Predictors for identifying patients with patellofemoral pain syndrome responding to femoral nerve mobilization

Bing Yao Huang, Yi Fen Shih*, Wen Yin Chen, Hsiao Li Ma

*此作品的通信作者

研究成果: Article同行評審

4 引文 斯高帕斯(Scopus)

摘要

Abstract 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.

原文English
文章編號56076
頁(從 - 到)920-927
頁數8
期刊Archives of Physical Medicine and Rehabilitation
96
發行號5
DOIs
出版狀態Published - 1 5月 2015

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