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무릎뼈 무부하 테이핑과 위약 테이핑이 무릎뼈 힘줄병증 환자의 통증과 기능, 심리사회적 수준에 미치는 영향

The Effects of Patella Unloading Taping and Sham Taping on Pain, Function, and Psychosocial Outcomes in Patients with Patellar Tendinopathy

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Background: Patellar tendinopathy, which accounts for approximately 10% of clinical knee diagnoses, is characterized by anterior knee pain and patellar tendon dysfunction, affecting around 54% of adults and athletes. This study aimed to the effects of knee unloading taping with sham taping on pain, function, and psychosocial well-being in patients with patellar tendinopathy and to provide relevant clinical data. Methods: Thirty-nine participants diagnosed with patellar tendinopathy were treated with basic physical therapy and randomly assigned to either the experimental group (n=20) or the sham taping (control group, n=19). The intervention was applied three times per week over four weeks, totaling 12 sessions. Evaluations were conducted using the numeric rating scale (NRS), knee injury and osteoarthritis outcome score (KOOS), five-time-sit-to-stand test (FTSST), and the 12-item short form survey (SF-12), both before and after the intervention. Results: In the experimental group, all evaluation metrics showed significant improvement after the intervention (p<.05). In the control group, no significant changes were observed in the evaluation metrics, except for the FTSST, which did improve (p<.05). Comparing post-intervention results between the experimental and control groups, significant increases were noted in the KOOS (pain, symptoms, quality of life, total) and SF-12 scores (p<.05). Additionally, significant differences were found across groups and measurement time points for all evaluation metrics (p<.05). Conclusion: Patellar unloading taping was found to be an effective intervention for patients with patellar tendinopathy, demonstrating significant benefits in reducing pain, improving function, and enhancing psychosocial well-being.

Abstract

Background: Patellar tendinopathy, which accounts for approximately 10% of clinical knee diagnoses, is characterized by anterior knee pain and patellar tendon dysfunction, affecting around 54% of adults and athletes. This study aimed to the effects of knee unloading taping with sham taping on pain, function, and psychosocial well-being in patients with patellar tendinopathy and to provide relevant clinical data. Methods: Thirty-nine participants diagnosed with patellar tendinopathy were treated with basic physical therapy and randomly assigned to either the experimental group (n=20) or the sham taping (control group, n=19). The intervention was applied three times per week over four weeks, totaling 12 sessions. Evaluations were conducted using the numeric rating scale (NRS), knee injury and osteoarthritis outcome score (KOOS), five-time-sit-to-stand test (FTSST), and the 12-item short form survey (SF-12), both before and after the intervention. Results: In the experimental group, all evaluation metrics showed significant improvement after the intervention (p<.05). In the control group, no significant changes were observed in the evaluation metrics, except for the FTSST, which did improve (p<.05). Comparing post-intervention results between the experimental and control groups, significant increases were noted in the KOOS (pain, symptoms, quality of life, total) and SF-12 scores (p<.05). Additionally, significant differences were found across groups and measurement time points for all evaluation metrics (p<.05). Conclusion: Patellar unloading taping was found to be an effective intervention for patients with patellar tendinopathy, demonstrating significant benefits in reducing pain, improving function, and enhancing psychosocial well-being.

참고문헌 (40)

