JBMT
VOLUME 24, ISSUE 3, P 71-77, JULY 01, 2020
Alireza Motealleh
Abstract
Background
Patellofemoral pain (PFP) is a common musculoskeletal disorder. Quadriceps and core muscle neuromuscular control impairments are frequently associated with PFP. Lumbopelvic manipulation (LPM) has been shown to improve quadriceps and core muscle activation and decrease their inhibition, but changes in balance and knee joint position sense (JPS) after this intervention remain unknown.
Objective
To determine whether LPM decreases knee pain and JPS error and increases balance performance in patients with PFP.
Design
Randomized controlled trial.
Setting
Biomechanics laboratory at a rehabilitation science research center.
Methods
Forty-four patients with PFP participated in this study that randomly divided into two equal groups. One group received LPM and the other received sham LPM (positioning with no thrust) in a single session. At baseline and immediately after the intervention, the outcomes of pain using a visual analog scale, balance using the modified star excursion balance test (mSEBT), and JPS at 20° and 60° of knee flexion using a Biodex dynamometer.
Results
There was a statistically significant improvement in pain, balance control (anterior direction) and JPS in the LPM group immediately after the intervention. In addition, we observed significant differences between groups in pain, balance control (anterior direction) and JPS at 60° of knee flexion immediately after the intervention.
Conclusion
A single session of LPM immediately improved balance control, knee JPS, and pain in patients diagnosed with PFP.
Clinical rehabilitation impact
Findings suggest that LPM may be used as a therapeutic tool for immediate improvement of symptoms of PFP. However, more research is needed to determine long term results.