taping in individuals with patellofemoral pain syndrome,J Orthop Sports Phys Ther 2003-Aug,vol 33 (issue 8) : pp 437-43 Carolyn hicks, Research methods for clinical therapists 4 th edition. London, Churchill Livingstone pp 143-144; 154

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Sameer Dixit, Management of Patellofemoral pain syndrome, socieity for sports medicine, 204 K. Crossely, Mc Connell et al patellar taping: is clinical success supoorted by scientific evidence. Centre for sports medicne research and education, 2002 Evengelos A. christou patellar taping increases vastus medialis oblique activity in the presence of PF pain. University of lolorado, 2004 Jan 16 online Javid Mostamand, patellar taping on joint reaction forces during squatting in subjects with PFPS, centre for sports and exercise medicine, 31 July 2009 Michael L. voight, barbara, musculoskeletal interventions-techniques for therapeutic exercise,MC Graw-Hill companies. 2007

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Thank you