The Effects of Kinesio-tape through Facilitation of Hamstring and Inhibition of Quadriceps on Biomechanical Variables affecting Anterior Cruciate Ligament Injury When Landing in Active Healthy Young Women

Document Type : Original research papers


1 Department of Sport Sciences, University of Bojnord, Bojnord, Iran

2 Department of Sport Sciences, Alzahra University of Mashhad, Mashhad, Iran

3 Department of Sport Sciences, University of Bojnord, Bojnord,Iran


The Anterior Cruciate Ligament (ACL) rupture is more prevalent among women due to several reasons such as women’s different landing strategies. Today, many athletes use varying taping techniques to prevent ACL injury. This study aims to investigate the effect of facilitating hamstring and inhibiting quadriceps through Kinesio-tape on biomechanical variables that contribute to ACL injuries. The subjects included 18 active healthy women (age: 19.94±1.16 years, height: 167±2.14 cm, weight: 58.33±3.72 kg). Kinetics and kinematics data, including the angle of knee flexion and knee abduction in initial foot contact, maximum knee flexion and abduction, and peak anterior shear force, were collected in three conditions (without tape, with sham Kinesio-tape, and Kinesio-tape with facilitation of hamstring and inhibition of quadriceps) in landing maneuver. The Simi motion analysis system and the Kistler force plate were used to collect data. The results revealed that the application of the Kinesio-tape caused a significant increase in the angle of knee flexion in the initial contact and peak anterior shear force in a single leg drop jump (P <0.05). In conclusion, this Kinesiotaping technique can affect some contributory variables to ACL rupture by increasing the angle of knee flexion and maximum shear force, hence lead to reduced rates of injury in active healthy women. However, it seems that this technique is unable to reduce the ACL rupture risk factors in the frontal plane.


