ORIGINAL PAPER
Effect of ischaemic compression versus kinesiotape on patellar tendinitis
 
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1
Physical Therapy Department, Alhawamdyia National Hospital, Giza, Egypt
 
2
Basic Science Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt
 
3
Military Medical Academy and Agouza Rehabilitation Center, Giza, Egypt
 
 
Submission date: 2019-12-27
 
 
Acceptance date: 2020-03-30
 
 
Publication date: 2021-04-13
 
 
Physiother Quart. 2021;29(1):47-55
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The goal of this study was to compare the impact of ischaemic compression and kinesiotape on pain, physical function, and resting myoelectric activity of vastus medialis and vastus lateralis muscles in patients with unilateral acute patellar tendinitis.

Methods:
Overall, 33 patients were randomly assigned to 3 equal groups. Group A received ischaemic compression and conventional treatment of patellar tendinitis. Group B received kinesiotape and conventional treatment of patellar tendinitis. Group C received only conventional treatment. Each patient received 3 sessions per week for 1 month. Pain intensity, physical function, and resting myoelectric activity were measured before, after, and after another 2 weeks of completion of the study.

Results:
The results showed a statistically significant improvement in all the variables between the pre-intervention, post-intervention, and follow-up evaluations in the 3 groups (p < 0.05).

Conclusions:
Kinesiotape is more effective than ischaemic compression in decreasing pain intensity level, improving physical function, and enhancing the activity of vastus lateralis and vastus medialis muscles in patients with unilateral acute patellar tendinitis.

REFERENCES (50)
1.
Larsson B, Karlsson S, Eriksson M, Gerdle B. Test-retest reliability of EMG and peak torque during repetitive maximum concentric knee extensions. J Electromyogr Kinesiol. 2003;13(3):281–287; doi: 10.1016/s1050-6411(03)00022-1.
 
2.
Rees JD, Stride M, Scott A. Tendons – time to revisit inflammation. Br J Sports Med. 2014;48(21):1553–1557; doi: 10.1136/bjsports-2012-091957.
 
3.
Rudavsky A, Cook J. Physiotherapy management of patellar tendinopathy (jumper’s knee). J Physiother. 2014;60(3):122–129; doi: 10.1016/j.jphys.2014.06.022.
 
4.
Witvrouw E, Bellemans J, Lysens R, Danneels L, Cambier D. Intrinsic risk factors for the development of patellar tendinitis in an athletic population. A two-year prospective study. Am J Sports Med. 2001;29(2):190–195; doi: 10.1177/03635465010290021201.
 
5.
Dan M, Parr W, Broe D, Cross M, Walsh WR. Biomechanics of the knee extensor mechanism and its relationship to patella tendinopathy: a review. J Orthop Res. 2018;36(12):3105–3112; doi 10.1002/jor.24120.
 
6.
Neumann DA. Kinesiology of the musculoskeletal system. Foundations for rehabilitation, 2nd ed. St. Louis: Mosby; 2001.
 
7.
Pedrelli A, Stecco C, Day JA. Treating patellar tendinopathy with fascial manipulation. J Bodyw Mov Ther. 2009;13(1):73–80; doi: 10.1016/j.jbmt.2008.06.002.
 
8.
De Paula VRM, de Paula GM, Justi J, Soares CS, Sanchez HM. Comparative study between ischemic compression and dry needling in myofascial pain syndrome: possibilities in health. Man Ther Posturology Rehabil J. 2019;23:623; doi: 10.17784/mtprehabjournal.2018.16.623.
 
9.
Volpi P, Prospero E, Bait C, Carimati G, Di Francia VP, Felisaz P, et al. Patellar tendinopathy. In: Bisciotti GM, Volpi P (eds.), The lower limb tendinopathies: etiology, biology and treatment. Cham: Springer; 2016; 165–179.
 
10.
Rosso F, Bonasia DE, Cottino U, Dettoni F, Bruzzone M, Rossi R. Patellar tendon: from tendinopathy to rupture. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2015;2(4):99–107; doi: 10.1016/j.asmart.2015.07.001.
 
