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Trial registered on ANZCTR
Registration number
ACTRN12609000644268
Ethics application status
Approved
Date submitted
4/06/2009
Date registered
30/07/2009
Date last updated
30/07/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of patellar tape on patellar malalignment and pain in people with patellofemoral osteoarthritis
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Scientific title
The effect of patellar tape on patellar malalignment and pain in people with patellofemoral osteoarthritis
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Patellofemoral osteoarthritis
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Condition category
Condition code
Musculoskeletal
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0
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Osteoarthritis
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Physical Medicine / Rehabilitation
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
a) application of tape
Taping to correct patellar alignment was applied in a standardized manner by the same investigator who is an experienced physiotherapist. Where necessary, skin was shaved prior to tape application. Two pieces of rigid tape (Leuko Sportstape Premium Plus, Beiersdorf Australia Ltd) were used to apply a medial patellar glide, as well as a medial and superior tilt to the patellar. To unload the infrapatellar fat pad, another two pieces of tape were applied distal to the patella. Hypoallergenic tape (Fixomull (registered trademark) stretch, Beiersdorf Australia Ltd) was applied beneath the rigid tape to prevent skin irritation. Participants were asked to report any symptoms of skin irritation while they wore the tape, and the knee was inspected after the tape was removed.
b) tape was applied immediately prior to testing and worn only for the duration of testing (ie 30 - 60 minutes)
c) duration between intervention and control was 30 - 60 minutes
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Intervention code [1]
236972
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Rehabilitation
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Comparator / control treatment
The comparator treatment was no tape. The duration between the two interventions was 30-60 minutes. Therefore, if a person was randomised to receive tape first, there was a 30-60 minute break between removal of tape and the control (no tape) testing; if a person was randomsied to the control condition (no tape) first, this was followed by a break of 30-60 iminutes before the tape was applied
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Control group
Active
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Outcomes
Primary outcome [1]
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patellar alignment, measured from axial scans of magnetic resonance imaging
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Assessment method [1]
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Timepoint [1]
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immediately after application of tape and no tape
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Secondary outcome [1]
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pain during squatting, measured on a 100mm visual analogue scale
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Assessment method [1]
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Timepoint [1]
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immediately after application of tape and no tape
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Eligibility
Key inclusion criteria
inclusion was based on: (i) history of knee pain in the preceding week on at least two of the following activities: stair ambulation, squatting, rising from sitting and locomotion (walking and/or jogging); (ii) average overall knee pain >3 points on a 10 point numerical pain scale; (iii) primary area of pain described in the anterior or retropatellar regions; (iv) physical examination revealing tenderness in the peri-patellar region; and (v) radiographic evidence of either an osteophyte of severity at least grade 2, or joint space narrowing of at least grade 1 with concurrent grade 1 osteophyte(s) in the patellofemoral joint (PFJ) on skyline x-ray. Individuals with concomitant tibiofemoral joint (TFJ) osteoarthritis (OA) were included if the predominant source of symptoms was deemed to be from the PFJ.
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Minimum age
40
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
(i) pain at a site distant to the patellar; (ii) concomitant injury or pathology in the lumbar spine, hip or other knee joint structures; (iii) history of fracture, arthroplasty or osteotomy of the knee or hip; (iv) inability to understand written and spoken English; (v) history of allergic reaction to tape; or (vi) contraindications for magnetic resonance (MR) imaging (eg implanted metal in vital organs).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
After consent, the investigator opened the envelope that indicated the order of the taping condition (tape, no tape).
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Sinple randomisation, computer generated
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/10/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
14
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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ANZ Charitable Funds
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Address [1]
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ANZ Charitable Services
ANZ Executors & Trustee Company Limited
GPO Box 389D, Melbourne, Victoria, 3001
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Early Career Research Scheme
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Address
The University of Melbourne
Parkville, Victoria 3010
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
4606
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Country [1]
4606
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Human Research Ethics Committee
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Ethics committee address [1]
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Melbourne Research Office University of Melbourne, VIC, 3010 Australia
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
239200
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Approval date [1]
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17/07/2006
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Ethics approval number [1]
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0714623.1
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Summary
Brief summary
Objective: Patellar taping is a conservative treatment that may reduce patellar malalignment and pain in people with patellofemoral (PFJ) osteoarthritis (OA). This study aimed to evaluate immediate effects of patellar taping on patellar alignment and pain in people with PFJ OA Methods: Patellar malalignment was measured from magnetic resonance (MR) (15 degress knee flexion) in 14 individuals with PFJ OA. In the PFJ OA group, MR data were collected in two randomly allocated conditions (tape; no tape). Patellar alignment indices were measured from de-identified axial scans by one examiner. Pain during squatting was recorded in the two conditions (tape; no tape). Results: In the PFJ OA group, patellar tape resulted in a significant lessening of lateral malalignment, with reduced lateral displacement (p = 0.028) and increased lateral patellar tilt angle (p < 0.001). Mean pain during squatting decreased with patellar tape by 15 mm on a 100mm scale (p = 0.045). Conclusions: Patellar tape may reduce malalignment and pain associated with PFJ OA.
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Trial website
n/a
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Trial related presentations / publications
one publication under review
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Kay Crossley
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Address
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Melbourne School of Engineering
Department of Mechanical Engineering
The University of Melbourne
Victoria
3010
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Country
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Australia
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Phone
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+61 383448646
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Kay Crossley
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Address
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Melbourne School of Engineering
Department of Mechanical Engineering
The University of Melbourne
Victoria, 3010
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Country
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Australia
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Phone
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+61 383448646
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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