Changes in co-contraction during stair descent after manual therapy protocol in knee osteoarthritis: A pilot, single-blind, randomized study

Cruz‐Montecinos, Carlos; Flores-Cartes, Rodrigo; Montt-Rodriguez, Agustín; Pozo, Esteban; Besoaín-Saldaña, Álvaro; Horment-Lara, Giselle

doi:10.1016/j.jbmt.2016.04.017

Cited by 7 publications

(13 citation statements)

References 27 publications

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“…A higher percentage of trials had a greater emphasis on efficacy within all four domains: participant characteristics (75.0%; n = 27) ( 13 , 34 - 42 , 44 , 45 , 48 - 50 , 52 - 55 , 57 - 62 , 64 , 65 ), trial setting (77.8%; n = 28) ( 13 , 14 , 32 - 36 , 40 , 43 - 49 , 51 - 55 , 57 - 60 , 62 - 65 ), flexibility of intervention (58.3%; n = 21) ( 33 - 36 , 38 , 40 , 43 , 44 , 46 - 48 , 50 - 52 , 54 , 55 , 58 , 60 , 62 , 63 , 65 ), and clinical relevance of experimental and comparison intervention (47.2%; n = 17) ( 14 , 34 - 36 , 38 , 40 , 43 , 47 , 48 , 51 , 52 , 54 , 55 , 57 , 61 , 62 , 64 ). In addition, when the RITES scores for all four domains of each trial were averaged, 29 trials were more oriented toward efficacy (mean [SD] of 2.2 [0.4] and range 1 to 3) ( 13 , 14 , 34 -…”

Section: Resultsmentioning

confidence: 99%

“…For the participant characteristics domain, 27 trials (75.0%) had scores that emphasized efficacy ( 13 , 34 - 42 , 44 , 45 , 48 - 50 , 52 - 55 , 57 - 62 , 64 ), five trials (13.9%) emphasized effectiveness ( 32 , 33 , 47 , 51 , 63 ), and four trials (11.1%) had a balanced emphasis between efficacy and effectiveness ( 14 , 43 , 46 , 56 ). In the trial setting domain, 28 trials (77.8%) had scores that emphasized efficacy ( 13 , 14 , 32 - 36 , 40 , 43 - 49 , 51 - 55 , 57 - 60 , 62 - 65 ), six trials (16.7%) emphasized effectiveness ( 37 - 39 , 41 , 42 , 61 ), and two trials (5.5%) had a balanced emphasis between efficacy and effectiveness ( 50 , 56 ). The flexibility of intervention(s) domain had 21 trials (58.3%) that emphasized efficacy ( 33 - 36 , 38 , 40 , 43 , 44 , 46 - 48 , 50 - 52 , 54 , 55 , 58 , 60 , 62 , 63 , 65 ), nine trials (25.0%) emphasizing effectiveness ( 13 , 14 ,…”

Section: Resultsmentioning

confidence: 99%

“…In the trial setting domain, 28 trials (77.8%) had scores that emphasized efficacy ( 13 , 14 , 32 - 36 , 40 , 43 - 49 , 51 - 55 , 57 - 60 , 62 - 65 ), six trials (16.7%) emphasized effectiveness ( 37 - 39 , 41 , 42 , 61 ), and two trials (5.5%) had a balanced emphasis between efficacy and effectiveness ( 50 , 56 ). The flexibility of intervention(s) domain had 21 trials (58.3%) that emphasized efficacy ( 33 - 36 , 38 , 40 , 43 , 44 , 46 - 48 , 50 - 52 , 54 , 55 , 58 , 60 , 62 , 63 , 65 ), nine trials (25.0%) emphasizing effectiveness ( 13 , 14 , 32 , 37 , 39 , 41 , 42 , 56 , 57 ), and six trials (16.7%) that exhibited a balanced emphasis between efficacy and effectiveness ( 45 , 49 , 53 , 59 , 61 , 64 ). Finally, the clinical relevance of experimental and comparison intervention(s) domain had 17 trials (47.2%) that emphasized efficacy ( 14 , 34 - 36 , 38 , 40 , 43 , 47 , 48 , …”

Section: Resultsmentioning

confidence: 99%

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Pragmatism in manual therapy trials for knee osteoarthritis: a systematic review