11.
Kashyap R, Iqbal A, Alghadir AH. Controlled intervention to compare the efficacies of manual pressure release and the muscle energy technique for treating mechanical neck pain due to upper trapezius trigger points. J Pain Res. 2018;11:3151–3160; doi: 10.2147/JPR.S172711.
 
12.
Bigongiari A, Franciulli PM, Souza FdA, Mochizuki L, Araujo RC. Surface electromyography activity analysis of the myofascial trigger points [in Portuguese]. Rev Bras Reumatol. 2008;48(6):319–324; doi: 10.1590/S0482-50042008000600003.
 
13.
Gelmini TÂM, Sant’Anna PCF, Dhein W, La Torre M. Acute effect of the ischemic compression technique on the EMG activity of the muscle upper trapezius in subjects with myofascial triggers points. Man Ther Posturology Rehabil J. 2018;16:583; doi: 10.17784/mtprehabjournal.2018.16.583.
 
14.
Elsayed SEBA, Ammar TARA, Tolba AMN, Elgeidi AARE. Manual ischemic compression in patients with patellofemoral pain syndrome. The 18th International Scientific Conference Faculty of Physical Therapy, Cairo, Egypt; 16–17 March, 2017. 2017; doi: 10.13140/RG.2.2.23562.77761.
 
15.
Lyman KJ, Keister K, Gange K, Mellinger CD, Hanson TA. Investigating the effectiveness of Kinesio® taping space correction method in healthy adults on patellofemoral joint and subcutaneous space. Int J Sports Phys Ther. 2017;12(2):250–257.
 
16.
Abd El-Khalik MM, Abd El-Monem MG, Mohammed AH, Abd El-Fattah MA. Effect of exercises and Kinesio tape on range of motion of neck and jaw post partial glossectomy. Med J Cairo Univ. 2017;85(1):47–56.
 
17.
Aguilar-Ferrándiz ME, Castro-Sánchez AM, Matarán-Peñarrocha GA, García-Muro F, Serge T, Moreno-Lorenzo C. Effects of Kinesio taping on venous symptoms, bioelectrical activity of the gastrocnemius muscle, range of ankle motion, and quality of life in postmenopausal women with chronic venous insufficiency: a randomized controlled trial. Arch Phys Med Rehabil. 2013;94(12):2315–2328; doi: 10.1016/j.apmr.2013.05.016.
 
18.
Choi J-H. Effects of Kinesio taping on muscle tone, stiffness in patients with shoulder pain. J Korean Soc Phys Med. 2017;12(3):43–47; doi: 10.13066/kspm.2017.12.3.43.
 
19.
Ahn IK, Kim YL, Bae Y-H, Lee SM. Immediate effects of kinesiology taping of quadriceps on motor performance after muscle fatigued induction. Evid Based Complement Alternat Med. 2015;2015:410526; doi: 10.1155/2015/410526.
 
20.
Abd El-Azeim AS, Elhafez HM, Ahmed SEB, Draz AH, Kattabei OM. Efficacy of Kinesio tape on pressure pain threshold and normalized resting myoelectric activity on upper trapezius myofascial trigger points (a randomized clinical trial). J Adv Pharm Edu Res. 2019;9(3):413–418.
 
21.
Gurfinkel V, Cacciatore TW, Cordo P, Horak F, Nutt J, Skoss R. Postural muscle tone in the body axis of healthy humans. J Neurophysiol. 2006;96(5):2678–2687; doi: 10.1152/jn.00406.2006.
 
22.
Malliaras P, Cook JL, Purdam C, Rio E. Patellar tendinopathy: clinical diagnosis, load management, and advice for challenging case presentations. J Orthop Sports Phys Ther. 2015;45(11):887–898; doi: 10.2519/jospt.2015.5987.
 
