Comparison of ischemic compression and lumbopelvic manipulation as trigger point therapy for patellofemoral pain syndrome in young adults: A double-blind randomized clinical trial

Summary Objective To compare the effectiveness of ischemic compression (IC) directly to the vastus medialis obliquus (VMO) versus lumbopelvic manipulation (LPM) in improving pain, functional status and sensitivity to mechanical stimulation of the VMO trigger point in patients with patellofemoral pai...

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Bibliographic Details
Published in:Journal of bodywork and movement therapies 2017-07, Vol.21 (3), p.554-564
Main Authors: Behrangrad, Shabnam, MSD, PT, Kamali, Fahimeh, PhD, PT
Format: Article
Language:English
Subjects:
Adult
Double-Blind Method
Female
Humans
Iran
Ischemic compression
Knee Joint - physiopathology
Lumbopelvic manipulation
Male
Manipulation, Spinal - methods
Musculoskeletal Manipulations - methods
Myofascial trigger point
Pain Measurement
Patellofemoral pain syndrome
Patellofemoral Pain Syndrome - therapy
Physical Medicine and Rehabilitation
Quadriceps Muscle - physiopathology
Rehabilitation
Trigger Points - physiopathology
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Summary:Summary Objective To compare the effectiveness of ischemic compression (IC) directly to the vastus medialis obliquus (VMO) versus lumbopelvic manipulation (LPM) in improving pain, functional status and sensitivity to mechanical stimulation of the VMO trigger point in patients with patellofemoral pain syndrome (PFPS). Participants 40 patients with unilateral PFPS aged 20-30 years were selected randomly among patients with unilateral PFPS referred to physical therapy clinics of Shiraz University of Medical Sciences in Shiraz, Iran, between March 2014 and July 2014. 30 young adults participated. Participants were blinded to treatment allocation, and 15 patients were allocated to either IC or LPM. Interventions Patients in both groups were treated in three sessions per week. IC consisted of three sets of continuous pressure applied for on the myofascial trigger point (MTrP) of VMO. LPM consisted of supine rotational glide manipulation of the ipsilateral lumbopelvic region of the involved knee. Main outcome measures Numeric pain rating scale (VAS) for pain intensity, Kujala questionnaire for functional status, and pressure pain threshold (PPT) for sensitivity to mechanical stimulation. All three were recorded before treatment, 1 week, 1 month and 3 months after the last session. Results Both groups showed significant improvement (p
ISSN:1360-8592
1532-9283
DOI:10.1016/j.jbmt.2016.08.007