Type of Article:  Original Research

Volume 5; Issue 5 (September 2017)

Page No.: 2314-2319

DOI: https://dx.doi.org/10.16965/ijpr.2017.197


Somruthai Poomsalood *, Karen Hambly.

School of Sport and Exercise Sciences, University of Kent, Medway Building, Chatham Maritime, Chatham, Kent, United Kingdom, ME4 4AG.

Corresponding-author: Somruthai Poomsalood, MSc, School of Sport and Exercise Sciences, University of Kent, Medway Building, Chatham Maritime, Chatham, Kent, United Kingdom, ME4 4AG. Telephone number: +44 (0)1634 88 (8903) E-Mail: sp620@kent.ac.uk


Background: Changes in patellofemoral joint biomechanics have the potential to influence function of the lower extremity. McConnell taping has been proposed to reduce pain in individuals with patellofemoral pain syndrome (PFPS). It is also believed to improve vastus medialis oblique (VMO) muscle, patellofemoral alignment, and stride length. The stability through external rotation of the femur (SERF) strap has been developed to pull the femur externally to stabilise the patellofemoral joint, in order to reduce patellofemoral pain and improve lower limb kinematics. A lack of literature has examined effects of these two treatment methods on plantar pressures. Therefore, the aim of this study was to investigate the effects of McConnell taping and the SERF strap on rearfoot plantar loading patterns during walking in healthy adults.

Materials and Methods: Twenty-three participants (12 males and 11 females, age: 26.52±6.4 years) were randomly tested under 3 conditions: 1) no tape, 2) McConnell taping, and 3) SERF strap. Each participant was instructed to walk on a 2 m pressure plate at their own natural pace. Three valid stance phases of the right foot were recorded for each condition. Maximum pressures of medial heel and lateral heel, contact area of medial heel and lateral heel, initial heel contact, foot axis angle, and centre of pressure were collected.

Results: There were significant differences of maximum pressures of lateral heel (p = 0.011) with McConnell taping condition and the SERF strap condition demonstrating higher pressures than the no-tape condition (p = 0.042, p = 0.010 respectively). However, significant differences of other variables were not found.

Conclusion: The differences of maximum pressures of lateral heel between the conditions could be a clinical role for McConnell taping or SERF strap use in reducing rearfoot pronation in individuals with lower extremity problems especially PFPS.

Key words: Patellofemoral pain syndrome, Plantar pressure, Foot pronation, Medial patellar taping, SERF strap.


