Evidence map›Paper›PMID 30721093›Full record

Trial reportJournal of athletic training2019

Impairment-Based Rehabilitation With Patterned Electrical Neuromuscular Stimulation and Lower Extremity Function in Individuals With Patellofemoral Pain: A Preliminary Study.

Neal R Glaviano, Ashley N Marshall, L Colby Mangum, Joseph M Hart, Jay Hertel, Shawn Russell, Susan A Saliba

Registry-linked trialOpen access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of athletic training, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02441712 (Supervised Rehabilitation With Patterned Electrical Neuromuscular Stimulation for Patients With Patellofemoral Pain), which is not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02441712 nacompletednot on this map

Supervised Rehabilitation With Patterned Electrical Neuromuscular Stimulation for Patients With Patellofemoral Pain

TypeinterventionalSponsorUniversity of VirginiaRan2015 to 2017Enrolled21ConditionsPatellofemoral Pain SyndromeArmsPENS
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Neal R GlavianoCollege of Health and Human Services, School of Exercise and Rehabilitation Sciences, University of Toledo, OH.
Ashley N MarshallDepartment of Interdisciplinary Health Sciences, A.T. Still University, Mesa, AZ.
L Colby MangumCollege of Health Professions and Sciences, University of Central Florida, Orlando.
Joseph M HartDepartment of Orthopedic Surgery, University of Virginia, Charlottesville.
Jay HertelDepartment of Orthopedic Surgery, University of Virginia, Charlottesville.
Shawn RussellDepartment of Orthopedic Surgery, University of Virginia, Charlottesville.
Susan A SalibaDepartment of Kinesiology, University of Virginia, Charlottesville.
University of Virginia · USA.T. Still University · USUniversity of Central Florida · USUniversity of Toledo · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextPatellofemoral pain (PFP) is a chronic condition that presents with lower extremity muscle weakness, decreased flexibility, subjective functional limitations, pain, and decreased physical activity. Patterned electrical neuromuscular stimulation (PENS) has been shown to affect muscle activation and pain after a single treatment, but its use has not been studied in a rehabilitation trial.

objectiveTo determine the effects of a 4-week impairment-based rehabilitation program using PENS on subjective function, pain, strength, range of motion, and physical activity in individuals with PFP.

designRandomized controlled trial.

settingLaboratory. PATIENTS OR OTHER

participantsA total of 21 patients with PFP (5 males, 16 females; age = 23.4 ± 7.6 years, height = 168.0 ± 7.5 cm, mass = 69.0 ± 19.5 kg). INTERVENTION(S): Participants completed a 4-week supervised rehabilitation program in conjunction with random assignment to receive PENS or sham treatments. MAIN OUTCOME MEASURE(S): Subjective function, pain, strength, range of motion, and physical activity levels were assessed prerehabilitation and postrehabilitation. Subjective function and pain were also assessed at 6 and 12 months postrehabilitation. Repeated-measures analyses of variance and Tukey post hoc testing were conducted with α ≤ .05. We calculated Cohen d effect sizes with 95% confidence intervals.

resultsBoth groups had statistically and clinically meaningful differences in subjective function, pain, strength, range of motion, and activity level after 4 weeks of impairment-based rehabilitation. Improved subjective function was observed in both groups at 6 and 12 months after the interventions. The PENS group had improvements in current pain for all 3 postrehabilitation times compared with baseline measures.

conclusionsAn impairment-based intervention effectively improved subjective function, pain, strength, range of motion, and physical activity levels in individuals with PFP. Participants who received PENS in addition to the rehabilitation program had improved current pain at 6 and 12 months postrehabilitation compared with baseline scores.

trial registrationClinicalTrials.gov identifier: NCT02441712.

Indexed as

Musculoskeletal PainPatellofemoral Pain SyndromeAdolescentAdultElectric Stimulation TherapyFemaleHumansLower ExtremityMaleMuscle StrengthPain MeasurementRange of Motion, ArticularRecovery of FunctionTreatment Outcomeanterior knee painkneelower extremity

Identifiers

PMID30721093
PMCPMC6485849
OpenAlexW2912492028

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.