An evaluation of loaded self-managed exercise programme to manage patellofemoral pain

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An evaluation of loaded self-managed exercise programme to manage patellofemoral pain

Amidst the population below the age of 40, the most common form of knee pain is the patellofemoral pain (PFP) with the prevalence of 23% with inferior long-term prognosis. The only one-third of persons get improvement from pain one year after diagnosis. However, the approaches involving its management are not up to the mark. There is a need for the improvisation of strategies with an alternative mechanism of action, beyond joints and muscles, desensitising strategies that involve exercises that target activities and movements of patients find painful and fearful.

There is a necessity for additional high-quality research of exercise prescript with specific tissue pathology and dose-response with regards to pain mechanisms.
Therefore, researchers aim to conduct a feasible and acceptable randomized controlled trial that involved the determination of loaded self-managed exercise programme's cost and clinical efficacy. The design of the study is sequential, mixed-methods, single-centred and multiphase that to compare self-managed exercise programme effectiveness with usual physiotherapy.
In the beginning, only 8 to 10 patients with minimum 3-month PFP history were selected from an NHS physiotherapy waiting list and interviewed to discuss the impact of PFP and perceived facilitators and barriers to exercise engagement. Further, for the main phase, a total of 60 patients were assigned in the same fashion. The group categorization was carried out by using a web-based service. The major aim of the loaded self-managed exercise programme was to reduce limb knee and hip weakness and related fear/avoidance with importance on self-management. The assessment measures were the fear avoidance behaviours, catastrophising, self-efficacy, quality of life, demographic data, sport and leisure activity participation and visual analogue scale (VAS). The follow up will be at 3 and 6 months apart. The study concentrated on confidence intervals and descriptive statistics. A thematic analysis approach was developed via qualitative components.
The study determined the strengths and weaknesses of the recommended protocol and the efficacy and features of the outcome measures. The outcomes from of the survey helped to notify the design of a multicentre trial.


Pilot and Feasibility Studies

Link to the source:

Original title of article:

Study protocol: a mixed methods feasibility study for a loaded self-managed exercise programme for patellofemoral pain


Benjamin E. Smith et al.

Therapeutic, Patellofemoral Pain, Knee, Sequential Mixed-methods Single-centred and Multiphase Trail, Efficacy, VAS
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