Main Subjects

  1. Griffin LY, Albohm MJ, Arendt EA, Bahr R, Beynnon BD, DeMaio M, Dick RW, Engebretsen L, Garrett WE, Hannafin JA, Hewett TE. Understanding and preventing noncontact anterior cruciate ligament injuries: a review of the Hunt Valley II meeting. The American journal of sports medicine. 2006;34(9):1512-32.
  2. Arendt EA, Agel J, Dick R. Anterior cruciate ligament injury patterns among collegiate men and women. Journal of athletic training. 1999;34(2):86.
  3. Hertel J, Dorfman JH, Braham RA. Lower extremity malalignments and anterior cruciate ligament injury history. Journal of sports science & medicine. 2004;3(4):220.
  4. Hewett TE, Myer GD, Ford KR, Heidt Jr RS, Colosimo AJ, McLean SG, Van den Bogert AJ, Paterno MV, Succop P. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. The American journal of sports medicine. 2005;33(4):492-501.
  5. Hewett TE, Ford KR, Hoogenboom BJ, Myer GD. Understanding and preventing acl injuries: current biomechanical and epidemiologic considerations-update 2010. North American journal of sports physical therapy: NAJSPT. 2010;5(4):234.
  6. Ford KR, Myer GD, Hewett TE. Valgus knee motion during landing in high school female and male basketball players. Medicine & Science in Sports & Exercise. 2003;35(10):1745-50.
  7. Decker MJ, Torry MR, Wyland DJ, Sterett WI, Steadman JR. Gender differences in lower extremity kinematics, kinetics and energy absorption during landing. Clinical biomechanics. 2003;18(7):662-9.
  8. Chappell JD, Creighton RA, Giuliani C, Yu B, Garrett WE. Kinematics and electromyography of landing preparation in vertical stop-jump: risks for noncontact anterior cruciate ligament injury. The American journal of sports medicine. 2007; 35(2):235-41.
  9. Colby S, Francisco A, Bing Y, Kirkendall D, Finch M, Garrett W. Electromyographic and kinematic analysis of cutting maneuvers: implications for anterior cruciate ligament injury. The American journal of sports medicine. 2000;28(2):234-40.
  10. Malinzak RA, Colby SM, Kirkendall DT, Yu B, Garrett WE. A comparison of knee joint motion patterns between men and women in selected athletic tasks. Clinical biomechanics. 2001;16(5):438-45.
  11. Markolf KL, Wascher DC, Finerman GA. Direct in vitro measurement of forces in the cruciate ligaments. Part II: The effect of section of the posterolateral structures. The Journal of bone and joint surgery. American volume. 1993;75(3):387-94.
  12. Huston LJ, Wojtys EM. Neuromuscular performance characteristics in elite female athletes. The American Journal of Sports Medicine 1996;24:427-36.
  13. Chappell JD, Yu B, Kirkendall DT, Garrett WE. A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks. The American journal of sports medicine. 2002;30(2):261-267.
  14. Schlegel TF, Steadman JR. Knee orthoses for sports-related disorders. Atlas of Orthoses and Assistive Devices. 3rd ed. Philadelphia: Mosby. 1997:420-1.
  15. Rishiraj N, Taunton JE, Lloyd-Smith R, Woollard R, Regan W, Clement DB. The potential role of prophylactic/functional knee bracing in preventing knee ligament injury. Sports Medicine. 2009;39(11):937-60.
  16. Parreira PD, Costa LD, Junior LC, Lopes AD, Costa LO. Current evidence does not support the use of Kinesio Taping in clinical practice: a systematic review. Journal of physiotherapy. 2014;60(1):31-9.
  17. Williams S, Whatman C, Hume PA, Sheerin K. Kinesio taping in treatment and prevention of sports injuries. Sports medicine. 2012;42(2):153-64.
  18. GonzáLez-Iglesias J, Fernández-de-Las-Peñas C, Cleland J, Huijbregts P, Gutiérrez-Vega MD. Short-term effects of cervical kinesio taping on pain and cervical range of motion in patients with acute whiplash injury: a randomized clinical trial. Journal of orthopaedic & sports physical therapy. 2009;39(7):515-21.
  19. Jaraczewska E, Long C. Kinesio® taping in stroke: improving functional use of the upper extremity in hemiplegia. Topics in Stroke rehabilitation. 2006;13(3):31-42.
  20. Joscha K, Julian M. What is the current level of evidence and the efficacy of medical taping on circulation, muscle function, correction, pain, and proprioception?. Amsterdam, the Netherlands, Professional Assignment Project, European School of Physiotherapy, Hogeschool van Amsterdam. 2010.
  21. Kuo YL, Huang YC. Effects of the application direction of Kinesio taping on isometric muscle strength of the wrist and fingers of healthy adults—a pilot study. Journal of Physical Therapy Science. 2013;25;25(3):287-91.
  22. Gomez-Soriano J, Abián-Vicén J, Aparicio-García C, Ruiz-Lázaro P, Simón-Martínez C, Bravo-Esteban E, Fernández-Rodríguez JM. The effects of Kinesio taping on muscle tone in healthy subjects: a double-blind, placebo-controlled crossover trial. Manual therapy. 2014;19(2):131-6.
