Artigo Científico - Seis sessões de terapia manual aumentam a flexão do joelho e melhora a atividade em pessoas com dor anterior no joelho
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Six sessions of manual therapy increase knee flexion and improve activity in people with anterior knee pain: a randomised controlled trial
Paul A van den Dolder1 and David L Roberts2
1Justice Health 2 Concord Repatriation General Hospital Australia
Question: What are the effects of manual therapy on pain, range of motion, and activity in patients with anterior knee pain?
Design: Randomised controlled trial.
Participants: Thirty-eight ambulatory care patients (one dropout) with anterior knee pain.
Intervention: The experimental intervention consisted of six sessions of manual therapy, while the control intervention was to remain on the waiting list for two weeks.
Outcome measures: Pain was measured using the Patellofemoral Pain Severity Questionnaire. Active knee flexion and extension was measured from photographs. Activity was measured by having the participants step up and down a 15 cm step, leading with the painful leg as many times as they could in a 60 second period. Measurements were taken before and after intervention by a blinded assessor.
Results: The experimental group decreased their pain by –8 mm (95% CI –17 to 1, p = 0.08) and pain on stairs by –10 mm (95% CI –22 to 2, p = 0.10) compared with the control group. They increased their active knee flexion by 10 deg (95% CI 4 to 16, p = 0.004) and the number of steps in 60 seconds by 5 (95% CI 2 to 8, p = 0.001) compared with the control group.
Conclusion: Manual therapy is effective in improving knee flexion and stair climbing in patients with anterior knee pain. There is a trend towards a small improvement in pain.
[vanden Dolder PA, Roberts DL (2006) Six sessions of manual therapy increase knee flexion and improve activity in people with anterior knee pain: a randomised controlled trial. Australian Journal of Physiotherapy 261–264]
Key words: Patellofemoral Pain Syndrome, Massage, Physical Therapy Techniques
Paul A van den Dolder1 and David L Roberts2
1Justice Health 2 Concord Repatriation General Hospital Australia
Question: What are the effects of manual therapy on pain, range of motion, and activity in patients with anterior knee pain?
Design: Randomised controlled trial.
Participants: Thirty-eight ambulatory care patients (one dropout) with anterior knee pain.
Intervention: The experimental intervention consisted of six sessions of manual therapy, while the control intervention was to remain on the waiting list for two weeks.
Outcome measures: Pain was measured using the Patellofemoral Pain Severity Questionnaire. Active knee flexion and extension was measured from photographs. Activity was measured by having the participants step up and down a 15 cm step, leading with the painful leg as many times as they could in a 60 second period. Measurements were taken before and after intervention by a blinded assessor.
Results: The experimental group decreased their pain by –8 mm (95% CI –17 to 1, p = 0.08) and pain on stairs by –10 mm (95% CI –22 to 2, p = 0.10) compared with the control group. They increased their active knee flexion by 10 deg (95% CI 4 to 16, p = 0.004) and the number of steps in 60 seconds by 5 (95% CI 2 to 8, p = 0.001) compared with the control group.
Conclusion: Manual therapy is effective in improving knee flexion and stair climbing in patients with anterior knee pain. There is a trend towards a small improvement in pain.
[vanden Dolder PA, Roberts DL (2006) Six sessions of manual therapy increase knee flexion and improve activity in people with anterior knee pain: a randomised controlled trial. Australian Journal of Physiotherapy 261–264]
Key words: Patellofemoral Pain Syndrome, Massage, Physical Therapy Techniques