23.
Perez-Palomares S, Oliván-Blázquez B, Arnal-Burró AM, Mayoral-Del Moral O, Gaspar-Calvo E, de-la-Torre-Beldarraín ML, et al. Contributions of myofascial pain in diagnosis and treatment of shoulder pain. A randomized control trial. BMC Musculoskelet Disord. 2009;10:92; doi: 10.1186/1471-2474-10-92.
 
24.
Biernat R, Trzaskoma Z, Trzaskoma L, Czaprowski D. Rehabilitation protocol for patellar tendinopathy applied among 16- to 19-year old volleyball players. J Strength Cond Res. 2014;28(1):43–52; doi: 10.1519/JSC.0b013e31829797b4.
 
25.
Taş S, Yılmaz S, Onur MR, Soylu AR, Altuntaş O, Korkusuz F. Patellar tendon mechanical properties change with gender, body mass index and quadriceps femoris muscle strength. Acta Orthop Traumatol Turc. 2017;51(1):54–59; doi: 10.1016/j.aott.2016.12.003.
 
26.
Morgan S, Coetzee FF. Proposing a patellar tendinopathy screening tool following a systematic review. S Afr J Physiother. 2018;74(1):454; doi: 10.4102/sajp.v74i1.454.
 
27.
Lopes AD, Hespanhol Jr LC, Kamper SJ, Costa LOP. Exercise for patellar tendinopathy. Cochrane Database Syst Rev. 2018;2018(7):CD013078; doi: 10.1002/14651858.CD013078.
 
28.
Fairley J, Toppi J, Cicuttini FM, Wluka AE, Giles GG, Cook J, et al. Association between obesity and magnetic resonance imaging defined patellar tendinopathy in community-based adults: a cross-sectional study. BMC Musculoskelet Disord. 2014;15:266; doi: 10.1186/1471-2474-15-266.
 
29.
Tang X, Gao Z, Li Y, Yu J, Li X. Efficacy and safety of focused ultrasound versus microwave therapy for cervical ectopy: a meta‐analysis. J Evid Based Med. 2015;8(2):61–74; doi: 10.1111/jebm.12150.
 
30.
Snijders GF, van den Ende CHM, van den Bemt BJF, van Riel PLCM, van den Hoogen FHJ, den Broeder AA, et al. Treatment outcomes of a Numeric Rating Scale (NRS)-guided pharmacological pain management strategy in symptomatic knee and hip osteoarthritis in daily clinical practice. Clin Exp Rheumatol. 2012;30(2):164–170.
 
31.
Alghadir AH, Anwer S, Iqbal A, Iqbal ZA. Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. J Pain Res. 2012;11:851–856; doi: 10.2147/JPR.S158847.
 
32.
Faik A, Benbouazza K, Amine B, Maaroufi H, Bahiri R, Lazrak N, et al. Translation and validation of Moroccan Western Ontario and McMaster Universities (WOMAC) osteoarthritis index in knee osteoarthritis. Rheumatol Int. 2008;28(7):677–683; doi: 10.1007/s00296-007-0498-z.
 
33.
Sweelam AM, Abd El-Mageed SF, Gomaa EF, Azzam AH. Effect of pronated foot posture on the Arabic version of WOMAC index in women with medial compartment knee osteoarthritis. Med J Cairo Univ. 2018;86(3):1111–1117; doi: 10.21608/mjcu.2018.56125.
 
34.
Wong Y-M, Ng GYF. Surface electrode placement affects the EMG recordings of the quadriceps muscles. Phys Ther Sport. 2006;7(3):122:127; doi: 10.1016/j.ptsp.2006.03.006.
 
35.
Hubbard JK, Opersteny S. EMG analysis of two portions of the vastus medialis muscle during selected knee rehabilitation exercises. J Musculoskelet Res. 2002;6(2):107–118; doi: 10.1142/S0218957702000812.
 
36.
Kushion D, Rheaume J, Kopchitz K, Glass S, Alderink G, Jinn J-H. EMG activation of the vastus medialis oblique and vastus lateralis during four rehabilitative exercises. Open Rehabil J. 2012;5(1):1–7; doi: 10.2174/1874943701205010001.
 
