Efficacy of Kinesio Taping and McConnell Taping Techniques in the Management of Anterior Knee Pain

in Journal of Sport Rehabilitation
Restricted access

Purchase article

USD $24.95

Student 1 year subscription

USD $74.00

1 year subscription

USD $99.00

Student 2 year subscription

USD $141.00

2 year subscription

USD $185.00

Context: Anterior knee pain also known as patellofemoral pain syndrome is a frequently encountered musculoskeletal disorder that worsens with activity. The multifactorial etiology of patellofemoral pain syndrome alters lower-extremity mechanics, increasing patellofemoral joint stresses during weight-bearing tasks. Kinesio and McConnell tapings are often incorporated into the treatment, but their efficacy is still unclear. Objective: To test the efficacy of Kinesio taping, McConnell taping, and sham taping in improving knee mechanics and reducing pain during activity. Design: Cross-sectional design. Setting: Clinical biomechanics laboratory. Participants: Ten participants (age: 20.3 [1.5] y, height: 169.9 [10.4] cm, and mass: 70.17 [13.1] kg) with anterior knee pain and no history of trauma. Intervention: Three trials each of squat, drop jump, and step-down tasks with 3 taping conditions in a counterbalanced order. Main Outcome Measures: Two-dimensional motion capture data of lower-extremities in frontal and sagittal planes were recorded and analyzed using 3 iPads and Spark Motion® application. Pooled effect sizes (Hedges’ g), 95% confidence intervals, and repeated-measures analysis of variance (P < .05) compared baseline and taping conditions during exercises for pain Visual Analog Scale and knee flexion in all exercises, hip abduction during step-down and drop jump, frontal plane projection during step-downs, and knee translation in sagittal plane during squats. Results: Significant reductions in Visual Analog Scale were recorded during squats between tapes (F2.505,12.867 = 3.407, P = .04, Hedges’ g = −0.70). Pairwise comparison showed a decrease in Visual Analog Scale for sham taping (mean difference = 1.14 cm, P = .01) and Kinesio taping (mean difference = 1.54 cm, P = .02) compared with baseline during squats. Conclusions: A variety of taping methods can potentially reduce perceived pain in individuals with patellofemoral pain syndrome, allowing clinicians to perform rehabilitation exercises. Sensory effects associated with short-term taping may be sufficient enough to modify knee pain acutely by afferent input blocking nocioceptive pain before the participants could adapt. Most interestingly, the sham taping technique demonstrated promise for enhancing functional outcomes, depending on the length of the tape and area covered.

Kakar and Greenberger are with the Department of Physical Therapy, Ithaca College, Ithaca, NY, USA. McKeon is with the Department of Exercise and Sport Sciences, Ithaca College, Ithaca, NY, USA.

Kakar (rkakar@ithaca.edu) is corresponding author.
Journal of Sport Rehabilitation
Article Sections
References
  • 1.

    Osorio JAVairo GLRozea GDet al. The effects of two therapeutic patellofemoral taping techniques on strength, endurance, and pain responses. Phys Ther Sport. 2013;14(4):199206. PubMed ID: 23557728 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Earl JEHoch AZ. A proximal strengthening program improves pain, function, and biomechanics in women with patellofemoral pain syndrome. Am J Sports Med. 2011;39(1):154163. PubMed ID: 20929936 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Hamstra-Wright KLEarl-Boehm JBolgla LEmery CFerber R. Individuals with patellofemoral pain have less hip flexibility than controls regardless of treatment outcome. Clin J Sport Med. 2017;27(2):97103. PubMed ID: 27347862 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Taunton JERyan MBClement DBMcKenzie DCLloyd-Smith DRZumbo BD. A retrospective case-control analysis of 2002 running injuries. Br J Sports Med. 2002;36(2):95101. PubMed ID: 11916889 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Salsich GBBrechter JHFarwell DPowers CM. The effects of patellar taping on knee kinetics, kinematics, and vastus lateralis muscle activity during stair ambulation in individuals with patellofemoral pain. J Orthop Sports Phys Ther. 2002;32(1):310. PubMed ID: 11787906 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Chang WDChen FCLee CLLin HYLai PT. Effects of Kinesio taping versus McConnell taping for patellofemoral pain syndrome: a systematic review and meta-analysis. Evid Based Complement Alternat Med. 2015;2015:471208. PubMed ID: 26185517 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Seedholm BBTakeda TTsubuku MWright V. Mechanical factors and patellofemoral osteoarthrosis. Ann Rheum Dis. 1979;38(4):307316. PubMed ID: 496444 doi:

  • 8.

    Insall JFalvo KAWise DW. Chondromalacia patellae. A prospective study. J Bone Joint Surg Am. 1976;58(1):18. PubMed ID: 1249094 doi:

  • 9.

    Leibbrandt DCLouw QA. 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. 2015;27(7):23952404. PubMed ID: 26311990 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10.

    Campolo MBabu JDmochowska KScariah SVarughese J. A comparison of two taping techniques (Kinesio and McConnell) and their effect on anterior knee pain during functional activities. Int J Sports Phys Ther. 2013;8(2):105110. PubMed ID: 23593548

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Derasari ABrindle TJAlter KESheehan FT. McConnell taping shifts the patella inferiorly in patients with patellofemoral pain: a dynamic magnetic resonance imaging study. Phys Ther. 2010;90(3):411419. PubMed ID: 20110340 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12.

    Cowan SMBennell KLHodges PW. Therapeutic patellar taping changes the timing of vasti muscle activation in people with patellofemoral pain syndrome. Clin J Sport Med. 2002;12(6):339347. PubMed ID: 12466688 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Kinesio UK. A brief history of Kinesio Tex Taping. 2008. http://www.kinesiotaping.co.uk/history.jsp. Accessed May 5 2017.

