Article

OBJECTIVE: To identify the predictors for successful neurodynamic management in
patients with patellofemoral pain syndrome.
DESIGN: Prospective cohort,
prediction rule study. SETTING: Hospital. PARTICIPANTS: Patients with
patellofemoral pain syndrome (N=51) underwent clinical examination and
measurement of physical parameters, including femoral slump test, lower-extremity
alignment, flexibility and muscle strength, and functional level. INTERVENTION:
Patients received 6 treatment sessions of femoral nerve mobilization within 2
weeks. MAIN OUTCOME MEASURES: Pain level during functional testing was assessed
before and after the first and sixth session of treatment. Patients were then
grouped into responder and nonresponder groups. Criteria for the responder group
was a pain score decrease >/=50% or Global Rating Scale score >/=4. Chi-square
and independent t tests were used to identify potential variables with a
significance level of .10, and stepwise logistic regression was used to find
predictors with a significance level of .05. RESULTS: Twenty-five patients
responded to the initial treatment (immediate effect), and 28 patients responded
after 6 sessions (longer-term effect). A positive femoral slump test was
identified as the predictor for the immediate treatment effect.
The prediction
factors for the longer-term effect included responding to femoral nerve
mobilization the first time and a bilateral difference in hip extension angles.
Application of the clinical predictors improved the success rate to 90% for 1
treatment session and 93% for 6 treatment sessions. CONCLUSIONS: Clinicians could
use the positive femoral slump test and a bilateral difference in hip extension
angles during the femoral slump test to determine whether or not patients with
patellofemoral pain syndrome might benefit from femoral nerve mobilization.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS