BMJ 1994;308:753-755 (19 March)

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Taping the patella medially: a new treatment for osteoarthritis of the knee joint?

J Cushnaghan, C McCarthy, P Dieppe 

University of Bristol Rheumatology Unit, Bristol Royal Infirmary, Bristol BS2 8HW Correspondence to: Mrs Cushnaghan.

Abstract

Objective : To test the hypothesis that medial taping of the patella reduces the symptoms of osteoarthritis of the knee when the patellofemoral joint is affected.
Design : Randomised, single blind, crossover trial of three different forms of taping of the knee joint. Each tape (medial, lateral, or neutral) was applied for four days, with three days of no treatment between tape positions.
Subjects : 14 patients with established, symptomatic osteoarthritis of the knee and both clinical and radiographic evidence of patellofemoral compartment disease.
Main outcome measures : Daily visual analogue scale ratings for pain; patients' rating of change with each treatment; and tape preference. Results - Medical taping of the patella was significantly better than the neutral or lateral taping for pain scores, symptom change, and patient preference. The medical tape resulted in a 25% reduction in knee pain.
Conclusion : Patella taping is a simple, safe, cheap way of providing short term pain relief in patients with osteoarthritis of the patellofemoral joint.

Clinical implications

  • Clinical implications

  • Osteoarthritis of the knee joint is one of the commonest causes of chronic pain and disability in the community

  • Current treatment is by physiotherapy and using analgesic and anti- inflammatory drugs - expensive or potentially dangerous measures

  • Simple, safe, inexpensive measures to alleviate pain are needed

  • Medial taping of the patella resulted in considerably reduced pain in patients with osteoarthritis affecting the patellofemoral compartment

  • Patella taping may provide a simple therapeutic measure, which patients can learn to use themselves, to reduce some of the burden resulting from knee osteoarthritis


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Rapid Responses:

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Experience of Taping
Kelly Neal
bmj.com, 1 Feb 2000 [Full text]



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