Efficacy and

Implementation of

Patellofemoral

Kinesio Taping

Christian Conferido

Lisa Hermanns

Jessica Korpusinski

Sue Maccariella

Learning Objectives

The leaner will demonstrate basic knowledge of Kinesio taping

The learner will be able to identify contraindications for kinesio taping

The learner will be able to identify appropriate diagnoses and patient populations for patellofemoral kinesio taping

The learner will be able to recognize kinesio taping as an adjunct to other physical therapy interventions

The learner will be able to recognize appropriate special testing and outcome measures for patient progression/regression

The leaner will be able to utilize a new technique for patient intervention

Kinesio Tex tape

An elastic therapeutic tape invented and developed in Japan, by Dr.

Kenzo Kase, a graduate of the National College of Chiropractic

Kinesio Tex Tape

Made of latex–free material

Can be worn several days at a time

Safe to use on every age group – from pediatric to geriatric

Used to successfully treat many neuromuscular, orthopedic and

neurologic conditions

The Kinesio Taping® Method

A taping technique used to make the healing process of the body

more efficient

Provides support and stability to muscles and joints without limiting range of motion

Extends soft tissue manipulation to prolong the benefits of manual therapy

Kinesio Taping Method

Benefits

Applied in a unique style it creates changes in joints, circulatory and

lymphatic, neural, muscular, and fascial systems.

Application is simple

Costs less over time compared to other modalities

Can be used over a long period of time

Kinesio® Tex Tape

Application

A single “I” strip, an “X”, “Y” shape, and specialized shapes

Different directions and amount of stretch varies

Dependent on area of body and condition being treated

Impact of Kinesiotaping in

Physical Therapy

Kinesiotaping can be used to treat patients with: Pain

Swelling

Facilitate muscle movements to help increase ROM

Muscle re-education

Blood circulation

Lymph edema circulation

Kinesiotaping for

lymphedema and swelling

-“Kinesiotaping help alleviates pain and facilitates

lymphatic drainage by microscopically lifting the

skin. This lifting affect forms convolutions in the skin

thus increasing interstitial space and allowing for a

decrease in inflammation of the affected areas.”

Kinesio Taping Association International (2014)

PatelloFemoral Tracking

Syndrome

What is it used for? Who can

benefit?

Overuse Injury

Hyper mobility

Patellar Tracking

Syndrome/ PFPS

Surgical Recovery

Lymphedema

Management

Prepatellar Bursitis

Chondromalacia

Ehlers-Danlos Syndrome

Hypotonia

Contraindications

Physical therapy for knee pain: Evaluate & Treat 2-3X/wk for 4-6wks

•Special tests

•ROM

•MMT

•Gait Analysis

•Circumferential Measurements

•DVT

•Renal Insufficiency

•CHF

•Infection

•Mestastasis

Before or after treatment? Can I use it with other

modalities? How is it billed?

“The clinical experience is that there are benefits

to gain with kinesiology taping (KT). However

there is still a lack of evidence for the effectiveness

of KT applications “ – (Ohman, 2013)

“Comparing pretreatment and 6th week values, significant

improvements were found in pain, soft tissue flexibility and

functional performance of both groups (p0.05). The KT

group had significantly better hamstring flexibility than the

control group at the end of three weeks” – (Akbas et al,

2011)

“The results showed Kinesio taping can reduce

pain and improve the ratio of VMO/VL for the

mechanism of patellar stability” – (Chen et al,

2008)

Outcome Measurement Tools

Self Assessment Instruments

Easy format to assess your patient’s pain levels, function and mobility

Non time-consuming

Instruments Include:

Knee Society Score (KSS), Oxford Knee Score, Knee Injury and Osteoarthritis Outcome (KOOS), WOMAC

Performance Based Assessments

To get a better understanding of a patient’s functional ability under certain circumstances

May take more time, but able to observe more specific details

Instruments Include:

Timed Up and Go (TUG), 30 Second Chair Test, Six Minute Walk Test, 4x10 Fast-paced Walk Test.

Objective Testing

Depends on patient’s chief complaints and presented symptoms

Tests that may be performed for Patellofemoral Dysfunctions can include:

Patellar Apprehension Test, Resisted Knee Extension, Waldron

Test, Passive Patellar Tilt Test, Clarke’s sign , Lateral Pull Test,

Vastus Medialis Coordination Test, Eccentric Step Test.

To assess the patients progress of treatment:

All Measurement tools and Objective Testing should be done at

the start of the treatment and should be re-taken over at different

times to quantify if patient has progressed, or regressed with

intervention.

References

Abkas, E, Atay, A, Yuksel, I,. (2011). The Effects of Additional Kinesio Taping Over Exercise in the Treatment of Patellafemoral Pain Syndrome. Acta Orthopaedica et Traumatologica Turcica, 45(5), 335-341. Retrieved February, 17, 2014 from source

Chen, P.L., Hong, W.H., Lin, C.H., Chen, W.C. (2008). Biomechanics Effects of Kinesio Taping for Persons with Patellofemoral Pain Syndrome During Stair Climbing. IFMBE Proceedings, 24, 395-7. Retrieved February, 17, 2014 from source.

Cook, C.E., & Hegedus, E.J. (2013). Physical Examination Tests for the Knee. In M. Cohen & J. Goucher. (2nd Eds.), Orthopedic Physical Examination Tests: An Evidence-Based Approach(pp 469-478). Upper Saddle River, New Jersey: Pearson.

Dobson F., Bennell K., Hinman R., Roos E., (2013). Recommended performance-based tests to assess physical function in people diagnosed with hip or knee osteoarthritis http://www.oarsi.org/sites/default/files/docs/2013/manual.pdf retrieved February 19th, 2014.

Goo , J.Retrieved February 18, 2014, from http://MedicineNet.com

HTTP://WWW.KINESIOTAPING.COM/ABOUT/KINESIO-TAPING-METHOD (FEBRUARY 17 2014

References Continued

• HTTP://WWW.KINESIOTAPING.COM/ABOUT/KINESIO-TAPING-METHOD

(FEBRUARY 17 2014)

http://www.youtube.com/watch?v=Lsf4tN9XTbI

Kase, K. (n.d.). Apex | Lakeland Chiropractor & Wellness Services. Retrieved February 18,

2014, from http://apexhws.com

Kinesio Taping Association International (n.d.). Home. Retrieved February 17, 2014, from

http://kinesiotaping.com

Ohman, A. (2013). Kinesiology Taping a Therapeutic Tool in the Pediatric Population?. Novel

Physiotherapies, 3(5), 1-2. Retrieved February, 17, 2014 from source.