Leibbrandt D, Louw Q. The effect of an individualised functional retraining intervention on pain, function and biomechanics in participants with patellofemoral pain: a series of n of 1 trial.
J Phys Ther Sci 2019;
31:39-52. [PMID:
30774204 PMCID:
PMC6348178 DOI:
10.1589/jpts.31.39]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Accepted: 10/07/2018] [Indexed: 12/01/2022] Open
Abstract
[Purpose] To determine the effect of an individualised functional retraining intervention
on pain, function, kinematics and self-reported recovery in participants with PFP.
[Participants and Methods] Thirty-one participants with unilateral PFP between the ages of
14–40 were included. Data collection and treatment sessions were conducted at the
Tygerberg 3D Motion Analysis Laboratory and Physiotherapy Clinic at the University of
Stellenbosch Medical School in Cape Town, South Africa. Participants underwent motion
analysis testing pre- and post-intervention and attended physiotherapy weekly for a 6-week
individualised intervention. [Results] Thirty of the thirty-one participants (96.8%)
demonstrated improved pain levels (NPRS) post intervention. Participants demonstrated a
statistically significant improvement in function (AKPS) immediately post intervention and
continued to improve with greater functional scores at 6-month follow up. Fifteen
participants (48.4%) rated themselves as fully recovered on a 7-point Likert scale at
6-month follow up. Nineteen of the 31 participants (61.3%) demonstrated a clinically
significant improvement in their priority kinematic outcome post intervention.
[Conclusion] Individualised functional retraining may improve pain, function, kinematics
and long-term recovery in participants with PFP presenting with kinematic contributing
factors. Clinicians need to be educated on common biomechanical contributing factors and
how to tailor treatment accordingly.
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