Taping changes how knees feel, which might affect pain
Three articles on PainSci cite Callaghan 2012: 1. The Complete Guide to IT Band Syndrome 2. The Complete Guide to Patellofemoral Pain Syndrome 3. The Dubious Science of Kinesiology Tape
PainSci commentary on Callaghan 2012: ?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided wherever possible.
After showing that patellar taping improved proprioception (see Callaghan 2002), this straightforward study of brain activity is small and un-powerful, but it also isn’t trying to prove much: just that “patellar taping modulates brain activity in several areas of the brain during a proprioception knee movement task.” This tends to support the notion that taping changes how the knee feels, at least temporarily, which may in turn have an effect on pain.
original abstract †Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.
BACKGROUND: Patella taping is a common treatment modality for physical therapists treating patellofemoral pain. However, the mechanisms of action remain unclear, with much debate as to whether its efficacy is due to a change in patellar alignment or an alteration in sensory input.
OBJECTIVE: To investigate the sensory input hypothesis using functional Magnetic Resonance Imaging (fMRI) when taping was applied to the knee joint during a proprioception task.
DESIGN: An observational study with patellar taping intervention.
PARTICIPANTS AND METHODS: Eight healthy, right leg dominant male volunteers participated in a motor block design study. Each performed two right knee extension repetitive movement tasks; one simple and one proprioceptive. These tasks were performed with and without patellar taping and were auditorally paced for 400 s at 72 beats/min (1.2 Hz).
RESULTS: The proprioception task without patellar tape caused a positive Blood Oxygenation Level Dependant (BOLD) response bilaterally in the medial supplementary motor area (SMA), cingulate motor area (CMA), basal ganglion (BG) and thalamus and medial primary sensory motor cortex (SM1). For the proprioception task with patellar tape there was a decreased BOLD response in these regions. In the lateral primary sensory cortex (S1) there was a negative BOLD response with less activity for the proprioception task with tape.
LIMITATIONS: This study may be limited by a small sample size, a possible learning effect due to a non-random order of tasks and a single joint knee extension task.
CONCLUSION: This study demonstrated that patellar taping modulates brain activity in several areas of the brain during a proprioception knee movement task.
related content
- “The effects of patellar taping on knee joint proprioception,” MJ Callaghan, J Selfe, PJ Bagley, and JA Oldham, Journal of Athletic Training, 2002.
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
- A double-blinded randomised controlled study of the value of sequential intravenous and oral magnesium therapy in patients with chronic low back pain with a neuropathic component. Yousef 2013 Anaesthesia.
- Is Neck Posture Subgroup in Late Adolescence a Risk Factor for Persistent Neck Pain in Young Adults? A Prospective Study. Richards 2021 Phys Ther.
- Photobiomodulation therapy is not better than placebo in patients with chronic nonspecific low back pain: a randomised placebo-controlled trial. Guimarães 2021 Pain.
- No effect of creatine monohydrate supplementation on inflammatory and cartilage degradation biomarkers in individuals with knee osteoarthritis. Cornish 2018 Nutr Res.
- The CANBACK trial: a randomised, controlled clinical trial of oral cannabidiol for people presenting to the emergency department with acute low back pain. Bebee 2021 Med J Aust.