Lumbopelvic Manipulation for Patellofemoral Pain
Clinical Prediction Rule
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Variables PresentPositive Likelihood Ratio =
Probability of Success
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Variables PresentPositive Likelihood Ratio =
Probability of Success
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Variables PresentPositive Likelihood Ratio =
Probability of Success
Navicular DropTest
Reliability of Navicular Drop Test alone:
Intratester Reliability (ICC)
Intertester Reliability (ICC)
Reference: Picciano et al.
Evidence
Iverson CA, Sutlive TG, Crowell MS, et al. Lumbopelvic manipulation for the treatment of patients with patellofemoral pain syndrome: development of a clinical prediction rule. J Orthop Sports Phys Ther. 2008 Jun;38(6):297-309; discussion 309-12.
“We developed a [clinical prediction rule] that identified the characteristics of patients with [patellofemoral pain syndrome] who would experience an immediate, positive response to treatment with lumbopelvic manipulation, as based on a 50% or greater reduction in the composite [Numeric Pain Rating Scale] or a score of +4 or higher on the [Global Rating of Change] for 3 functional tests (squatting, stepping up a 20-cm step, and stepping down a 20-cm step).”Iverson CA, Sutlive TG, Crowell MS, et al.
Crowell MS, Wofford NH. Lumbopelvic manipulation in patients with patellofemoral pain syndrome. J Man Manip Ther. 2012 Aug;20(3):113-20.
“We were unable to replicate the [clinical prediction rule] developed by Iverson and colleagues in a separate study sample. There does not appear to be any clinically meaningful changes in hip range of motion, hip strength, quadriceps strength, or functional ability immediately following a lumbopelvic manipulation in patients with [patellofemoral pain syndrome].”Crowell MS, Wofford NH.
No impact analysis study currently published regarding this clinical prediction rule.
