دورية أكاديمية
Are adjunct treatments effective in improving pain and function when added to exercise therapy in people with patellofemoral pain? A systematic review with meta-analysis and appraisal of the quality of interventions.
| العنوان: | Are adjunct treatments effective in improving pain and function when added to exercise therapy in people with patellofemoral pain? A systematic review with meta-analysis and appraisal of the quality of interventions. |
|---|---|
| المؤلفون: | Souto LR; Departament of Physiotherapy, Universidade Federal de Sao Carlos, Sao Carlos, São Paulo, Brazil larissasouto@live.com., De Oliveira Silva D; La Trobe Sport and Medicine Research Centre (LASEM), La Trobe University, Bundoora/Melbourne, Victoria, Australia.; Discipline of Physiotherapy, School of Allied Health, Human Services and Sport, LaTrobe University, Melbourne, Victoria, Australia., Pazzinatto MF; La Trobe Sport and Medicine Research Centre (LASEM), La Trobe University, Bundoora/Melbourne, Victoria, Australia., Siqueira MS; Departament of Physiotherapy, Universidade Federal de Sao Carlos, Sao Carlos, São Paulo, Brazil., Moreira RFC; Departament of Physiotherapy, Universidade Federal de Sao Carlos, Sao Carlos, São Paulo, Brazil., Serrão FV; Departament of Physiotherapy, Universidade Federal de Sao Carlos, Sao Carlos, São Paulo, Brazil. |
| المصدر: | British journal of sports medicine [Br J Sports Med] 2024 Jul 01; Vol. 58 (14), pp. 792-804. Date of Electronic Publication: 2024 Jul 01. |
| نوع المنشور: | Journal Article; Systematic Review; Meta-Analysis |
| اللغة: | English |
| بيانات الدورية: | Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 0432520 Publication Model: Electronic Cited Medium: Internet ISSN: 1473-0480 (Electronic) Linking ISSN: 03063674 NLM ISO Abbreviation: Br J Sports Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : BMJ Publishing Group Original Publication: Loughborough, Eng. |
| مواضيع طبية MeSH: | Exercise Therapy*/methods , Patellofemoral Pain Syndrome*/therapy , Randomized Controlled Trials as Topic*, Humans ; Athletic Tape ; Combined Modality Therapy ; Diathermy |
| مستخلص: | Objective: To compare the effectiveness of adjunct treatments combined with exercise to exercise alone in people with patellofemoral pain (PFP) and explore the quality of intervention descriptions in randomised controlled trials (RCTs). Design: Systematic review. Data Sources: Seven databases were searched in November 2023. Eligibility: RCTs that evaluated the effectiveness of any adjunct treatment combined with exercise to exercise alone on self-reported pain and function in people with PFP. Results: We included 45 RCTs (2023 participants), with 25 RCTs (1050 participants) contributing to meta-analyses. Pooled analysis indicated very low-certainty evidence that neuromuscular electrical stimulation or monopolar dielectric diathermy combined with exercise leads to small and large improvements in self-reported pain when compared with exercise alone (standardised mean difference (95% CI)=-0.27 (-0.53 to -0.02) and -2.58 (-4.59 to -0.57), respectively) in the short-term. For self-reported pain and function, very low-certainty evidence indicates that knee taping, whole-body vibration, electromyographic biofeedback and knee brace combined with exercise do not differ from exercise alone. Interventions are poorly described in most RCTs, adjunct treatments scored on average 14/24 and exercise therapy 12/24 in the Template for Intervention Description and Replication checklist. Conclusion: Neuromuscular electrical stimulation and monopolar dielectric diathermy combined with exercise seem to improve self-reported pain in people with PFP compared with exercise alone. Knee taping, whole-body vibration, electromyographic biofeedback and knee brace do not offer additional benefits to exercise alone. Most interventions are poorly described, which is detrimental to translating research knowledge into clinical practice. Prospero Registration Number: CRD42020197081. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.) |
| فهرسة مساهمة: | Keywords: exercise |
| تواريخ الأحداث: | Date Created: 20240618 Date Completed: 20240701 Latest Revision: 20240702 |
| رمز التحديث: | 20240703 |
| DOI: | 10.1136/bjsports-2024-108145 |
| PMID: | 38889956 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1473-0480 |
|---|---|
| DOI: | 10.1136/bjsports-2024-108145 |