Kinesio Tape in the Treatment of Medial Plica Syndrome
Kinesio Tape in the Treatment of Medial Plica Syndrome
The aim of this study was to investigate the efficacy of kinesio tape (KT) on pain severity,
 pain threshold, lower extremity functional muscle strength and dynamic balance, functional
 status, and quality of life in patients with Medial Plica Syndrome (MPS).
This randomized prospective controlled trial was designed, conducted and reported in
 accordance with the standards of the CONSORT (Consolidated Standards of Reporting Trials)
 statement. The approval of the Istanbul Bilgi University Clinical Investigations Ethics
 Committee was obtained, and the enrolled subjects signed a free and informed consent form.

 Trial design KT was applied once a week, 6 times in total. Exercises were performed for all
 patients for 5 weeks 5 days a week, 3 sets 15 repetitions each day. The exercise program
 included quadriceps set exercise, straight leg lifting, mini squat, stretching to hamstring
 and gastrosoleus muscle groups.

 Intervention KT application: KT application includes 2 stages. The banding in the first step
 is directed to the patellar tendon in order to absorb the load of the knee. The second step
 is directed directly on the medial plica to benefit from its analgesic effect. For the first
 step, an I-band is measured from the top of the patella to the tuberositas tibia. I-band is 6
 cm wide and 5 mm thick. This I-band is cut into Y-band. First, the part of the band above the
 patella is pasted with 10% tension. Then the patient's knee is flexed to maximum flexion and
 the tails of the band are pasted around the patella with 0% tension. The tails of the band
 are combined together on the tuberositas and completed. For the second step, 4 I-bands 8 cm
 long and 1.5 cm wide are prepared. The middle of the I-bands is attached to the medial plica
 with a 0% tension, giving a star shape.

 Participants The study was included 80 patients with diagnosed as MPS in the Orthopedics and
 Traumatology outpatient clinic of Bağcılar Training and Research Hospital. MPS was diagnosed
 by MRI imaging in patients with pain and MPP test in the patella anteromedial. The patients
 were divided into two groups, each comprising 50 patients. KT and exercise were given to the
 patients in the first group, and only exercise was given to the patients in the second group.
 The inclusion criteria included patients between the ages of 20 and 55 who were diagnosed as
 MPS by MPP test and MRI imaging and did not develop cartilage damage. Patients with meniscal
 tear, chondral injury or instability of the knee were excluded.

 Outcome measurements Measurements were performed twice before and after the treatment for all
 patients. Pain threshold with digital algometer, pain severity with visual analog scale
 (VAS), disability level with Lysholm Knee Scoring Scale, functional strength and dynamic
 balance of lower extremity with stairs up and down test, quality of life with Nottingham
 Health Profile (NHP) were evaluated before and after treatment.
Inclusion Criteria:

 -  Patients between the ages of 20 and 55

 -  Diagnosed as medial plica syndrome by MPP test and MRI imaging

 -  Did not develop cartilage damage

 Exclusion Criteria:

 -  Patients with meniscal tear, chondral injury or instability of the knee