Patellofemoral Pain Syndrome Clinical Trial
Official title:
A Randomized Clinical Trial Comparing Two Chiropractic Protocols for Patellofemoral Pain Syndrome: a Pilot Study
The purpose of this study is to compare outcomes of combined chiropractic care in anterior knee pain patients with patellofemoral pain syndrome.
Exercise is standard of care for PFPS but gives limited pain reduction and functional
improvement. Previous manipulative therapy for PFPS (with and without exercise) has been
limited to the patellofemoral joint alone. However, literature suggests additional
manipulative therapy with exercise and soft-tissue treatment may give a better outcome.
Further research is needed.
Therefore, this project is a pilot study to inform a future randomized controlled trial to
determine if chiropractic adjusting of the full lower extremity (lumbosacral through foot)
combined with exercise and soft tissue treatment (Protocol and group A) is superior to
chiropractic adjusting of the knee (alone) combined with exercise and soft tissue treatment
(Protocol and group B) in the treatment of patellofemoral pain syndrome. We will use the
Anterior Knee Pain Scale (AKPS) and Visual Analogue Scale (VAS) as valid and reliable
primary outcome measures, a functional measure (step-ups, step-downs and squats) and a
Patient Satisfaction Scale (PSS - discharge or refer) as secondary outcome measures. This
study will help establish the feasibility of conducting quality research at Cleveland
Chiropractic College Los Angeles.
In this pilot study there will be two groups of 10 subjects each
1. Group A will receive CMT to the knee only, exercise and soft tissue treatment (Graston
Instrument Soft Tissue Mobilization hereafter GISTM)
2. Group B will receive CMT to the lumbosacral, sacroiliac and (all) lower extremity
joints, exercise and soft tissue treatment (GISTM).
Enrolled subjects will receive a total of 6 treatments. The primary endpoint will be a 2
month follow-up after the 6th treatment.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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