Orthoses that cover the knee have some effects (limited evidence) on knee hyperextension and gait speed. Neither evidence for effects on gait speed nor gait symmetry were found as a result of proprioceptive training. The adjustment from a form of proprioceptive training to physiotherapy training programs seems to be effective (moderate evidence) for treating knee hyperextension in gait, as applied in the subacute phase post-stroke. Only short-term effects were investigated. In the included studies, the time since the stroke occurrence varied from the (sub)acute phase to the chronic phase. Three types of interventions were identified: proprioceptive training, orthotic treatment, and functional electrostimulation (FES). A best evidence synthesis was conducted to summarize the results.Įight controlled trials (5 RCTs, 3 CCTs) were included. Two researchers independently extracted the data and assessed the methological quality. MEDLINE, EMBASE, PEDro, CINAHL, and the Cochrane library were searched for relevant controlled trials. What is the current evidence for the effectiveness of the treatment of knee hyperextension in post-stroke gait? One of the variations that can be present in post-stroke gait is knee hyperextension in the stance phase. Patella tracking syndrome is a chronic, degenerative condition that gets worse with increased activity.Post-stroke, patients exhibit considerable variations in gait patterns. We can use a Y technique so we can assist in the reduction of edema and pain by providing a proprioceptive stimulus through the skin, requiring the surrounding tissues to normalize skin tension. How to Tape a Knee for Patella Tracking Syndrome Once you go beyond 50% tension, the tape loses its ability to recoil effectively. Note: Most applications will have 25-35% tension.
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