The effects of joint mobilization on individuals with patellofemoral pain: a systematic review

Jayaseelan, Dhinakar J.; Scalzitti, David A.; Palmer, G. J.; Immerman, Alex; Courtney, Carol A.

doi:10.1177/0269215517753971

Cited by 23 publications

(21 citation statements)

References 29 publications

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“…There is insufficient evidence to determine the effect of JM on quality of life, adherence and patient expectancy in the treatment of CMP. Previous reviews and meta-analyses show chronic musculoskeletal conditions studied separately and involving manual therapy as a set or combination of manual techniques (neck pain 35,50 , lower back pain 14,51 , patellofemoral pain 52 , impingement syndrome 53 , hip OA 1 , or using a particular technique of JM for pain treatment 54 . In addition, it presents restrictions on language and publication period of selected articles, and the search was performed in a small number of databases, which makes these studies limited.…”

Section: Discussionmentioning

confidence: 99%

Joint mobilization associated or not to other therapies reduces chronic musculoskeletal pain: a systematic review

Sousa

Dantas

Azevedo-Santos³

et al. 2020

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: Joint mobilization is a non-pharmacological technique used to treat chronic musculoskeletal pain. However, it is controversial due to a lack of studies comparing its effects on this painful condition. The objective of this study was to assess the risk of bias in clinical trials investigating the effect of joint mobilization on chronic musculoskeletal pain. CONTENTS: A systematic search on Pubmed, Cochrane Library, ScienceDirect, Scielo, PEDro, CINAHL, SPORTDiscus, LILACS, BVS, PsycINFO, Web of Science, and Scopus was performed on September 2019 from the combination of three keywords: Musculoskeletal Manipulations AND Chronic Pain AND Musculoskeletal Pain. Randomized controlled clinical trials that evaluated the use of joint mobilization associated or not to other therapies in chronic musculoskeletal pain treatment were included. Five thousand five hundred eighty-seven articles were screened, and 14 studies were analyzed, including 812 participants, with a mean age of 54 years, and female being the most affected. According to these articles, joint mobilization promoted the reduction of pain intensity in short and long terms, increase in range of motion, strength and function when used alone or in association with conventional physiotherapy. Regarding methodological quality, most of the studies were classified with low risk for selection, performance, detection and reporting bias. In the "other bias" item, which considered therapists experience Joint mobilization associated or not to other therapies reduces chronic musculoskeletal pain: a systematic review Mobilização articular associada ou não a outras terapias reduz dor musculoesquelética crônica: uma revisão sistemática

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Section: Discussionmentioning

confidence: 99%

Joint mobilization associated or not to other therapies reduces chronic musculoskeletal pain: a systematic review

Sousa

Dantas

Azevedo-Santos³

et al. 2020

Brazilian Journal of Pain

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“…It is thus imperative to individually assess each patient to identify and subsequently address his or her impairments, functional limitations, and activity restrictions. Management of PFP should consist of an individualized (47), multi-modal approach with exercise therapy as the hallmark of the plan (9,16,26,59–61).…”

Section: Treatmentmentioning

confidence: 99%

“…Joint mobilizations may be effective in improving pain and function among individuals with PFP when joint mobilizations are directed at the knee (i.e., patellofemoral and tibiofemoral joint) and combined with a comprehensive treatment approach including exercise (59). A case study by Lantz et al highlights the potential benefit of tibiofemoral mobilizations in an individual with chronic PFP (68).…”

Section: Treatmentmentioning

confidence: 99%

The current management of patients with patellofemoral pain from the physical therapist’s perspective

Capin¹,

Snyder‐Mackler²

2018

Ann. Joint

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Patellofemoral pain (PFP) is a common diagnosis that includes an amalgam of conditions that are typically non-traumatic in origin and result in peripatellar and/or retropatellar knee pain. The purpose of this review is to provide an overview of the physical therapist’s management, including the evaluation and treatment, of the patient with PFP. A thorough history is critical for appropriately diagnosing and optimally managing PFP; the history should include the date of symptom onset, mechanism of injury and/or antecedent events, location and quality of pain, exacerbating and alleviating symptoms, relevant past medical history, occupational demands, recreational activities, footwear, and patient goals. Physical examination should identify the patient’s specific impairments, assessing range of motion (ROM), muscle length, effusion, resisted isometrics, strength, balance and postural control, special tests, movement quality, palpation, function, and patient reported outcome measures. Objective assessments should guide treatment, progression, and clinical decision-making. The rehabilitation program should be individually tailored, addressing the patient’s specific impairments and functional limitations and achieving the patient’s goals. Exercise therapy, including hip, knee, and core strengthening as well as stretching and aerobic exercise, are central to the successful management of PFP. Other complimentary treatments may include patellofemoral and tibiofemoral joint mobilizations, patellofemoral taping, neuromuscular training, and gait retraining. Appropriate progression of interventions should consider objective evaluations (e.g., effusion, soreness rules), systematic increases in loading, and the chronicity of symptoms. Although short-term changes or reductions in movement often are necessary in a protective capacity, the persistence of altered movement is a key characteristic of chronic pain, which may be managed in part through emphasis on function over symptoms, graded exposure, patient education, and perhaps referral. PFP etiology is largely movement related and a comprehensive conservative treatment using movement can be successful.

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“…Este, por sua vez, modifica a área de contato na articulação patelofemoral, aumentando a pressão e o estresse local (12,14,15) . Eckenrode et al (111) Nove ensaios Analisando mais detalhadamente os estudos incluídos nas revisões sistemáticas de Espí-López et al (109) , Jayaseelan et al (110) e Eckenrode et al (111) , notou-se que praticamente todos os ensaios clínicos utilizaram técnicas de mobilização ou manipulação articular que foram aplicadas nos segmentos da coluna lombar, articulação sacro-ilíaca ou joelho. Somente um estudo (Brantingham et al (112) ), que está contido na revisão sistemática de Espí-López et al (109) , fez uso da Terapia Manual na articulação do tornozelo.…”

Section: Terapia Manualunclassified

“…Manual no tratamento de pacientes com DPF observaram que a realização de mobilizações ou manipulações articulares possuem um discreto efeito na melhora da dor no joelho principalmente a curto prazo (109)(110)(111) , corroborando parcialmente com nossos resultados. Porém, vale ressaltar que todos os estudos incluídos nas três revisões sistemáticas fizeram uso da Terapia Manual dentro de um programa de tratamento multimodal, diferentemente do nosso estudo que usou a mobilização articular como única estratégia de intervenção.…”

Section: Três Recentes Revisões Sistemáticas Que Analisaram Os Efeitounclassified

Efeito imediato da mobilização de tornozelo na amplitude de dorsiflexão em cadeia cinética fechada em mulheres com dor patelofemoral: um ensaio clínico aleatorizado

Coelho¹

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The effects of joint mobilization on individuals with patellofemoral pain: a systematic review

Abstract: In the articles reviewed, joint mobilization appears to be most effective in improving pain and function when coupled with other interventions, although its discrete effect is unclear due to the reviewed studies' design and reporting.

Cited by 23 publications

References 29 publications

Joint mobilization associated or not to other therapies reduces chronic musculoskeletal pain: a systematic review

Joint mobilization associated or not to other therapies reduces chronic musculoskeletal pain: a systematic review

The current management of patients with patellofemoral pain from the physical therapist’s perspective

Efeito imediato da mobilização de tornozelo na amplitude de dorsiflexão em cadeia cinética fechada em mulheres com dor patelofemoral: um ensaio clínico aleatorizado

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