Evaluation of the effect of sacroiliac joint manipulation on pain ,function and electromyographic activity of vastus medialis and latralis in athletes with patellofemoral pain syndrome
Objectives:To evaluation of the effect of sacroiliac joint manipulation on pain ,function and electromyographic activity of vastus medialis and latralis in athletes with patellofemoral pain syndrome. inclusion criteria: athletes that have anterior or retro-patellar and around knee pain; pain at least as long as 6 month; pain during squat, step up and step down, running and jumping; At least one positive test: eccentric step down test, vastus medialis coordination test, patellar apprehension test. exclusion criteria: pain is due to trauma; acute and subacute neuromuscular disease; history of surgery in the knee.
subjects: 28 athletes that aged between 18 to 40 that have anterior knee pain on one side participate in this study, Being an athlete is a measure of the individual's regular schedule for at least 3 sessions per week, each session is 2 hours of practice
Interventions: participants divide in two groups, the first group is received manipulation to the sacroiliac joint and second group is not received manipulation but received manipulation position.electromyographic activity(onset and amplitude)of vastus medialis and vastus latralis , pain and functional level of knee joint at both groups is measured before and after by electromyographic device on rock task , VAS and Kujala Patellofemoral Scale.One group the high-velocity low-amplitude (HVLA) manipulation and the other group receive position(placebo) in a single session.
General information
Acronym
IRCT registration information
IRCT registration number:IRCT2013122515932N1
Registration date:2014-01-30, 1392/11/10
Registration timing:registered_while_recruiting
Last update:
Update count:0
Registration date
2014-01-30, 1392/11/10
Registrant information
Name
Alireza Motealleh
Name of organization / entity
Shiraz University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 71 1626 5108
Email address
motealleh@sums.ac.ir
Recruitment status
Recruitment complete
Funding source
Shiraz University of Medical Sciences
Expected recruitment start date
2013-12-05, 1392/09/14
Expected recruitment end date
2014-02-07, 1392/11/18
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Evaluation of the effect of sacroiliac joint manipulation on pain ,function and electromyographic activity of vastus medialis and latralis in athletes with patellofemoral pain syndrome
Public title
Evaluation of the effect of sacroiliac joint manipulation on pain ,function and electromyographic activity of vastus medialis and latralis in athletes with patellofemoral pain syndrome
Purpose
Treatment
Inclusion/Exclusion criteria
inclusion criteria: athletes that have anterior or retro-patellar and around knee pain; pain at least as long as 6 month; pain during squat, step up and step down, running and jumping; At least one positive test: eccentric step down test, vastus medialis coordination test, patellar apprehension test. exclusion criteria: pain is due to trauma; acute and subacute neuromuscular disease; history of surgery in the knee,postural deformities,osteoporosis
Age
From 18 years old to 40 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
28
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Shiraz University of Medical Sciences
Street address
Central Building of Shiraz University of Medical Sciences, Zand avenue -shiraz
City
shiraz
Postal code
1978-71345
Approval date
2013-10-12, 1392/07/20
Ethics committee reference number
CT-92_6722
Health conditions studied
1
Description of health condition studied
Patellofemoral pain syndrome
ICD-10 code
M22.2 , M2
ICD-10 code description
Patellofemoral disorders, Chondromalacia patellae
Primary outcomes
1
Description
electromyographic activity(onset and amplitude) of vastus medialis and latralis in heel rise task
Timepoint
before_ after
Method of measurement
electromyographic device
2
Description
pain intensity
Timepoint
before- after
Method of measurement
Visual analoug scale
Secondary outcomes
1
Description
functional level of knee
Timepoint
before - after
Method of measurement
Kujala Patellofemoral Scale
Intervention groups
1
Description
Intervention:in the intervention group,the patient is supine on the bed and the therapist bends contralateral to the side which is to be manipulated.The patient is passively move into side bending. toward the side to be manipulated. The patient interlock the fingers behind his or her head. The therapist passively rotate the patient, and then deliver a quick thrust to the Anterior Superior Iliac Spine (ASIS) in a posterior and inferior direction. Treatment is one session.Then the patient to br evaluated immediately and the information to be recorded.
Category
Rehabilitation
2
Description
Control group:the patient is given sacroiliac manipulation position But the technique should not be placed.Then the patient to be evaluated immediately and the information to be recorded
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
Rehabilitation Collage of Shiraz Medical Science University