Detailed Search Results
| Author/Association: | Selhorst M, Hoehn J, Schmitt L, Benedict J, Fernandez-Fernandez A |
| Title: | The effect of a psychologically informed video series to treat adolescents with patellofemoral pain: a randomized controlled trial [with consumer summary] |
| Source: | The Journal of Orthopaedic and Sports Physical Therapy 2023 Oct;53(10):634-642 |
| Method: | clinical trial |
| Method Score: | 8/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: Yes; Blind therapists: Yes; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
| Consumer Summary: | KEY POINTS FINDINGS: Adding brief, psychologically informed education to an exercise-based physical therapy program improved function and reduced pain among adolescents with patellofemoral pain (PFP). Psychological beliefs are important and may influence response to exercise interventions in adolescents with PFP. IMPLICATIONS: Clinicians should consider in-corporating brief, psychologically informed education into rehabilitation programs designed with adolescents who have PFP. CAUTION: We assessed the effects of apsychologically informed interventionon adolescents with PFP, and the resultsshould not be generalized to adults. |
| Abstract: | OBJECTIVE: To test whether a series of brief, psychologically informed educational videos added to physical therapy improved function among adolescents with patellofemoral pain. The secondary aims were to assess pain and psychological beliefs. DESIGN: A double-blinded randomized controlled trial. METHODS: Sixty-eight adolescents with patellofemoral pain were randomly assigned to view brief, psychologically informed videos (n = 34) or control videos (n = 34) in addition to usual care physical therapy. The psychologically informed videos targeted fear-avoidance beliefs, kinesiophobia, and pain catastrophizing. The control videos conveyed basic anatomy, biomedical factors, and lower extremity mechanics. Outcomes were assessed at baseline, 3 weeks, 6 weeks (primary end point), and 3 months. The primary outcome was change in the Anterior Knee Pain Scale. Secondary outcomes were changes in Numeric Pain-Rating Scale and psychological beliefs (Modified Fear-Avoidance Beliefs Questionnaire-Physical Activity, Tampa Kinesiophobia Scale-11, and Pain Catastrophizing Scale-Child). RESULTS: Adolescents in the psychologically informed group experienced significantly greater improvements in function (Anterior Knee Pain Scale mean difference 8 points; 95% CI 2.2 to 13.2; p = 0.01) and pain (Numeric Pain-Rating Scale mean difference 1.2 points; 95% CI 0.1 to 2.4; p = 0.04) at 6 weeks compared to the control group. The psychologically informed group had significantly greater reductions in psychological beliefs over time than the control group (p < 001; partial eta2 = 0.32). CONCLUSION: Incorporating psychologically informed education into physical therapy care improved function, pain, and psychological beliefs to a greater extent than the control group. Full text (sometimes free) may be available at these link(s):  help |
