Lumbopelvic manipulation in patients with patellofemoral pain syndrome

Crowell, Michael S.; Wofford, Nancy H.

doi:10.1179/2042618612y.0000000002

Cited by 18 publications

(21 citation statements)

References 63 publications

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“…Most pain squatting (mean 2.27, 95 % CI 1.57-3.28), greater patella glide (mean 1.59, 95 % CI 1.18-2.26), less stiffness (mean 0.43, 95 % CI 0.3-0.61) and fewer episodes of giving way (mean 0.65, 95 % CI 0.49-0.86) and clicking (mean 0.64, 95 % CI 0.47-0.88) were shown to be significant predictors of lumbopelvic manipulation success [21]; however, these findings were not replicated in a follow-up study using the methodological design [41].…”

Section: Kneementioning

confidence: 63%

“…Furthermore, a subsequent single-arm cohort study reported none of the initially identified predictors for lumbopelvic manipulation success were predictive when the same methods were repeated [41]. Further good-quality case-control studies, exploring the effectiveness of this intervention within PFP populations should be sought prior to attempting to identify subgroups of individuals who may benefit.…”

Section: Kneementioning

confidence: 91%

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Outcome Predictors for Conservative Patellofemoral Pain Management: A Systematic Review and Meta-Analysis

et al. 2014

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This systematic review provides a comprehensive summary of current derivation level studies identifying indicators of prediction for conservative PFP management. The overall strength of evidence was low. With appropriate caution, clinicians should consider taping for those with greater usual pain, orthoses for older individuals and exercise for younger individuals, and orthoses intervention for patients with greater forefoot valgus and rearfoot eversion magnitude peak. RCTs with evaluation of outcome prediction as a primary aim are clearly warranted to provide clinicians with robust evidence and facilitate evidence-informed, tailored intervention to this heterogeneous patient population.

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Section: Kneementioning

confidence: 63%

Section: Kneementioning

confidence: 91%

Outcome Predictors for Conservative Patellofemoral Pain Management: A Systematic Review and Meta-Analysis

et al. 2014

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“…Even if a lower threshold of five participants in the limiting sample size for each potential predictor is used,29 this was still the only study that had adequate statistical power. An issue with potential reporting bias was identified with only 428 30–32 of the 12 studies administered outcome measures in a blinded fashion and in only 3 studies were the examining28 30 33 or treating30 32 34 clinicians blind to the outcome measures (table 3). …”

Section: Resultsmentioning

confidence: 99%

Can we predict the outcome for people with patellofemoral pain? A systematic review on prognostic factors and treatment effect modifiers

et al. 2016

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BackgroundPatellofemoral pain (PFP) is a multifactorial and often persistent knee condition. One strategy to enhance patient outcomes is using clinically assessable patient characteristics to predict the outcome and match a specific treatment to an individual.AimA systematic review was conducted to determine which baseline patient characteristics were (1) associated with patient outcome (prognosis); or (2) modified patient outcome from a specific treatment (treatment effect modifiers).Methods6 electronic databases were searched (July 2016) for studies evaluating the association between those with PFP, their characteristics and outcome. All studies were appraised using the Epidemiological Appraisal Instrument. Studies that aimed to identify treatment effect modifiers underwent a checklist for methodological quality.ResultsThe 24 included studies evaluated 180 participant characteristics. 12 studies investigated prognosis, and 12 studies investigated potential treatment effect modifiers. Important methodological limitations were identified. Some prognostic studies used a retrospective design. Studies aiming to identify treatment effect modifiers often analysed too many variables for the limiting sample size and typically failed to use a control or comparator treatment group. 16 factors were reported to be associated with a poor outcome, with longer duration of symptoms the most reported (>4 months). Preliminary evidence suggests increased midfoot mobility may predict those who have a successful outcome to foot orthoses.ConclusionsCurrent evidence can identify those with increased risk of a poor outcome, but methodological limitations make it difficult to predict the outcome after one specific treatment compared with another. Adequately designed randomised trials are needed to identify treatment effect modifiers.

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“…1 It has a higher incidence in women than in men, 2 especially between 15 and 30 years old, [3][4][5][6][7] and it represents 25% to 40% of all treated disorders in sports medicine. [8][9][10][11][12][13] Patellofemoral pain syndrome often is referred to as patellofemoral chondritis, chondropathy, chondromalacia, anterior knee pain, patellar subluxation, patellar dislocation, or external overpressure syndrome. However, Patellofemoral pain syndrome is different from the patellar chondromalacia.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Manual Therapy Combined With Physical Therapy in Treatment of Patellofemoral Pain Syndrome: Systematic Review

Espí-López

Arnal‐Gómez

Balasch-Bernat

et al. 2017

Journal of Chiropractic Medicine

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Objectives: The purpose of this study was to conduct a review of randomized controlled trials (RCTs) to determine the treatment effectiveness of the combination of manual therapy (MT) with other physical therapy techniques. Methods: Systematic searches of scientific literature were undertaken on PubMed and the Cochrane Library (2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014). The following terms were used: "patellofemoral pain syndrome," "physical therapy," "manual therapy," and "manipulation." RCTs that studied adults diagnosed with patellofemoral pain syndrome (PFPS) treated by MT and physical therapy approaches were included. The quality of the studies was assessed by the Jadad Scale. Results: Five RCTs with an acceptable methodological quality (Jadad ≥ 3) were selected. The studies indicated that MT combined with physical therapy has some effect on reducing pain and improving function in PFPS, especially when applied on the full kinetic chain and when strengthening hip and knee muscles. Conclusions: The different combinations of MT and physical therapy programs analyzed in this review suggest that giving more emphasis to proximal stabilization and full kinetic chain treatments in PFPS will help better alleviation of symptoms. (J Chiropr Med 2017;16:139-146)

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Lumbopelvic manipulation in patients with patellofemoral pain syndrome

Abstract: The previously identified CPR was not able to be replicated and no clinically meaningful changes in range of motion, strength, or function were apparent. Future research should focus on a comprehensive impairment-based treatment approach in patients with patellofemoral pain syndrome.

Cited by 18 publications

References 63 publications

Outcome Predictors for Conservative Patellofemoral Pain Management: A Systematic Review and Meta-Analysis

Outcome Predictors for Conservative Patellofemoral Pain Management: A Systematic Review and Meta-Analysis

Can we predict the outcome for people with patellofemoral pain? A systematic review on prognostic factors and treatment effect modifiers

Effectiveness of Manual Therapy Combined With Physical Therapy in Treatment of Patellofemoral Pain Syndrome: Systematic Review

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