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Abstract：
Patellofemoral pain syndrome (PFPS) is one of the most common etiologies of knee pain and might be relieved with lumbopelvic manipulation (LPM). This meta-analysis aimed to investigate the effects of LPM on pain reduction in patients with PFPS. Electronic databases were searched from inception to December 2023 for randomized controlled trials (RCTs) investigating the effects of LPM on PFPS. The primary outcome was the change in visual analog or numeric rating scale scores assessing pain. Ten studies comprising 346 participants were included. Significant pain reduction was noted in the LPM group (Hedges\' g = -0.706, 95% confidence interval [CI] = -1.197 to -0.214, p = 0.005, I2 = 79.624%) compared with the control group. Moreover, pain relief was more pronounced when LPM was combined with other physical therapies (Hedges\' g = -0.701, 95% CI = -1.386 to -0.017, p = 0.045, I2 = 73.537%). No adverse events were reported during the LPM. The LPM appears to be a safe and effective adjuvant therapy for pain reduction in patients with PFPS. Clinicians should consider adding LPM to other physical therapies (e.g., quadriceps muscle strengthening) during the management of these patients.
摘要：
髌股疼痛综合征（PFPS）是膝关节疼痛最常见的病因之一，可以通过腰骨盆操作（LPM）缓解。本荟萃分析旨在探讨LPM对PFPS患者疼痛减轻的影响。从开始到2023年12月搜索电子数据库，以研究LPM对PFPS的影响的随机对照试验（RCT）。主要结果是评估疼痛的视觉模拟或数字评定量表评分的变化。纳入了由346名参与者组成的10项研究。与对照组相比，LPM组的疼痛明显减轻（Hedges\'g=-0.706，95％置信区间[CI]=-1.197至-0.214，p=0.005，I2=79.624％）。此外，当LPM与其他物理治疗联合应用时,疼痛缓解更为显著(Hedges\'g=-0.701,95%CI=-1.386~-0.017,p=0.045,I2=73.537%).在LPM期间未报告不良事件。LPM似乎是减轻PFPS患者疼痛的安全有效的辅助疗法。临床医生应考虑在其他物理治疗中加入LPM(例如，股四头肌加强）在这些患者的管理过程中。