  1. Alonso-Fernandez D, "Effects of eccentric exercise on the quadriceps architecture", Sci Sport, 36(1), pp.60~67 (2021)
  2. Baker P, "Knee disorders in the general population and their relation to occupation", Occup Environ Med, 60(10), pp.794~797 (2003)[DOI]
  3. Barber Foss KD, "Expected prevalence from the differential diagnosis of anterior knee pain in adolescent female athletes during preparticipation screening", J Athl Train, 47(5), pp.519~524 (2012)[DOI]
  4. Barton C, "Patellar taping for patellofemoral pain : A systematic review and meta-analysis to evaluate clinical outcomes and biomechanical mechanisms", Br J Sports Med, 48(6), pp.417~424 (2014)[DOI]
  5. Briem K, "Effects of kinesio tape compared with nonelastic sports tape and the untaped ankle during a sudden inversion perturbation in male athletes", J Orthop Sports Phys Ther, 41(5), pp.328~335 (2011)[DOI]
  6. Callaghan MJ, "Effects of patellar taping on knee joint proprioception in patients with patellofemoral pain syndrome", Man Ther, 13(3), pp.192~199 (2008)[DOI]
  7. Callaghan MJ, "Has the incidence or prevalence of patellofemoral pain in the general population in the United Kingdom been properly evaluated?", Phys Ther Sport, 8(1), pp.37~43 (2007)
  8. Campolo M, "A comparison of two taping techniques(kinesio and McConnell)and their effect on anterior knee pain during functional activities", Int J Sports Phys Ther, 8(2), pp.105~110 (2013)
  9. Chen PC, "Comparative effectiveness of different nonsurgical treatments for patellar tendinopathy : A systematic review and network meta-analysis", Arthroscopy, 35(11), pp.3117~3131 (2019)[DOI]
  10. Figueroa D, "Patellar tendinopathy : Diagnosis and treatment", J Am Acad Orthop Surg, 24(12), pp.e184~e192 (2016)[DOI]
  11. Hahn T, "Prevalent knee pain and sport", Scand J Public Health, 26(1), pp.44~52 (1998)
  12. Herz B, "Pediatric orthopedics in practice", J Clin Med, 53(9), pp.829~877 (2019)[DOI]
  13. Hjermstad MJ, "Studies comparing numerical rating scales, verbal rating scales, and visual analogue scales for assessment of pain intensity in adults : A systematic literature review", J Pain Symptom Manage, 41(6), pp.1073~1093 (2011)[DOI]
  14. Janssen I, "Investigating achilles and patellar tendinopathy prevalence in elite athletics", Res Sport Med, 26(1), pp.1~12 (2018)[DOI]
  15. Keet JHL, "The effect of medial patellar taping on pain, strength and neuromuscular recruitment in subjects with and without patellofemoral pain", Physiotherapy, 93(1), pp.45~52 (2007)[DOI]
  16. Khan KM, "Patellar tendinopathy : Some aspects of basic science and clinical management Tendon injuries account for a substantial proportion of overuse injuries in sports", Br J Sport Med, 32, pp.346~355 (1998)[DOI]
  17. Lee SM, "A study on employees’ health status and quality of life by using sf-12-A case study of employees in large-scale workplaces in Daejeon and Chungcheong province", Korean Journal of Occupational Health, 1(2), pp.77~87 (2019)[DOI]
  18. Lee WC, "Changes on tendon stiffness and clinical outcomes in athletes are associated with patellar tendinopathy after eccentric exercise", Clin J Sport Med, 30(1), pp.25~32 (2020)[DOI]
  19. Leibbrandt DC, "The use of McConnell taping to correct abnormal biomechanics and muscle activation patterns in subjects with anterior knee pain : A systematic review", J Phys Ther Sci, 27(7), pp.2395~2404 (2015)[DOI]
  20. Malliaras P, "Patellar tendinopathy : Clinical diagnosis, load management, and advice for challenging case presentations", J Orthop Sport Phys Ther, 45(11), pp.887~898 (2015)[DOI]
  21. McConnell, "The management of chondromalacia patellae : A long term solution", Aust J Physiother, 32(4), pp.215~223 (1986)[DOI]
  22. Mendiguchia J, "Rectus femoris muscle injuries in football : A clinically relevant review of mechanisms of injury, risk factors and preventive strategies", Br J Sports Med, 47(6), pp.359~366 (2013)[DOI]
  23. Morgan S, "Proposing a patellar tendinopathy screening tool following a systematic review", S Afr J Physiother, 74(1), pp.454~ (2018)[DOI]
  24. Muñoz-Bermejo L, "Test-retest reliability of five times sit to stand test(FTSST)in adults : A systematic review and meta-analysis", Biology(Basel), 10(6), pp.1~10 (2021)[DOI]
  25. Nguyen U, "Increasing prevalence of knee pain and symptomatic knee osteoarthritis : Survey and cohort data", Ann Intern Med, 155(11), pp.725~732 (2011)[DOI]
  26. Nielsen AB, "Epidemiology of acute knee injuries : A prospective hospital investigation", J Trauma Inj Infect Crit Care, 31(12), pp.1644~1648 (1991)[DOI]
  27. Niv D, "Pain and quality of life", Pain Pract, 1(2), pp.150~161 (2001)[DOI]
  28. Pettrone FA, "Extracorporeal shock wave therapy without local anesthesia for chronic lateral epicondylitis", J Bone Joint Surg Am, 87(6), pp.1297~1304 (2005)[DOI]
  29. Rompe J, "Shock wave therapy versus conventional surgery in the treatment of calcifying tendonitis of the shoulder. Clinical Orthopedics and Related Research", Clin Orthop Relat Res, 389, pp.72~82 (2001)[DOI]
  30. Rosen AB, "Clinical management of patellar tendinopathy", J Athl Train, 57(7), pp.621~631 (2022)[DOI]
  31. Rudavsky A, "Physiotherapy management of patellar tendinopathy(jumper’s knee)", J Physiother, 60(3), pp.122~129 (2014)[DOI]
  32. Silva RS, "Lower limb strength and flexibility in athletes with and without patellar tendinopathy", Phys Ther Sport, 20, pp.19~25 (2016)[DOI]
  33. Scott A, "ICON 2019 : International scientific tendinopathy symposium consensus : Clinical terminology", Br J Sports Med, 54(5), pp.260~262 (2020)[DOI]
  34. Tamura K, "The effect of Kinesio-tape on pain and vertical jump performance in active individuals with patellar tendinopathy", J Bodyw Mov Ther, 24(3), pp.9~14 (2020)[DOI]
  35. Tom S, "Changes in the composition of the extracellular matrix in patellar tendinopathy", Matrix Biol, 28(4), pp.230~236 (2009)[DOI]
  36. Van der WH, "Risk factors for patellar tendinopathy : A systematic review of the literature", Br J Sports Med, 45(5), pp.446~452 (2011)[DOI]
  37. Visnes H, "The evolution of eccentric training as treatment for patellar tendinopathy(Jumper’s knee) : A critical review of exercise programmes", Br J Sports Med, 41(4), pp.217~223 (2007)
  38. Wager TD, "Placebo-induced changes in fMRI in the anticipation and experience of pain", Science, 303(5661), pp.1162~1167 (2004)[DOI]
  39. Witvrouw E, "Intrinsic risk factors for the development of anterior knee pain in an athletic population : A two-year prospective study", Am J Sports Med, 28(4), pp.480~489 (2000)[DOI]
  40. Zwerver J, "No effect of extracorporeal shockwave therapy on patellar tendinopathy in jumping athletes during the competitive season : A randomized clinical trial", Am J Sports Med, 39(6), pp.1191~1199 (2011)[DOI]

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