Effectiveness of local exercise therapy versus spinal manual therapy in patients with patellofemoral pain syndrome: medium term follow-up results of a randomized controlled trial
نویسندگان
چکیده
Abstract Background Increasing evidence has shown benefits of spinal manipulations in patients with patellofemoral pain syndrome (PFPS). There is scarcity regarding medium term effects manual therapy on outcome measures PFPS patients. Therefore, the aim present study was to compare effectiveness local exercise and for knee pain, function maximum voluntary peak force (MVPF) velocity quadriceps Methods Forty-three were randomly assigned a or group. The group received six sessions (one session per week) supervised training knee-and hip muscles mobilization joint. interventions intervention high low thrust at thoracolumbar region, sacroiliac joint, and/or hip. All also asked do home exercises. Maximum, minimum current measured using visual analogue scale. Function assessed anterior scale (AKPS) MPFV recorded Biodex System 3 dynamometer. Patients before intervention, after 6 weeks follow-up. Between-group differences assessments analysed by way analysis covariance Bonferroni correction. Results Pain functionality improved more following manipulative than therapy. After between-group difference (local versus spinal) maximal 23.4 mm [95% CI: 9.3, 37.6; effect size (ES): 1.04] − 12.4 20.2, 4.7; ES: 1.00] AKPS. At follow-up 18.7 1.4, 36.0; 0.68] 11.5 19.9, 3.3; 0.87] Conclusions This suggests that effective improving term. We suggest future research investigate whether combining either single its own. clinical trial approved Medical Ethics Committee METC Z under registration number NL57207.096. registered retrospectively ClinicalTrials.gov PRS ID NCT04748692 10th February 2021.
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ژورنال
عنوان ژورنال: BMC Musculoskeletal Disorders
سال: 2021
ISSN: ['1471-2474']
DOI: https://doi.org/10.1186/s12891-021-04310-9