Abstract
Patellofemoral pain syndrome (PFPS) is a common knee disorder in active individuals. Movement dysfunction of valgus positioning at the knee during weight-bearing is frequently seen in PFPS. A single-leg squat (SLS) is a test commonly used in physiotherapy to assess for movement dysfunction. Kinesio-Tape (KT) is gaining in popularity in treating PFPS and claims to alter muscle recruitment and motor control, however evidence is weak. Objective: To evaluate the effect of KT applied to the quadriceps on muscle activity with electromyography (EMG) of the rectus femoris, vastus lateralis and vastus medialis oblique and motor control via the frontal plane projection angle (FPPA) using 2-dimensional video analysis.
A convenience sample of healthy females were recruited and performed 5 single-leg squats with and without KT. EMG of the quadriceps was recorded and dynamic valgus assessed via the FPPA using Dartfish video analysis software. Eccentric and concentric EMG data was recorded and the FPPA measured in single-leg stance and the depth of the squat. Institutional ethical approval was obtained for the study.
16 active females were assessed (mean age 28.94 +6.58 years). Wilcoxon signed-rank tests found no significant change in eccentric or concentric EMG of the quadriceps (%MVC) with KT compared to without (p values 0.35–0.86). Paired-sample t-tests found no significant difference in FPPA between conditions in single-leg stance (p=1.00) or the depth of the squat (p=0.871).
KT did not affect EMG activity of the quadriceps or the FPPA in a SLS when applied to the quadriceps of healthy females, questioning proposed effects of KT on normal muscle tissue. Further research is required into the efficacy of using KT in physiotherapy.