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IRCT20200818048446N1 IRCT 2021-09-11 Babol University of Medical Sciences The effect of lumbopelvic manipulation on patellofemoral pain syndrome The effect of lumbopelvic manipulation on Electromyography parameters of gluteus medius and vastus medialis in patients with patellofemoral pain syndrome 2020-10-05 anticipated 26 Complete https://irct.ir/trial/51002 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, participants are randomly divided into two groups by block randomization method with a fixed size of each block of 4.In this way, the list of random shifts of 4 letters A and B, which represent groups one and two, is generated with Random Allocation software and is the criterion for assigning individuals in groups. For example, if ABBA permutation is generated in the first block, it indicates that the first person is in group A, the second and third person in group B, and the fourth person in group A, Blinding description: This study is a double-blind study, In the way that evaluation and treatment are done by two different people And the evaluator is not aware of the type of grouping. Statistical analysis is also performed by a third person who do not know the grouping and treatment process. Patient blindness: Patients are told that manual therapy is to be performed on the lumbar, pelvic, and lower extremities, But they do not know the exact location and how. Patients are also not informed in which group they are. In the placebo(control) group, the patient is placed on a supine position and the therapist stands on the opposite side of the involved knee, The patient then locks the fingers behind her/his head and then passively moved to the side bend position by the therapist and rotated to the healthy position , and is in this position for five seconds. In the treatment group, the same steps are followed, with the difference that in the last stage, the thrust (High-speed movement of the therapist hand on the patient's ASIS) is applied. Patients are given time to participate in the project in such a way that they will not have any contact to share experiences. N/A patellofemoral pain syndrome. Intervention 1: Intervention group: one session lumbopelvic manipulation: The patient was positioned supine while interlocking the fingers behind the head and the elbows are in contact with each other in the front.The patient's torso is in a neutral position and the therapist is on the patient's healthy side,then the patient was passively side-bent towards and rotated away from the painful knee.Stabilizer hand, Fix the patient's arms on the bed and The moving hand fix on the anterior superior iliac spine where the knee is involved. After getting loose, it applies a sudden thrust in the posterior-external-inferior direction. This technique is given in one session and then evaluated immediately and information is recorded. Intervention 2: Control group: one session sham manipulation: The patient is placed in the position of true lumboplevic manipulation for 5 seconds, But the technique is not applied. After giving the position of the technique, the information is recorded. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is I have not decided yet
public Tahere Zafarian
Babol University of Medical Sciences, Ganj Afrooz St
Babol Iran (Islamic Republic of) 47176-47745 +98 11 3219 9592 t.zafarian@gmail.com Babol University of Medical Sciences scientific Khodabakhsh Javanshir
Babol University of Medical Sciences, Ganj Afrooz St
Babol Iran (Islamic Republic of) 47176-47745 +98 11 3219 9592 kjavanshir@yahoo.com Babol University of Medical Sciences Iran (Islamic Republic of) patients if they are aged less than 40 years unilateral anterior knee pain or a pain on palpation of patellar facets provoked by at least two of these activities:ascending/descending stairs, squatting, prolonged sitting, jumping, kneeling and Isometric quadriceps contraction positive sign in patellar apprehension test and/or eccentric step down test and/or vastus medialis coordination test a pain level of at least 3 points and maximum 8 points on the numerical pain rating scale(NPRS) during resisted knee extension knee disability level between 45 and 70 based on the Kujala patellofemoral questionnaire (KPQ) Have at least 3 of the 5 criteria to predict treatment success, including the following: The difference in the active range of motion of the internal rotation of the hip between the two limbs is more than 14 degrees- Dorsiflex active range of motion of the foot is more than 16 degrees- No stiffnes after sitting for more than 20 minutes- Navicular drop- Squatting is most painful activity 18 years 40 years Both a history of knee or spine surgery dislocation or fracturein pelvic meniscal lesion patellar subluxation/dislocation evidenceof tendinopathy or ligamentous pathologies neurologic disorders patients who had previously received physiotherapy treatment orused analgesic drugs within 72 h prior to the experiment osteoporosis with documented compression fracture severe lumbosacral nerveroot compression signs pregnancy systemic disease or connective tissue disorders Lumbar disc rupture: extrusion, sequestration Serious spinal lesions include rheumatoid arthritis, tumors, vascular lesions of the spine, etc. spondylolisthesis and Specified lumbar instabilities M22.2 Patellofemoral disorders Rehabilitation Placebo Intervention group: one session lumbopelvic manipulation: The patient was positioned supine while interlocking the fingers behind the head and the elbows are in contact with each other in the front.The patient's torso is in a neutral position and the therapist is on the patient's healthy side,then the patient was passively side-bent towards and rotated away from the painful knee.Stabilizer hand, Fix the patient's arms on the bed and The moving hand fix on the anterior superior iliac spine where the knee is involved. After getting loose, it applies a sudden thrust in the posterior-external-inferior direction. This technique is given in one session and then evaluated immediately and information is recorded. Control group: one session sham manipulation: The patient is placed in the position of true lumboplevic manipulation for 5 seconds, But the technique is not applied. After giving the position of the technique, the information is recorded. Onset of electromyography activity of vastus medialis muscle. Timepoint: Before and immediately after the intervention. Method of measurement: Surface electromyography device. Onset of electromyography activity of Gluteus medius muscle. Timepoint: Before and immediately after the intervention. Method of measurement: Surface electromyography device. Amplitude of electromyography activity of vastus medialis muscle. Timepoint: Before and immediately after the intervention. Method of measurement: Surface electromyography device. Amplitude of electromyography activity of Gluteus medius muscle. Timepoint: Before and immediately after the intervention. Method of measurement: Surface electromyography device. Pain Intensity. Timepoint: Before, immediately after and one week after the intervention. Method of measurement: Numeric Pain Rating Scale. Physical function. Timepoint: Before and immediately after the intervention. Method of measurement: step down test. Knee joint functional level. Timepoint: Before, immediately and one week after the intervention. Method of measurement: Using kujala questionnaire. Babol University of Medical Sciences Approved 2020-08-16 Ethics committee of Babol University of Medical Sciences Babol University of Medical Sciences, Ganj Afrooz St Babol Mazandaran Iran (Islamic Republic of)