W. Gilleard et al., THE EFFECT OF PATELLAR TAPING ON THE ONSET OF VASTUS MEDIALIS OBLIQUUS AND VASTUS LATERALIS MUSCLE-ACTIVITY IN PERSONS WITH PATELLOFEMORAL PAIN, Physical therapy, 78(1), 1998, pp. 25-32
Background and Purpose. The purpose of this study was to investigate t
he effect of patellar taping on the onset of activity of the vastus me
dialis obliquus muscle (VMO) and the vastus lateralis muscle (VL). Sub
jects and Methods. Fourteen female subjects with patellar pain walked
up and down stairs in two conditions: (1) with the patellofemoral join
t of the painful lower extremity taped so that the pain was reduced by
at least 50% on a pain provocation test and (2) without patellar tapi
ng. Results. When the patellofemoral joint was not taped, there was no
difference in the onset of activity between the VMO and the VL during
the step-up and step-down tasks. During the step-up task, the onset o
f VMO activity occurred earlier with taping but there was no change in
the onset of VI, activity with taping. During the step-down task, the
onset of VMO activity occurred earlier and the onset of VL activity w
as delayed with taping. When the patellofemoral joint was taped, the V
MO was activated earlier than the VL during the step-up and step-down
tasks. Conclusion and Discussion. Taping of the patellofemoral joint i
n the manner used in this study changed the timing of VMO and VL activ
ity in subjects with patellofemoral pain during step-up and step-down
tasks. The earlier activation of the VMO may alter the movement of til
e patella, and further research is needed to determine whether this oc
curs and whether it is beneficial.