  1. Mostamand J, Bader DL, Hudson Z. Reliability testing of the patellofemoral joint reaction force (PFJRF) measurement during double-legged squatting in healthy subjects: a pilot study. J Bodyw Mov Ther 2012;16(2):217-23.
  2. Callaghan MJ, Selfe J, McHenry A, Oldham JA. Effects of patellar taping on knee joint proprioception in patients with patellofemoral pain syndrome. Man Ther 2008;13(3):192-9.
  3. Hinman RS, Bennell KL, Crossley KM, McConnell J. Immediate effects of adhesive tape on pain and disability in individuals with knee osteoarthritis. Rheumatology (Oxford) 2003;42(7):865-9.
  4. Campolo M, Babu J, Dmochowska K, Scariah S, Varughese J. A comparison of two taping techniques (kinesio and mcconnell) and their effect on anterior knee pain during functional activities. Int J Sports Phys Ther 2013;8(2):105-10.
  5. Christou EA. Patellar taping increases vastus medialis oblique activity in the presence of patellofemoral pain. J Electromyogr Kinesiol 2004;14(4):495-504.
  6. Herrington L, Payton C. Effects of Corrective Taping of the Patella on Patients with Patellofemoral Pain. Physiotherapy 1997;83(11):566-72.
  7. Kowall MG, Kolk G, Nuber GW, Cassisi JE, Stern SH. Patellar taping in the treatment of patellofemoral pain. A prospective randomized study. Am J Sports Med 1996;24(1):61-6.
  8. Verma C, Krishnan V. Comparison between Mc Connell patellar taping and conventional physio-therapy treatment in the management of patellofemoral pain syndrome-A randomised controlled trial. JKIMSU 2012;1(2):95-104.
  9. Larsen B, Andreasen E, Urfer A, Mickelson MR, Newhouse KE. Patellar taping: a radiographic examination of the medial glide technique. Am J Sports Med 1995;23(4):465-71.
  10. Somes S, Worrell TW, Corey B, Lngersol CD. Effects of patellar taping on patellar position in the open and closed kinetic chain: a preliminary study. J Sport Rehabil 1997;6(4):299-308.
  11. Worrell T, Ingersoll CD, Bockrath-Pugliese K, Minis P. Effect of patellar taping and bracing on patellar position as determined by MRI in patients with patellofemoral pain. J Athl Train 1998;33(1):16-20.
  12. Powers CM, Landel R, Sosnick T, Kirby J, Mengel K, Cheney A, et al. The effects of patellar taping on stride characteristics and joint motion in subjects with patellofemoral pain. J Orthop Sports Phys Ther 1997;26(6):286-91.
  13. Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. J Orthop Sports Phys Ther 2010;40(2):42-51.
  14. Aliberti S, Costa Mde S, Passaro Ade C, Arnone AC, Hirata R, Sacco IC. Influence of patellofemoral pain syndrome on plantar pressure in the foot rollover process during gait. Clinics (Sao Paulo) 2011;66(3):367-72.
  15. Bek N, Kinikli GI, Callaghan MJ, Atay OA. Foot biomechanics and initial effects of infrapatellar strap on gait parameters in patients with unilateral patellofemoral pain syndrome. Foot (Edinb) 2011;21(3):114-8.
  16. Boling MC, Padua DA, Marshall SW, Guskiewicz K, Pyne S, Beutler A. A prospective investigation of biomechanical risk factors for patellofemoral pain syndrome: the Joint Undertaking to Monitor and Prevent ACL Injury (JUMP-ACL) cohort. Am J Sports Med 2009;37(11):2108-16.
  17. Rathleff MS, Richter C, Brushoj C, Bencke J, Bandholm T, Holmich P, et al. Increased medial foot loading during drop jump in subjects with patellofemoral pain. Knee Surg Sports Traumatol Arthrosc 2014;22(10):2301-7.
  18. Willson JD, Ellis ED, Kernozek TW. Plantar loading characteristics during walking in females with and without patellofemoral pain. J Am Podiatr Med Assoc 2015;105(1):1-7.
  19. Nyland JA, Ullery LR, Caborn DN. Medial patellar taping changes the peak plantar force location and timing of female basketball players. Gait Posture 2002;15(2):146-52.
  20. Willems TM, De Clercq D, Delbaere K, Vanderstraeten G, De Cock A, Witvrouw E. A prospective study of gait related risk factors for exercise-related lower leg pain. Gait Posture 2006;23(1):91-8.
  21. Willems TM, Witvrouw E, De Cock A, De Clercq D. Gait-related risk factors for exercise-related lower-leg pain during shod running. Med Sci Sports Exerc 2007;39(2):330-9.
  22. Herrington L. Effect of a SERF strap on pain and knee-valgus angle during unilateral squat and step landing in patellofemoral patients. J Sport Rehabil 2013;22(1):27-32.
  23. Wallace D, Barr C. The effect of hip bracing on gait in patients with medial knee osteoarthritis. Arthritis 2012;2012:240376.
  24. Austin AB, Souza RB, Meyer JL, Powers CM. Identification of abnormal hip motion associated with acetabular labral pathology. J Orthop Sports Phys Ther 2008;38(9):558-65.
  25. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007;39(2):175-91.
  26. Arroyo-Morales M, Olea N, Martinez M, Moreno-Lorenzo C, Diaz-Rodriguez L, Hidalgo-Lozano A. Effects of myofascial release after high-intensity exercise: a randomized clinical trial. J Manipulative Physiol Ther 2008;31(3):217-23.
  27. Huang YC, Wang LY, Wang HC, Chang KL, Leong CP. The relationship between the flexible flatfoot and plantar fasciitis: ultrasonographic evaluation. Chang Gung Med J 2004;27(6):443-8.
  28. Aliberti S, Costa MS, Passaro AC, Arnone AC, Sacco IC. Medial contact and smaller plantar loads characterize individuals with Patellofemoral Pain Syndrome during stair descent. Phys Ther Sport 2010;11(1):30-4.
  29. Whittingham M, Palmer S, Macmillan F. Effects of taping on pain and function in patellofemoral pain syndrome: a randomized controlled trial. J Orthop Sports Phys Ther 2004;34(9):504-10.
  30. Franklyn-Miller A, Bilzon J, Wilson C, McCrory P. Can RSScan footscan((R)) D3D software predict injury in a military population following plantar pressure assessment? A prospective cohort study. Foot (Edinb) 2014;24(1):6-10.
  31. Barton CJ, Levinger P, Webster KE, Menz HB. Walking kinematics in individuals with patellofemoral pain syndrome: a case-control study. Gait Posture 2011;33(2):286-91.
  32. Barton C, Bonanno D, Levinger P, Menz H. Determining the reliability and sensitivity of foot posture measures in individuals with patellofemoral pain syndrome. J Orthop Sports Phys 2010;40(3):A30.
  33. Levinger P, Gilleard W. Tibia and rearfoot motion and ground reaction forces in subjects with patellofemoral pain syndrome during walking. Gait Posture 2007;25(1):2-8.