Knee Pain Clinical Trial
Official title:
Effects of Lumbosacral Joint Mobilization/Manipulation on Lower Extremity Muscle Neuromuscular Response
Verified date | June 2010 |
Source | University of Virginia |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Institutional Review Board |
Study type | Interventional |
The purpose of this study is to gain a better understanding of the effects of lumbopelvic
manual therapy on lower extremity biomechanics and arthrogenic muscle response. As a result
of this study, we also hope that physical therapists, athletic trainers, and other physical
medicine rehabilitation providers will gain a better understanding of lower extremity
injuries and have the scientific evidence to provide patients with techniques which would
allow for efficient return to activities of daily living without restrictions and possibly
prevent future injuries and minimize risk of osteoarthritis.
The objectives of this study are to:
- Determine the amount and duration of arthrogenic muscle response of quadriceps muscles
following lumbopelvic joint manipulation.
- Determine the effects of lumbopelvic joint manipulation on temporospatial parameters of
gait such cadence, step length, velocity and mean peak lower extremity joint moments.
- Determine if a correlation exists between patellofemoral joint pain and lumbopelvic
joint dysfunction.
- Determine the amount of change in clinical outcome measure scores following lumbopelvic
joint manipulation.
Status | Terminated |
Enrollment | 106 |
Est. completion date | November 2009 |
Est. primary completion date | May 2009 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 18 Years to 50 Years |
Eligibility |
Inclusion Criteria: - Physician referral to physical therapy for treatment of insidious onset of lumbopelvic or lower extremity musculoskeletal dysfunction or individuals with chronic lumbopelvic or lower extremity musculoskeletal dysfunction not wishing to seek physical therapy services. - Unilateral or Bilateral hip pain or dysfunction - Unilateral or Bilateral knee pain or dysfunction with two of the following symptoms: - Pain reproduced with patella compression, squatting, prolonged sitting, going up or down stairs, or isometric quadriceps contraction. - Unilateral or Bilateral ankle pain or dysfunction - Lumbopelvic pain or dysfunction - Control subjects who volunteer in response to advertisements will have healthy, pain free, back, hips, knees, and ankles. Exclusion Criteria: - Participants who are outside of age range (to ensure bony maturity while reducing the prevalence of age related degenerative changes and hypomobility.) - Participants with knee pain which does not fit inclusion criteria. - Ligamentous insufficiency, meniscus damage, patellar tendonitis, history of subluxation/dislocation - Participants with signs indicating nerve root compression (contraindication for lumbopelvic joint manipulation) - Pain extending below knee - Positive Straight Leg Raise - Decreased lower extremity manual muscle test (Below 4/5), decreased sensation, hyporeflexia - Participants demonstrating upper motor neuron signs (contraindication to lumbopelvic manipulation) - Hyperreflexia - Pathological reflexes - Participants who have had lower extremity or spine surgery - Participants who are unable to run for 5 minutes. - Participants with ankylosing spondylitis (contraindication for lumbopelvic manipulation) - Participants with spinal hypermobility or spondylolisthesis. (contraindication for lumbopelvic manipulation) - Participants with spinal cord disease or cauda equina. (contraindication for lumbopelvic manipulation) - Participants with osteoporosis. (contraindication for lumbopelvic joint manipulation) - Participants with rheumatoid arthritis. (contraindication to lumbopelvic joint manipulation.) - Participants who may be currently pregnant. (contraindication for electrical stimulation and lumbopelvic joint manipulation.) - Participants with traumatic spine or lower extremity injury within past 6 months - Participants who are currently participating or have participated in a lower extremity musculoskeletal rehabilitation program within the past 6 months. - Participants who have had previous adverse reactions to electrical stimulation (i.e. electrode burns.) - Participants who have a demand-type cardiac pacemaker (contraindication for electrical stimulation) - Participants with diagnosis of cancer (current cancer is a contraindication for electrical stimulation and relative contraindication for lumbopelvic joint manipulation) - Participants who are unable to give consent or are unable to understand procedures of experiment. |
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United States | University of Virginia | Charlottesville | Virginia |
Lead Sponsor | Collaborator |
---|---|
University of Virginia | National Athletic Trainers’ Association Research & Education Foundation (NATA Foundation) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Neuromuscular response (central activation ratio), characteristics of gait (stride length, step length, etc.), joint moments | All study visits up to day 21 | No | |
Secondary | Characteristics of gait (stride length, step length, etc.) | All study visits up to day 21 | No | |
Secondary | Orthopedic special tests and questionnaires | Concluding at day 21 | No |
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