  23. Fu TC, Wong AM, Pei YC, Wu KP, Chou SW, Lin YC. Effect of Kinesio taping on muscle strength in athletes—a pilot study. Journal of science and medicine in sport. 2008;11(2):198-201.
  24. de Almeida Lins CA, Neto FL, de Amorim AB, de Brito Macedo L, Brasileiro JS. Kinesio Taping® does not alter neuromuscular performance of femoral quadriceps or lower limb function in healthy subjects: Randomized, blind, controlled, clinical trial. Manual therapy. 2013;18(1):41-5.
  25. Vercelli S, Sartorio F, Foti C, Colletto L, Virton D, Ronconi G, Ferriero G. Immediate effects of kinesiotaping on quadriceps muscle strength: a single-blind, placebo-controlled crossover trial. Clinical Journal of Sport Medicine. 2012;22(4):319-26.
  26. Serrão JC, Mezêncio B, Claudino JG, Soncin R, Miyashiro PL, Sousa EP, Borges E, Zanetti V, Phillip I, Mochizuki L, Amadio AC. Effect of 3 different applications of Kinesio Taping Denko® on electromyographic activity: inhibition or facilitation of the quadriceps of males during squat exercise. Journal of sports science & medicine. 2016;15(3):403.
  27. Hsu YH, Chen WY, Lin HC, Wang WT, Shih YF. The effects of taping on scapular kinematics and muscle performance in baseball players with shoulder impingement syndrome. Journal of electromyography and kinesiology. 2009;19(6):1092-9.
  28. Słupik A, Dwornik M, Białoszewski D, Zych E. Effect of Kinesio Taping on bioelectrical activity of vastus medialis muscle. Preliminary report. Ortopedia, traumatologia, rehabilitacja. 2007; 9(6):644-51.
  29. Murray H. Effects of kinesio taping on muscle strength after ACL-repair. J Orthop Sports Phys Ther. 2000;30(1):14.
  30. Guner S, Alsancak S, Koz M. Effect of two different kinesio taping techniques on knee kinematics and kinetics in young females. Journal of physical therapy science. 2015;27(10):3093-6.
  31. Boonkerd C, Limroongreungrat W. ACL kinesio taping on knee joint biomechanics during a drop vertical jump in healthy young adults. Gazzetta Medica Italiana-Archivio per le Scienze Mediche. 2019;178(9):632-9.
  32. Limroongreungrat W, Boonkerd C. Immediate effect of ACL kinesio taping technique on knee joint biomechanics during a drop vertical jump: a randomized crossover controlled trial. BMC Sports Science, Medicine and Rehabilitation. 2019;11(1):32.
  33. Chappell JD, Herman DC, Knight BS, Kirkendall DT, Garrett WE, Yu B. Effect of fatigue on knee kinetics and kinematics in stop-jump tasks. The American journal of sports medicine. 2005;33(7):1022-9.
  34. Sorenson B, Kernozek TW, Willson JD, Ragan R, Hove J. Two-and three-dimensional relationships between knee and hip kinematic motion analysis: single-leg drop-jump landings. Journal of sport rehabilitation. 2015;24(4):363-72.
  35. Kristianslund E, Krosshaug T, Van den Bogert AJ. Effect of low pass filtering on joint moments from inverse dynamics: implications for injury prevention. Journal of biomechanics. 2012;45(4):666-71.
  36. Kernozek TW, Torry MR, van Hoof H, Cowley H, Tanner S. Gender differences in frontal and sagittal plane biomechanics during drop landings. Medicine & Science in Sports & Exercise. 2005;37(6):1003-12.
  37. DeMorat G, Weinhold P, Blackburn T, Chudik S, Garrett W. Aggressive quadriceps loading can induce noncontact anterior cruciate ligament injury. The American journal of sports medicine. 2004;32(2):477-83.
  38. Yu B, Kirkendall DT, Taft TN, Garrett Jr WE. Lower extremity motor control-related and other risk factors for noncontact anterior cruciate ligament injuries. Instructional course lectures. 2002;51:315.
  39. Markolf KL, Burchfield DM, Shapiro MM, Shepard MF, Finerman GA, Slauterbeck JL. Combined knee loading states that generate high anterior cruciate ligament forces. Journal of Orthopaedic Research. 1995;13(6):930-5.
  40. Yu B, Lin CF, Garrett WE. Lower extremity biomechanics during the landing of a stop-jump task. Clinical biomechanics. 2006;21(3):297-305.
  41. van Dijck RA, Saris DB, Willems JW, Fievez AW. Additional surgery after anterior cruciate ligament reconstruction: can we improve technical aspects of the initial procedure?. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2008;24(1):88-95.
  42. Nunley RM, Wright D, Renner JB, Yu B, Garrett Jr WE. Gender comparison of patellar tendon tibial shaft angle with weight bearing. Research in Sports Medicine. 2003;11(3):173-85.
  43. Cochrane DG, Elder HY, Usherwood PN. Physiology and ultrastructure of phasic and tonic skeletal muscle fibres in the locust, Schistocerca gregaria. Journal of cell science. 1972;10(2):419-41.