Adams,

Famuyide,

Young

et al. 2024

Arch. Physioter

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Introduction: Manual therapy is an often-utilized intervention for the management of knee osteoarthritis (OA). The interpretation of results presented by these trials can be affected by how well the study designs align applicability to real-world clinical settings. Aim: To examine the existing body of clinical trials investigating manual therapy for knee OA to determine where they fall on the efficacy-effectiveness spectrum. Methods: This systematic review has been guided and informed by the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Randomized controlled trials that investigated manual therapy treatments for adults with knee OA were retrieved via searches of multiple databases to identify trials published prior to April 2023. The Rating of Included Trials on the Efficacy-Effectiveness Spectrum (RITES) tool was used to objectively rate the efficacy-effectiveness nature of each trial design. The Cochrane Risk of Bias 2.0 assessment tool (RoB-2) was used to assess the risk of bias across five domains. Results: Of the 36 trials, a higher percentage of trials had a greater emphasis on efficacy within all four domains: participant characteristics (75.0%), trial setting (77.8%), flexibility of intervention (58.3%), and clinical relevance of experimental and comparison intervention (47.2%). In addition, 13.9% of the trials had low risk of bias, 41.7% had high risk of bias, and 44.4% had some concerns regarding bias. Conclusions: While many trials support manual therapy as effective for the management of knee OA, a greater focus on study designs with an emphasis on effectiveness would improve the applicability and generalizability of future trials.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Pragmatism in manual therapy trials for knee osteoarthritis: a systematic review

Adams,

Famuyide,

Young

et al. 2024

Arch. Physioter

View full text Add to dashboard Cite

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“…Few studies stated that all procedures were conducted according to the Surface Electromyography for the non-Invasive Assessment of Muscle (SENIAM) recommendations; these were Barbosa et al, (2014), Bialoszewski et al, (2014), Cruz-Montecinos et al, (2016, Reznik et al, (2015), Ribeiro et al, (2017) and Shih et al, (2017). Although, the authors support for good practice the reference to these standards, since it doesn't substitute reporting in the publication for easier access to that information and facilitate its reproducibility.…”

Section: Discussionmentioning

confidence: 99%

The use of surface electromyography in assessing the effectiveness of manual therapy: a systematic review

Santiago

Baptista

Magalhães

et al. 2020

IJOOES

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Research on the use of surface electromyography (sEMG) for analyzing the effects of Manual Therapy (MT) seems to have very dispersed intentions. The development of data collection protocols using sEMG might not be stable for conducting clinical studies. This study aimed to evaluate the current literature using surface sEMG in the context of MT and verify if it is a useful tool to verify its effectiveness. Also, to assess the methodologic quality and reporting standards and make a reflective analysis of how this technique has been used for this treatment modality. A computerized search was performed in May 2017 and repeated in June 2018, the search was performed in 8 electronic databases following PRISMA protocol. Thirty-one papers were included. More and better-designed studies are needed to create improved protocols. Further exploration and validation of these protocols may help to conduct more reliable clinically driven trials and it may inform policymakers of the role of MT in health care. The detection of clinically meaningful electrical alterations in muscles seems to be the main objective of most authors. Several sEMG items were not reported, and overall methodology quality was low.

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“…Also neck pain is an important individual, social and economic health problem, affecting up to two-thirds of adults at some point of their lives (Groeneweg et al, 2017;Gudavalli et al, 2014). Manual treatment has showed favourable clinical effects (Cruz-Montecinos et al, 2016, Herzog et al, 1999, Pecos-Martina et al, 2017, Ribeiro et al, 2017 mainly for MSD's (Hu et al, 2014, Kamel et al, 2016. Particularly for LBP, Manual Therapy (MT) modalities as physical treatment and spinal manipulation are likely to be cost-effective options (Andronis et al, 2017;Licciardone, 2014).…”

Section: Introductionmentioning

confidence: 99%

Surface electromyography in manual therapy - categorization of purpose and quality of reporting

Santiago¹,

Baptista

Costa

2018

IJOOES

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Introduction: Manual therapy (MT) is widely used by several healthcare professions to treat musculoskeletal disorders (MSD’s), still, there isn’t enough evidence to support its choice a therapeutic approach to these disorders. Researchers have been using surface electromyography (sEMG) to understand the effects and efficiency of MT. This study aims to evaluate the current literature using sEMG to assess muscle parameters within the scope of the use of MT. Methods and Analysis: The search will be performed in 26 electronic databases and journals using the PRISMA Statement. Selection of the studies, data extraction and validation will be performed independently by two reviewers. These studies shall be categorized towards their aims to capture what the authors have been interest in. The overall quality will be assessed using Jadad Scale and the quality of the reporting of EMG data will be assessed using the ISEK standards. This review is oriented toward identifying failure to report of methods in the studies selected, which directly affect their reproducibility. Dissemination: Outcomes of this review will be published in a peer-review journal. It may encourage future authors in this area of study to avoid failing to report all the relevant data in their studies.

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Changes in co-contraction during stair descent after manual therapy protocol in knee osteoarthritis: A pilot, single-blind, randomized study

Cited by 7 publications

References 27 publications

Pragmatism in manual therapy trials for knee osteoarthritis: a systematic review

Pragmatism in manual therapy trials for knee osteoarthritis: a systematic review

The use of surface electromyography in assessing the effectiveness of manual therapy: a systematic review

Surface electromyography in manual therapy - categorization of purpose and quality of reporting

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