Patellar Taping for Patellofemoral Pain Syndrome

Clinical Prediction Rule

  • Tibial angulation > 5° varum
  • Positive patellar tilt test

0+
Variables Present

Positive Likelihood Ratio =


Probability of Success
83%

Patellar Tilt Test

Diagnostic Accuracy when used alone:

Sensitivity
43%

Specificity
92%

Reference: Haim et al.

Evidence

Lesher JD, Sutlive TG, Miller GA, Chine NJ, Garber MB, Wainner RS. Development of a clinical prediction rule for classifying patients with patellofemoral pain syndrome who respond to patellar taping. PJ Orthop Sports Phys Ther 2006 Nov;36(11):854-66.

“Our results suggest that patients who present with tibial varum over 5° or a positive patellar tilt test will respond favorably immediately following patellar taping with a medial glide. Based on the results of this study, patients with [Patellofemoral Pain Syndrome] who have 1 of the 2 characteristics identified in the [clinical prediction rule] may benefit from patellar tape with a medial glide component as an initial treatment strategy.”Lesher JD, Sutlive TG, Miller GA, et al.
No valildation study currently published regarding this clinical prediction rule.
No impact analysis study currently published regarding this clinical prediction rule.