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The immediate effect of lumbopelvic manipulation on EMG of vasti and gluteus medius in athletes with patellofemoral pain syndrome: A randomized controlled trial.
Man Ther. 2016 Apr; 22:16-21.MT

Abstract

OBJECTIVE

To evaluate the immediate effect of lubmopelvic manipulation on EMG activity of vastus medialis, vastus lateralis and gluteus medius as well as pain and functional performance of athletes with patellofemoral pain syndrome.

DESIGN

Randomized placebo-controlled trial.

METHODS

Twenty eight athletes with patellofemoral pain syndrome were randomly assigned to two groups. One group received a lubmopelvic manipulation at the side of the involved knee while the other group received a sham manipulation. EMG activity of the vasti and gluteus medius were recorded before and after manipulation while performing a rocking on heel task. The functional abilities were evaluated using two tests: step-down and single-leg hop. Additionally, the pain intensity during the functional tests was assessed using a visual analog scale.

RESULTS

The onset and amplitude of EMG activity from vastus medialis and gluteus medius were, respectively, earlier and higher in the manipulation group compared to the sham group. There were no significant differences, however, between two groups in EMG onset of vastus lateralis. While the scores of one-leg hop test were similar for both groups, significant improvement was observed in step-down test and pain intensity in the manipulation group compared to the sham group.

CONCLUSIONS

Lubmopelvic manipulation might improve patellofemoral pain and functional level in athletes with patellofemoral pain syndrome. These effects could be due to the changes observed in EMG activity of gluteus medius and vasti muscles. Therefore, the lubmopelvic manipulation might be considered in the rehabilitation protocol of the athletes with patellofemoral pain syndrome.

Authors+Show Affiliations

Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address: sobhan132@gamil.com.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26995778

Citation

Motealleh, Alireza, et al. "The Immediate Effect of Lumbopelvic Manipulation On EMG of Vasti and Gluteus Medius in Athletes With Patellofemoral Pain Syndrome: a Randomized Controlled Trial." Manual Therapy, vol. 22, 2016, pp. 16-21.
Motealleh A, Gheysari E, Shokri E, et al. The immediate effect of lumbopelvic manipulation on EMG of vasti and gluteus medius in athletes with patellofemoral pain syndrome: A randomized controlled trial. Man Ther. 2016;22:16-21.
Motealleh, A., Gheysari, E., Shokri, E., & Sobhani, S. (2016). The immediate effect of lumbopelvic manipulation on EMG of vasti and gluteus medius in athletes with patellofemoral pain syndrome: A randomized controlled trial. Manual Therapy, 22, 16-21. https://doi.org/10.1016/j.math.2016.02.002
Motealleh A, et al. The Immediate Effect of Lumbopelvic Manipulation On EMG of Vasti and Gluteus Medius in Athletes With Patellofemoral Pain Syndrome: a Randomized Controlled Trial. Man Ther. 2016;22:16-21. PubMed PMID: 26995778.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The immediate effect of lumbopelvic manipulation on EMG of vasti and gluteus medius in athletes with patellofemoral pain syndrome: A randomized controlled trial. AU - Motealleh,Alireza, AU - Gheysari,Elham, AU - Shokri,Esmaeil, AU - Sobhani,Sobhan, Y1 - 2016/02/13/ PY - 2015/10/13/received PY - 2016/01/05/revised PY - 2016/02/08/accepted PY - 2016/3/21/entrez PY - 2016/3/21/pubmed PY - 2017/3/23/medline KW - Anterior knee pain KW - Chondromalacia KW - Electromyography KW - Manual therapy SP - 16 EP - 21 JF - Manual therapy JO - Man Ther VL - 22 N2 - OBJECTIVE: To evaluate the immediate effect of lubmopelvic manipulation on EMG activity of vastus medialis, vastus lateralis and gluteus medius as well as pain and functional performance of athletes with patellofemoral pain syndrome. DESIGN: Randomized placebo-controlled trial. METHODS: Twenty eight athletes with patellofemoral pain syndrome were randomly assigned to two groups. One group received a lubmopelvic manipulation at the side of the involved knee while the other group received a sham manipulation. EMG activity of the vasti and gluteus medius were recorded before and after manipulation while performing a rocking on heel task. The functional abilities were evaluated using two tests: step-down and single-leg hop. Additionally, the pain intensity during the functional tests was assessed using a visual analog scale. RESULTS: The onset and amplitude of EMG activity from vastus medialis and gluteus medius were, respectively, earlier and higher in the manipulation group compared to the sham group. There were no significant differences, however, between two groups in EMG onset of vastus lateralis. While the scores of one-leg hop test were similar for both groups, significant improvement was observed in step-down test and pain intensity in the manipulation group compared to the sham group. CONCLUSIONS: Lubmopelvic manipulation might improve patellofemoral pain and functional level in athletes with patellofemoral pain syndrome. These effects could be due to the changes observed in EMG activity of gluteus medius and vasti muscles. Therefore, the lubmopelvic manipulation might be considered in the rehabilitation protocol of the athletes with patellofemoral pain syndrome. SN - 1532-2769 UR - https://www.unboundmedicine.com/medline/citation/26995778/The_immediate_effect_of_lumbopelvic_manipulation_on_EMG_of_vasti_and_gluteus_medius_in_athletes_with_patellofemoral_pain_syndrome:_A_randomized_controlled_trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1356-689X(16)00010-2 DB - PRIME DP - Unbound Medicine ER -