    • Export Citation
  • 14.

    Ng GYCheng JM. The effects of patellar taping on pain and neuromuscular performance in subjects with patellofemoral pain syndrome. Clin Rehabil. 2002;16(8):821827. PubMed ID: 12501943 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Wilson TCarter NThomas G. A multicenter, single-masked study of medial, neutral, and lateral patellar taping in individuals with patellofemoral pain syndrome. J Orthop Sports Phys Ther. 2003;33(8):437443. PubMed ID: 12968857 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Whittingham MPalmer SMacmillan F. Effects of taping on pain and function in patellofemoral pain syndrome: a randomized controlled trial. J Orthop Sports Phys Ther. 2004;34(9):504510. PubMed ID: 15493518 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Ernst GPKawaguchi JSaliba E. Effect of patellar taping on knee kinetics of patients with patellofemoral pain syndrome. J Orthop Sports Phys Ther. 1999;29(11):661667. PubMed ID: 10575643 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Aminaka NGribble PA. A systematic review of the effects of therapeutic taping on patellofemoral pain syndrome. J Athl Train. 2005;40(4):341. PubMed ID: 16404457

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    King DLBelyea BC. Reliability of using a handheld tablet and application to measure lower-extremity alignment angles. J Sport Rehabil. 2015;24(4):15. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 20.

    Rosen AKo JSimpson KKim S-HBrown CN. Lower extremity kinematics during a drop jump in individuals with patellar tendinopathy. Orthop J Sports Med. 2015;3(3):232596711557610. PubMed ID: 26665034 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21.

    Loudon JKWiesner DGoist-Foley HLAsjes CLoudon KL. Intrarater reliability of functional performance tests for subjects with patellofemoral pain syndrome. J Athl Train. 2002;37(3):256261. PubMed ID: 12937582

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Borenstein MHedges LVHiggins JPRothstein HR. Introduction to Meta-Analysis. West Sussex, UK: John Wiley & Sons; 2011.

  • 23.

    Lee JSHobden EStiell IGWells GA. Clinically important change in the visual analog scale after adequate pain control. Acad Emerg Med. 2003;10(10):11281130. PubMed ID: 14525749 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Di Stasi SLSnyder-Mackler L. The effects of neuromuscular training on the gait patterns of ACL-deficient men and women. Clin Biomech. 2012;27(4):360365. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 25.

    Wilkerson GBDenegar CR. A growing consensus for change in interpretation of clinical research evidence. J Athl Train. 2018;53(3):320326. PubMed ID: 29624454 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Akbas EAtay AOYuksel I. The effects of additional Kinesio taping over exercise in the treatment of patellofemoral pain syndrome. Acta Orthop Traumatol Turc. 2011;45(5):335341. PubMed ID: 22032998 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Freedman SRBrody LTRosenthal MWise JC. Short-term effects of patellar Kinesio taping on pain and hop function in patients with patellofemoral pain syndrome. Sports Health. 2014;6(4):294300. PubMed ID: 24982700 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    Aghapour EKamali FSinaei E. Effects of Kinesio Taping® on knee function and pain in athletes with patellofemoral pain syndrome. J Bodyw Mov Ther. 2017;21(4):835839. PubMed ID: 29037636 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 29.

    Aytar AOzunlu NSurenkok OBaltaci GOztop PKaratas M. Initial effects of Kinesio® taping in patients with patellofemoral pain syndrome: a randomized, double-blind study. Isokinet Exerc Sci. 2011;19:135142. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 30.

    Crossley KBennell KGreen SCowan SMcConnell J. Physical therapy for patellofemoral pain: a randomized, double-blinded, placebo-controlled trial. Am J Sports Med. 2002;30(6):857865. PubMed ID: 12435653 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 31.

    Bockrath KWooden CWorrell TIngersoll CDFarr J. Effects of patella taping on patella position and perceived pain. Med Sci Sports Exerc. 1993;25(9):989992. PubMed ID: 8231783 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32.

    Ho K-YEpstein RGarcia RRiley NLee SP. Effects of patellofemoral taping on patellofemoral joint alignment and contact area during weight bearing. J Orthop Sports Phys Ther. 2017;47(2):115123. PubMed ID: 28264631 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 33.

    Araújo CGAde Souza Guerino Macedo CFerreira DShigaki Lda Silva RA. McConnell’s patellar taping does not alter knee and hip muscle activation differences during proprioceptive exercises: a randomized placebo-controlled trial in women with patellofemoral pain syndrome. J Electromyogr Kinesiol. 2016;31:7280. doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 34.

    Hopkins JTIngersoll CD. Arthrogenic muscle inhibition: a limiting factor in joint rehabilitation. J Sport Rehabil. 2000;9(2):135159. doi:

  • 35.

    Banerjee GRose ABriggs MJohnson MI. Could kinesiology taping help mitigate pain, breathlessness and abdominal-related symptoms in cancer? BMJ Case Rep. 2017;2017:18. PubMed ID: 28237944 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 36.

    Brody LTThein JM. Nonoperative treatment for patellofemoral pain. J Orthop Sports Phys Ther. 1998;28(5):336344. PubMed ID: 9809281 doi:

  • 37.

    Fulkerson JP. Diagnosis and treatment of patients with patellofemoral pain. Am J Sports Med. 2002;30(3):447456. PubMed ID: 12016090 doi:

Article Metrics
All Time Past Year Past 30 Days
Abstract Views 385 385 90
Full Text Views 37 37 7
PDF Downloads 15 15 5
Altmetric Badge
PubMed
Google Scholar