Influence of myofascial taping application on postural stability in adolescents with pain in the anterior joint of the knee
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Department of Rehabilitation, School of Medicine, University of Warmia and Mazury in Olsztyn, Poland
Department of Trauma and Orthopaedic, Regional Specialised Children’s Hospital in Olsztyn, Poland
Clinic of Rehabilitation, Regional Specialised Children’s Hospital in Olsztyn, Poland
Faculty of Food Sciences, University of Warmia and Mazury in Olsztyn, Poland
Podhale State Higher School in Nowy Targ, Poland
Halina Protasiewicz-Fałdowska   

Kanta 15B, 10-691 Olsztyn, Poland. Phone: +48 601 830 520.
Submission date: 2017-01-02
Acceptance date: 2018-01-23
Online publication date: 2018-02-02
Publication date: 2019-11-16
Pol. Ann. Med. 2018;25(1):46–50
Regardless of the cause of pain in the anterior joint of the knee, therapeutic possibilities aside from kinesitherapy also include myofascial applications using Flexotape tape.

The aim of the research is to analyze the postural stability of the lower limbs after the application of myofascial taping (Flexotape) for pain in the knee joints.

Material and methods:
Seventeen patients with pain in the anterior compartment of the knee at age 13–17 were enrolled in the study. A two-plate posturograph CQW2P-vUSB consisting of two platforms with embedded sensors was used for the measurements. The first test was performed without the application of taping. The second examination was performed directly after applying the application and the third test was half an hour after applying the taping. The Flexotape application was placed in the area of ​​the strainer fascia of the broad, painful lower limb.

The total length of the statokinesiogram (SP_EO) path counted in both axes does not change during the tests. The attached taping application does not affect the change of the statokinezjogram (SA_EO) surface area and the mean deflection of the foot pressure center in the direction of the AP axis. However, it has a statistically significant effect at the level of α = 0.01 for the deflection of the foot pressure center in the direction of the ML axis.

The present study shows that stretching and the selective work of muscle strengthening is not sufficient to improve the function of the lower limb with pain symptoms. The use of myofascial taping as a support in the process of rehabilitation seems to be the most justified, because its impact on the fascial system can affect the reduction of pain and improve the stability of the lower limb.

The Flexotype application improves the average deflection of foot pressure only in the frontal plane. The other parameters of postural stability remain unchanged. The application used in this study does not reduce the pain.

