Manipulation for Patellofemoral Pain Syndrome

Purpose: Identify patients with patellofemoral pain syndrome (PFPS) who will likely have a positive immediate response to lumbopelvic manipulation.

Stage of CPR Development: Invalidated (Crowell et al., 2012).

Rule:

1. Difference in hip IR > 14 degrees
2. Ankle dorsiflexion with knee flexed > 16 degrees
3. Navicular drop > 3mm
4. No stiffness with sitting 20 min
5. Squatting is most painful activity

Interpretation:

Study	Variables	Sensitivity	Specificity	+LR	-LR
Iverson et al., 2008	2	0.91	0.56	2.05	0.16
	3	0.68	0.96	18.40	0.33
	4	0.32	1.00	∞	0.68
Crowell et al., 2012	2	0.72	0.11	0.80	2.70
	3	0.45	0.33	0.70	1.70
	4	0.16	0.84	1.00	1.00