Spinal Manipulation for Improving Hip and Knee Muscle Strength in Patients With Patellofemoral Pain Syndrome - A Randomized, Placebo-Controlled, Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Muscle Strength using dynamometer
研究概览
简要总结
The aim of this double blind, randomized, placebo-controlled clinical trial is to investigate the immediate effects of spinal manipulation on hip and knee muscle strength and pain-free deep squat range of motion in order to answer several conceptual and practical research questions
详细描述
This prospective, double-blind, randomized control trial clinical will use a multigroup pretest-posttest control design with 1 treatment arm and 1 control arm. Interpreted within the biopsychosocial model and the International Classification of Functioning, Disability and Health (ICF) framework, this research will measure the outcomes between patellofemoral pain syndrome (PFPS), the health condition, and contextual factors, particularly personal factors. It will address personal factors such as gender and age but will not address environmental factors. This research includes tests and measures of two of the three levels of human functioning, or domains, impairments to body functions and structures and activity limitations. Muscle strength testing is an impairment-level measure and pain-free deep squat range of morion (ROM) is an activity limitation-level measure.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Referred to out-patient physical therapy for a knee condition and a chief complaint of anterior knee pain
- •Anterior knee pain with squatting
- •Agreed to be in the study and signed the informed consent document
排除标准
- •Presence of any medical 'red flags' suggestive of pain that is not of musculoskeletal origin
- •Osteoporosis or recent fracture of the hip or spinal joints
- •Spinal or hip joint surgery or prosthesis
- •Knee surgery on the affected knee within the last 6 months
- •Spinal instability (Grade II spondylolithesis or greater), spondyloarthritides, or severe spinal misalignment
- •Nervous system disease or disorder
- •Lumbar nerve root compression (any of the following signs present)
- •Positive straight leg raise (SLR) test less than 45°
- •Marked paresis involving a major muscle group of the lower extremity
- •Diminished, and asymmetric (lower than uninvolved side), lower extremity
- •muscle stretch reflex
- •Diminished or absent sensation to pinprick in any lower extremity dermatome
结局指标
主要结局
Muscle Strength using dynamometer
时间窗: 1 Day
Hand-held dynamometry involves the use of a dynamometer that is held by a tester and applied to the tested segment of a patient's body.
Score on European Quality of Life-5 Dimensions Questionnaire (EQ-5D)
时间窗: 1 Day
The EQ-5D-3L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems
次要结局
- Subject's report of pain on the Numeric Pain Rating Scale (NPRS) at rest(1 Day)