{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:41:16Z","timestamp":1777466476180,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chondromalacia patella (CMP) is characterized by cartilage degeneration in the patellofemoral joint, often causing anterior knee pain and impaired knee function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to evaluate the effectiveness of manipulative therapy in patients diagnosed with CMP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective randomized study, 40 patients diagnosed with CMP were randomly assigned to the manipulative therapy group or the control group. Both groups underwent strengthening and stretching exercises targeting the knee and hip muscles. Additionally, the manipulative therapy group received manipulative therapy focusing on the thoracolumbar, lumbopelvic, and sacroiliac joints three times a week. Pain intensity was measured using the Visual Analog Scale (VAS), while disability was assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Active knee flexion was recorded, muscle performance was evaluated using the Stair Climbing Test (SCT) and Horizontal Jump Test (HJT), and balance was assessed using the Star Excursion Balance Test (SEBT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both groups showed significant improvements in VAS, active knee flexion, WOMAC scores, SCT, HJT, and SEBT outcomes. However, the manipulative therapy group demonstrated significantly greater improvements than the control group in disability (WOMAC scores,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001, d\u2009=\u20091.93), horizontal jump performance (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.03, d\u2009=\u20091.57), and balance (SEBT outcomes,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001, d\u2009=\u20091.60).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>By integrating manipulative therapy with strengthening and stretching exercises targeting the knee and hip muscles, clinicians can offer a multifaceted intervention that addresses the biomechanical and neurophysiological aspects of the condition, enhancing the rehabilitation process and functional recovery in patients with CMP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127251391087","type":"journal-article","created":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T17:12:46Z","timestamp":1762794766000},"page":"808-816","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing rehabilitation outcomes in chondromalacia Patella: The impact of combining manipulative therapy with a structured exercise program"],"prefix":"10.1177","volume":"39","author":[{"given":"Yas\u0131n","family":"Gormez","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bahcesehir University, Istanbul, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gamze","family":"Dem\u0131rc\u0131oglu","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Atlas University, Istanbul, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,10]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.22271\/yogic.2022.v7.i1b.1269"},{"key":"e_1_3_3_3_2","first-page":"2017","article-title":"Effect of Kinesiotape therapy on chondromalacia patellae","volume":"3","author":"Alshammeri MMA","year":"2017","unstructured":"Alshammeri MMA, Alshamary EMSM, Alanz AMJ, et al. 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