Article

OBJECTIVE: To investigate and synthesize the effects of joint mobilization on
individuals with patellofemoral pain syndrome.
DATA SOURCES: Five electronic
databases (CINAHL, the Cochrane Central Register of Controlled Trials, PubMed,
Scopus, and SPORTDiscus) were used. REVIEW METHODS: Each database was searched
from inception to 1 November 2017. Randomized controlled trials investigating a
manual therapy intervention, with or without co-interventions, for persons with
patellofemoral pain were included. Two reviewers independently screened the
retrieved literature and appraised the quality of the selected studies using the
PEDro rating scale. A third reviewer was used in cases of discrepancy to create a
consensus. RESULTS: A total of 361 articles were identified in the search. Twelve
randomized trials with a total of 499 participants were selected for full review.
Within-group improvements in pain and function were noted for the manual therapy
groups. Between-group improvements for short-term outcomes (three months or less)
were greatest when joint mobilization was directed to the knee complex and used
as part of a comprehensive approach. CONCLUSION: 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.

Langue : ANGLAIS