Comparison of the Lumbosacral Manipulation Method Versus Knee Exercises Alone in Patients with Patellofemoral Pain Syndrome

Sirous Azizi, Z. Rezasoltani, E. Shirzadi, A. Dadarkhah, M. Elahi
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引用次数: 1

Abstract

Background: Patellofemoral Pain Syndrome (PFPS) is one of the most common diagnoses made for patients referred to physical/rehabilitation and orthopedic clinics. The most common symptom of PFPS is a diffuse pain in front of either one or both knees exacerbated by intense activity, kneeling, squatting, climbing, and weakness of quadriceps muscle. Lumbosacral manipulation and knee exercises are the most commonly used methods in physical medicine with no major side effects. Objectives: The current study aimed to compare the efficacy of the lumbosacral manipulation technique with knee exercises versus sole knee exercises in patients with PFPS. Study Design was Randomized Controlled Clinical Trial. Methods: In this randomized controlled clinical trial, 30 patients (18 females and 12 males) diagnosed with PFPS were divided into two groups of study and control, each with 15 subjects. Those in the intervention group received a single bilateral lumbosacral manipulation after ruling out any contraindication for lumbosacral manipulation by lumbosacral radiography. Quality of life, gait, quadriceps muscle strength, keen pain improvement, and range of motion were evaluated at the beginning and four weeks following the knee strengthening exercises for all participants. Results: The mean age of participants was 34 ± 5 years. The difference between the groups concerning the swing phase of walking and quadriceps muscle strength was in both groups was investigated following providing interventions. Conclusions: The manipulation technique had a greater effect on improving the function of patients with PFPS compared to therapeutic knee exercises.
腰骶部手法与单纯膝关节运动治疗髌骨股痛综合征的比较
背景:髌股疼痛综合征(PFPS)是就诊于物理/康复和骨科诊所的患者最常见的诊断之一。PFPS最常见的症状是单膝或双膝前弥漫性疼痛,剧烈活动、跪、蹲、攀爬和股四头肌无力会加重疼痛。腰骶部手法和膝关节运动是物理医学中最常用的方法,没有重大的副作用。目的:目前的研究旨在比较腰骶操作技术与膝关节运动与单膝运动对PFPS患者的疗效。研究设计为随机对照临床试验。方法:随机对照临床试验将30例确诊为PFPS的患者(女性18例,男性12例)分为研究组和对照组,每组15例。干预组在腰骶造影排除任何腰骶推拿禁忌后接受单双侧腰骶推拿。在开始和膝关节强化训练后四周,对所有参与者的生活质量、步态、股四头肌力量、剧烈疼痛改善和活动范围进行评估。结果:参与者平均年龄34±5岁。在提供干预措施后,研究了两组之间关于步行摆动阶段和股四头肌力量的差异。结论:与治疗性膝关节运动相比,推拿技术对改善PFPS患者的功能有更大的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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