37.
Al Amer HS, Sabbahi MA, Alrowayeh HN, Bryan WJ, Olson SL. Electromyographic activity of quadriceps muscle during sit-to-stand in patients with unilateral knee osteoarthritis. BMC Res Notes. 2018;11(1):356; doi: 10.1186/s13104-018-3464-9.
 
38.
McLean L. The effect of postural correction on muscle activation amplitudes recorded from the cervicobrachial region. J Electromyogr Kinesiol. 2005;15(6):527–535; doi: 10.1016/j.jelekin.2005.06.003.
 
39.
Fukuda TY, Echeimberg JO, Pompeu JE, Lucareli PRG, Garbelotti S, Gimenes RO, et al. Root mean square value of the electromyographic signal in the isometric torque of the quadriceps, hamstrings and brachial biceps muscles in female subjects. J Appl Res. 2010;10(1):32–39.‏.
 
40.
Dimitrios S, Pantelis M, Kalliopi S. Comparing the effects of eccentric training with eccentric training and static stretching exercises in the treatment of patellar tendinopathy. A controlled clinical trial. Clin Rehabil. 2012;26(5):423–430; doi: 10.1177/0269215511411114.
 
41.
Rio E, Purdam C, Girdwood M, Cook J. Isometric exercise to reduce pain in patellar tendinopathy in-season: is it effective “on the road”? Clin J Sport Med. 2019;29(3):188–192; doi: 10.1097/JSM.0000000000000549.
 
42.
Ravichandran P, Ponni HK, Aseer PAL. Effectiveness of ischemic compression on trapezius myofascial trigger points in neck pain. Int J Physiother. 2016;3(2):186–192; doi: 10.15621/ijphy/2016/v3i2/94883.
 
43.
Elhafez HM. Kinesiotaping techniques. Personal communication, Professor of physical therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University; 2017.
 
44.
Massei M, Przysucha E, Sanzo P. The effects of therapeutic taping on pain, range of motion, power, balance, and strength, in athletes and non-athletes with and without acute patellar tendinopathy. Int J Health Sci. 2015;3(4):9–20; doi: 10.15640/ijhs.v3n4a2.
 
45.
Kase K, Tatsuyuki H, Tomoko O. Development of kinesiotape. In: Kinesio Taping Association (eds.), Kinesio taping perfect manual. Albuquerque: Kinesio; 1996; 117–118.
 
46.
Kumbrink B. The K-taping method. In: Kumbrink B (ed.), K-taping, 2nd ed. Dortmund: Springer Medizin; 2016; 1–11.
 
47.
Ptaszkowski K, Slupska L, Paprocka-Borowicz M, Kołcz-Trzęsicka A, Zwierzchowski K, Halska U, et al. Comparison of the short-term outcomes after postisometric muscle relaxation or Kinesio taping application for normalization of the upper trapezius muscle tone and the pain relief: a preliminary study. Evid Based Complement Alternat Med. 2015;2015:721938; doi: 10.1155/2015/721938.
 
48.
Cho H-Y, Kim E-H, Kim J, Yoon YW. Kinesio taping improves pain, range of motion, and proprioception in older patients with knee osteoarthritis: a randomized controlled trial. Am J Phys Med Rehabil. 2015;94(3):192–200; doi: 10.1097/PHM.0000000000000148.
 
49.
Esparza D, Aladro-Gonzalvo AR, Rybarczyk Y. Effects of local ischemic compression on upper limb latent myofascial trigger points: a study of subjective pain and linear motor performance. Rehabil Res Pract. 2019;2019:5360924; doi: 10.1155/2019/5360924.
 
50.
Gazbare P, Palekar TJ, Rathi M. Comparison of ultrasound and ischemic compression on latent trigger point in upper trapezius. Int J Pharm Bio Sci. 2014;5(4):B635–B642.
 
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