Patellar taping for patellofemoral pain

Patellar taping is often used to treat patellofemoral pain (PFP). This systematic review and meta-analysis evaluates the efficacy of patellar taping for patients with PFP, compares the efficacy of different taping techniques and identifies potential biomechanical mechanisms of action. Twenty studies were identified. There is moderate evidence that tailored (customised to the patient to control lateral tilt, glide and spin) and untailored patellar taping provides immediate pain reduction of large and small effect, respectively and tailored patellar taping promotes earlier onset of vastus medialis oblique (VMO) contraction (relative to vastus lateralis contraction). There is limited evidence that tailored patellar taping combined with exercise provides superior pain reduction compared to exercise alone at 4 weeks, untailored patellar taping added to exercise at 3-12 months has no benefit and tailored patellar taping promotes increased internal knee extension moments.

Tailoring patellar taping application (ie, to control lateral tilt, glide and spin) to optimise pain reduction is important for effectiveness. Evaluation of tailored patellar taping beyond the immediate term is limited and should be a research priority. Possible mechanisms behind patellar taping efficacy include earlier VMO onset and improved knee function capacity (ie, ability to endure greater internal knee extension moments).