PMID- 28750964
OWN - NLM
STAT- MEDLINE
DCOM- 20180514
LR  - 20180514
IS  - 1532-9283 (Electronic)
IS  - 1360-8592 (Linking)
VI  - 21
IP  - 3
DP  - 2017 Jul
TI  - Comparison of ischemic compression and lumbopelvic manipulation as trigger point 
      therapy for patellofemoral pain syndrome in young adults: A double-blind 
      randomized clinical trial.
PG  - 554-564
LID - S1360-8592(16)30177-2 [pii]
LID - 10.1016/j.jbmt.2016.08.007 [doi]
AB  - 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 < 0.05, 95% confidence interval) in pain, functional status and 
      PPT values. However, the IC group showed greater improvements, and outcome 
      measures remained significantly better than in the LPM group during 
      post-intervention follow-up. CONCLUSIONS: Both groups showed improvements 
      throughout the study and follow-up period. However, the IC showed better 
      short-term and long-term effectiveness than LPM for treating PFPS.
CI  - Copyright (c) 2016 Elsevier Ltd. All rights reserved.
FAU - Behrangrad, Shabnam
AU  - Behrangrad S
AD  - Physiotherapy Department, School of Rehabilitation, Shiraz University of Medical 
      Sciences, Shiraz, Iran.
FAU - Kamali, Fahimeh
AU  - Kamali F
AD  - Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, 
      Shiraz, Iran. Electronic address: fahimekamalii@gmail.com.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20160821
PL  - United States
TA  - J Bodyw Mov Ther
JT  - Journal of bodywork and movement therapies
JID - 9700068
SB  - IM
MH  - Adult
MH  - Double-Blind Method
MH  - Female
MH  - Humans
MH  - Iran
MH  - Knee Joint/physiopathology
MH  - Male
MH  - Manipulation, Spinal/methods
MH  - Musculoskeletal Manipulations/*methods
MH  - Pain Measurement
MH  - Patellofemoral Pain Syndrome/*therapy
MH  - Quadriceps Muscle/physiopathology
MH  - Trigger Points/physiopathology
OTO - NOTNLM
OT  - Ischemic compression
OT  - Lumbopelvic manipulation
OT  - Myofascial trigger point
OT  - Patellofemoral pain syndrome
OT  - Rehabilitation
EDAT- 2017/07/29 06:00
MHDA- 2018/05/15 06:00
CRDT- 2017/07/29 06:00
PHST- 2016/06/20 00:00 [received]
PHST- 2016/07/26 00:00 [revised]
PHST- 2016/08/14 00:00 [accepted]
PHST- 2017/07/29 06:00 [entrez]
PHST- 2017/07/29 06:00 [pubmed]
PHST- 2018/05/15 06:00 [medline]
AID - S1360-8592(16)30177-2 [pii]
AID - 10.1016/j.jbmt.2016.08.007 [doi]
PST - ppublish
SO  - J Bodyw Mov Ther. 2017 Jul;21(3):554-564. doi: 10.1016/j.jbmt.2016.08.007. Epub 
      2016 Aug 21.