None declared.
Ferlic P, Wansch J, Runer A, Liebensteiner M. Patella height is related to the morphology of the femoral trochlea. Knee Surg Sports Traumatol Arthrosc. 2016;24(Suppl 1):S21–S22.
Elgeidi A, Elsallab R, Youssef F. The correlation between knee version and tibial tuberosity trochlear groove distance in patients with patellofemoral pain and instability. Knee Surg Sports Traumatol Arthrosc. 2016;24(Suppl 1):S271–272.
Kaczmarek K, Wysokińska A, Żytkowski A. Evaluation of vastus medialis excitability in children with lateral patellar instability. Ortop Traumatol Rehab. 2008;10(6):583–592 [in Polish].
Plenzer M. Evaluation of possible relationship between muscle torques of flexors and extensors of the knee joint and the pelvis mobility in frontal plane while running. Knee Surg Sports Traumatol Arthrosc. 2016;24(Suppl 1):S139.
Schuermans J. Hamstring injury risk prediction in football through comprehansive clinical examination – practice needs science to make perfect. Knee Surg Sports Traumatol Arthrosc. 2016;24(Suppl 1):S137.
Gali J. Functional training may be necessary for anterior cruciate ligament reconstruction rehabilitation. Knee Surg Sports Traumatol Arthrosc. 2016;24(Suppl 1):S136.
Strzecha M. [Re-education and education ‘traffic patterns’ in the knee-joint using the ‘Leg Force Feedback’]. Fizjot Pol. 2013;13(2):62–65 [in Polish].
Piontek T, Ciemniewska-Gorzela K, Szulc A, Pyda A, Dudziński W, Hejna R. [Postural control strategy in patients with anterior cruciate ligament deficiency]. Chir Narzadow Ruchu Ortop Pol. 2009;74(6): 353-360 [in Polish].
Erhard M. Myofascial taping. Controling myofascial tension. SportEX Dynamics. 2014;39:18–24.
Erhard M. Myofasziales Taping und Fasziendiagnostik: Warum das im Sport so wichtig ist. http://www.functional-training.... Accessed January 31, 2017.
Kiebzak W, Kowalski IM, Pawłowski M, et al. The use of Kinesiology Taping in physiotherapy practice: a systematic review of the literature. Fizjoterapia Polska. 2012;12(1):1–11.
Kochański B, Plaskiewicz A, Dylewska M, Cichosz M, Zukow W, Hagner W. [Kinesiology taping in therapy of exemplary functional disorders of knee joint]. J Health Sci. 2014;4(10):322–330 [in Polish].
Mosiejczuk H, Lubińska A, Ptak M, Set al. [Kinesiotaping as an interdisciplinary therapeutic method]. Pomeranian J Life Sci. 2016;62(1):60–66 [in Polish].
Strzecha M, Knapik H, Baranowski P, Pasiak J. Concurent mauserment of lower limbs stability in balance examinations. In: Juras G, Słomka K, eds. Curent research in motor control. From theory to clinical application. Katowice: AWF Katowice; 2008:113–122.
Strzecha M, Knapik H, Baranowski P, Pasiak J. [Synchronous measurement of measurement of the stability of lower limbs in balance studies]. In: Murawow I, Nowak A. [Health – a social good. Materials of the international symposium]. Radom:WSNSiT; 2010 [in Polish].
Zaborowska-Sapeta K, Protasiewicz-Fałdowska H, Siwik P, Kiebzak W, Kowalski IM. The effect of 2nd degree adolescent idiopathic scoliosis on the static postural stability in the frontal and sagittal plane. J Rehabilitation Med. 2015;47(8):780.
Rosiński M. [Stretching mięśni stawu kolanowego]. Kinezyt. 2012;4:33–40 [in Polish].
Czaprowski D, Leszczyńska J, Kołowicz A, et al. The Influence of Self-Stretching Based on Postisometrical Relaxation, Static Stretching Combined with Stabilizing Exercises, and Stabilizing Exercises Only on the Flexibility of One-Joint and Two-Joint Hip Flexors. Medicina (Kaunas). 2013;49(10):439–446.
Szakalas J, Mintal T. The effect of the application of dynamic warm up exercises, core training and stretching on the motor abilities of youth league football players. Knee Surg Sports Traumatol Arthrosc. 2016;24(Suppl 1):S137–S138.
Dragoo J, Delp S. Biomechanical effects of an ACL injury prevention program on youth female soccer athletes. Knee Surg Sports Traumatol Arthrosc. 2016;24(Suppl 1):S138–S139.
Lesiak A, Sapuła R, Szpunar P. Patellofemoral Conflict – pathobiomechanical conditions and their consequences for therapy. Med Rehab. 2011;15(2):28–37 [in Polish].
Schleip R, Muller DG. Training principles for fascial connective tissues: Scientific fundation and suggested practical applications. J Bodyw Mov Ther. 2012;17(1):103–115.
Stecco A, Macchi V, Masiero S, et al. Pectoral and femoral fasciae: common aspects and regional specializations. Surg Radiol Anat. 2009;31(1):35–42.
Erhard M. Myofasziales Taping. Z.F. Physiotherapeuten. 2014;11:54–66.
Zajt-Kwiatkowska J, Rajkowska-Labon E, Skrobot W, Bakuła S. Kinesio Taping as the auxiliarymethod in the physiotherapy process the clinical application. Now. Lek. 2005;74(2):190–194 [in Polish].
Erhard M, Heerdegen M. Faszinierendes Gewebe: Myofasziales Taping. Physioprapie. 2011;9(4):30–32.
Karwacińska J, Kiebzak W, Stepanek-Finda B, et al. Effectiveness of Kinesio Taping on hypertrophic scars, keloids and scar contractures. Pol Ann Med. 2012;19(1):50–75.
Donec V, Varžaitytė L, Kriščiūnas A. The effect of Kinesio Taping on maximal grip force and key pinch force. Pol Ann Med. 2012;19(2):98–105.
Kowalski IM, Mrozkowiak M. Post-traumatic rehabilitation of the knee joint. Ortop Traumatol Rehabil. 2000; 2(3):88–91.
Mrozkowiak M, Kowalski IM. Modification of the physiotherapeutic process of the knee joint by the Schelbourne protocol. Rocz Med. 1998;6(1):183–189 [in Polish].
Topór M, Kowalski IM, Tomaszewski W. The influence of tensometric evaluation of the pain threshold on the nature of resistance exercising in disorders of the knee joint. Ortop Traumatol Rehab. 2005;7(5):521–527.