Comparison of the effect of lumbopelvic manipulation,with lumbopelvic manipulation and dry needling of quadratus lumbarom and Gluteus Medius muscles on pain and function of athletes knee with patellofemoral pain syndrome (PFPS)

Shiraz University of Medical Sciences0 个研究点目标入组 30 人开始时间: 待定最近更新: 2021年11月1日

适应症

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•Athlete 18 to 45 years old with patellofemoral pain syndrome who exercise regularly (at least three times per week)
•Complain of anterior knee pain at least in 2 of the following activity: sitting for long periods of time, going up and down stairs, squatting, kneeling, jumping and running
•Pain report when touching internal and external of patella surface and positive clarke test in knee extended and sitting
•At least be positive result of one of the three following tests:Positive vastus medialis co-ordination test Positive 20 cm going down stair test Positive Patellar apprehension test
•Gradual start of symptoms without history of trauma or injury for at least past 3 months
•kujala score level 40 to 70
•At least 3 out of 10 score level of NPRS in past tree weeks

•Existence of other pathologies of knee joint such as rupture of meniscus or knee ligaments, knee joint wear, tendon problems, patellar dislocation or partial dislocation, Sinding-Larsen disease, Osgood-Schlatter disease and Plica syndrome, ankle and knee injuries.
•Pathologies of the hip such as rupture of the ligaments of the thigh, joint wear and tear, tendon problems, dislocation or partial dislocation and injury of the thigh.
•Structural and biomechanical problems such as: valgus and varus in the knee or femoral anterior
•Radicular pain in the lumbar region and neurological symptoms (diagnosis with the help of history and lower limb percussion test, dural stretch test)
•Previous knee surgery
•Neurological disorders affecting balance
•Contraindications to using dry needles such as: Existence of metabolic diseases including diabetes, rheumatic diseases To. Pregnancy. Respiratory and cardiovascular problems (Peripheral vascular disease), cancer and any malignancy. Immune system defects. Menstruation. Needle phobia. Bleeding disorders and taking anticoagulants. Liver and kidney diseases

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