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The Immediate Effect of Lumbosacral Thrust Joint Manipulation on Hip and Knee Muscle Strength and Squatting in Patients with Patellofemoral Pain - a Randomized, Placebo-Controlled, Clinical Trial.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The Immediate Effect of Lumbosacral Thrust Joint Manipulation on Hip and Knee Muscle Strength and Squatting in Patients with Patellofemoral Pain - a Randomized, Placebo-Controlled, Clinical Trial./
Author:	D'Agati, Michael L.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2022,
Description:	176 p.
Notes:	Source: Dissertations Abstracts International, Volume: 83-11, Section: B.
Contained By:	Dissertations Abstracts International83-11B.
Subject:	Health sciences. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29166126
ISBN:	9798438738824

The Immediate Effect of Lumbosacral Thrust Joint Manipulation on Hip and Knee Muscle Strength and Squatting in Patients with Patellofemoral Pain - a Randomized, Placebo-Controlled, Clinical Trial.
D'Agati, Michael L.

The Immediate Effect of Lumbosacral Thrust Joint Manipulation on Hip and Knee Muscle Strength and Squatting in Patients with Patellofemoral Pain - a Randomized, Placebo-Controlled, Clinical Trial. - Ann Arbor : ProQuest Dissertations & Theses, 2022 - 176 p.

Source: Dissertations Abstracts International, Volume: 83-11, Section: B.

Thesis (Ph.D.)--Rutgers The State University of New Jersey, Rutgers School of Health Professions, 2022.

This item must not be sold to any third party vendors.

Patellofemoral pain syndrome (PFPS) is a persistent, pervasive, disabling musculoskeletal disorder that entails impaired squatting and leg muscle strength that are potentially related to muscle inhibition. There is evidence that lumbosacral thrust joint manipulation (TJM) reduces muscle inhibition and improves muscle strength, but there are discrepancies and deficiencies in the literature regarding the use of lumbosacral TJM to improve squatting and leg strength in patients with PFPS. The study aims are to assess the immediate effect of lumbar TJM on the ability to squat deeper without pain and hip and knee muscle strength in patients with PFPS. The primary research questions were as follows:1)Does lumbosacral TJM increase hip (extension, abduction and external rotation) muscle strength more than a manual placebo in patients with PFPS?2)Does lumbosacral TJM increase quadriceps muscle strength more than a manual placebo in patients with PFPS?3)Does lumbosacral TJM increase pain-free squat depth more than a manual placebo in patients with PFPS?This prospective, double-blind, randomized controlled clinical trial included a lumbosacral TJM treatment arm and a manual placebo-control arm. In the manipulation group, the within-group changes were significant for hip abduction and external rotation, but not hip or knee extension or pain-free squat range of motion. In the manual placebo group, no within-group changes were significant. The between-group changes were not significant for any outcome. Future research should assess the utility of lumbar TJM as adjunctive treatment to therapeutic exercise for improving these outcomes.

ISBN: 9798438738824Subjects--Topical Terms:

3168359
Health sciences.
Subjects--Index Terms:

Arthrogenic inhibition

The Immediate Effect of Lumbosacral Thrust Joint Manipulation on Hip and Knee Muscle Strength and Squatting in Patients with Patellofemoral Pain - a Randomized, Placebo-Controlled, Clinical Trial.
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245 1 4 $a The Immediate Effect of Lumbosacral Thrust Joint Manipulation on Hip and Knee Muscle Strength and Squatting in Patients with Patellofemoral Pain - a Randomized, Placebo-Controlled, Clinical Trial.
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300 $a 176 p.
500 $a Source: Dissertations Abstracts International, Volume: 83-11, Section: B.
500 $a Advisor: Edmond, Susan L.
502 $a Thesis (Ph.D.)--Rutgers The State University of New Jersey, Rutgers School of Health Professions, 2022.
506 $a This item must not be sold to any third party vendors.
520 $a Patellofemoral pain syndrome (PFPS) is a persistent, pervasive, disabling musculoskeletal disorder that entails impaired squatting and leg muscle strength that are potentially related to muscle inhibition. There is evidence that lumbosacral thrust joint manipulation (TJM) reduces muscle inhibition and improves muscle strength, but there are discrepancies and deficiencies in the literature regarding the use of lumbosacral TJM to improve squatting and leg strength in patients with PFPS. The study aims are to assess the immediate effect of lumbar TJM on the ability to squat deeper without pain and hip and knee muscle strength in patients with PFPS. The primary research questions were as follows:1)Does lumbosacral TJM increase hip (extension, abduction and external rotation) muscle strength more than a manual placebo in patients with PFPS?2)Does lumbosacral TJM increase quadriceps muscle strength more than a manual placebo in patients with PFPS?3)Does lumbosacral TJM increase pain-free squat depth more than a manual placebo in patients with PFPS?This prospective, double-blind, randomized controlled clinical trial included a lumbosacral TJM treatment arm and a manual placebo-control arm. In the manipulation group, the within-group changes were significant for hip abduction and external rotation, but not hip or knee extension or pain-free squat range of motion. In the manual placebo group, no within-group changes were significant. The between-group changes were not significant for any outcome. Future research should assess the utility of lumbar TJM as adjunctive treatment to therapeutic exercise for improving these outcomes.
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653 $a Arthrogenic inhibition
653 $a Functional valgus
653 $a Muscle strength
653 $a Patellofemoral pain syndrome
653 $a Spinal manipulation
653 $a Thrust joint manipulation
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