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Effects of Lumbopelvic Manipulation on Hip and Knee Neuromuscular Activity

Primary Purpose

Patellofemoral Pain Syndrome

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Lumbopelvic manipulation
Sponsored by
Texas Woman's University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Patellofemoral Pain Syndrome

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria for participants in the patellofemoral pain syndrome group:

  1. insidious onset of symptoms of non-traumatic origin
  2. pain with patellar facet palpation or compression

  3. subjective knee pain rating of at least 3/10 on the pain visual analog scale during at least one of the following activities:

    • ascending stair
    • descending stair
    • kneeling
    • squatting
    • running
    • jumping
    • prolong sitting for more than 20 minutes

Exclusion criteria for all participants:

  1. history of spine, hip or knee surgery
  2. history of hip pathology or other knee condition
  3. current significant injury of any lower extremity joints
  4. pregnancy
  5. sign of nerve root compression
  6. osteoporosis or history of compression fracture

Age- and gender- matched control participants will be recruited if they have no signs or symptoms of patellofemoral pain syndrome and have none of the exclusion criteria

Sites / Locations

  • Texas Woman's University, School of Physical Therapy - Dallas Campus

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Patellofemoral Pain Syndrome

Healthy control

Arm Description

Participants with Patellofemoral Pain Syndrome

Age- and gender-matched participants without Patellofemoral Pain Syndrome

Outcomes

Primary Outcome Measures

Electromyography (EMG)
Electromyography (EMG) onset time of the gluteus maximus, gluteus medius, vastus medialis oblique, and vastus lateralis muscles.

Secondary Outcome Measures

Pain Visual Analog Scale (VAS)
Pain Visual Analog Scale (VAS) is a 100 mm continuous line between two end-points. The left end-point represents "no pain" and the right end-point represents the "worst pain imaginable".

Full Information

First Posted
June 25, 2012
Last Updated
January 9, 2015
Sponsor
Texas Woman's University
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1. Study Identification

Unique Protocol Identification Number
NCT01637480
Brief Title
Effects of Lumbopelvic Manipulation on Hip and Knee Neuromuscular Activity
Official Title
Effects of Lumbopelvic Manipulation on Hip and Knee Neuromuscular Activity in People With and Without Patellofemoral Pain Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
November 2014
Overall Recruitment Status
Completed
Study Start Date
July 2012 (undefined)
Primary Completion Date
April 2014 (Actual)
Study Completion Date
April 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Texas Woman's University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determined if a lower back treatment would change the hip and knee muscle activities in people with and without anterior knee pain. The investigators hypothesized that the lower back treatment may change the hip and knee muscle activities in people with anterior knee pain but not in people without anterior knee pain.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Patellofemoral Pain Syndrome

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
42 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Patellofemoral Pain Syndrome
Arm Type
Experimental
Arm Description
Participants with Patellofemoral Pain Syndrome
Arm Title
Healthy control
Arm Type
Active Comparator
Arm Description
Age- and gender-matched participants without Patellofemoral Pain Syndrome
Intervention Type
Other
Intervention Name(s)
Lumbopelvic manipulation
Intervention Description
High-velocity-low-amplitude thrust manipulation of the lumbopelvic region
Primary Outcome Measure Information:
Title
Electromyography (EMG)
Description
Electromyography (EMG) onset time of the gluteus maximus, gluteus medius, vastus medialis oblique, and vastus lateralis muscles.
Time Frame
The EMG data will be collected within 48 hours for all participants in both groups. On Day 1, data will be collected twice at baseline. On Day 2, data will be collected before and immediately after as well as 15, 30, and 45 min after the intervention.
Secondary Outcome Measure Information:
Title
Pain Visual Analog Scale (VAS)
Description
Pain Visual Analog Scale (VAS) is a 100 mm continuous line between two end-points. The left end-point represents "no pain" and the right end-point represents the "worst pain imaginable".
Time Frame
The Pain Visual Analog Scale (VAS) will be assessed before and 45 min after the lower back treatment (lumbopelvic manipulation) for participants in the patellofemoral pain syndrome group on Day 2 only.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria for participants in the patellofemoral pain syndrome group: insidious onset of symptoms of non-traumatic origin pain with patellar facet palpation or compression subjective knee pain rating of at least 3/10 on the pain visual analog scale during at least one of the following activities: ascending stair descending stair kneeling squatting running jumping prolong sitting for more than 20 minutes Exclusion criteria for all participants: history of spine, hip or knee surgery history of hip pathology or other knee condition current significant injury of any lower extremity joints pregnancy sign of nerve root compression osteoporosis or history of compression fracture Age- and gender- matched control participants will be recruited if they have no signs or symptoms of patellofemoral pain syndrome and have none of the exclusion criteria
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ammar M Al Abbad, Master
Organizational Affiliation
Texas Woman's University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Texas Woman's University, School of Physical Therapy - Dallas Campus
City
Dallas
State/Province
Texas
ZIP/Postal Code
75235
Country
United States

12. IPD Sharing Statement

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Effects of Lumbopelvic Manipulation on Hip and Knee Neuromuscular Activity

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