Beliefs of People With Patellofemoral Pain About Their Condition and Treatments Before and After Self-Directed Access to a Web-Based Education Platform.
Larissa Rodrigues Souto, Danilo De Oliveira Silva, Marcella Ferraz Pazzinatto, Christian John Barton
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引用次数: 0
Abstract
Objectives: To evaluate the beliefs of people with patellofemoral pain (PFP) about their condition's development and persistence, and treatment options, before and after self-directed access to a web-based education platform.
Design: Pre- and post-intervention trial.
Methods: Fifty-eight people with PFP completed custom questionnaires (open-ended and multiple choice) before and 6 weeks after accessing the "My Knee Cap" web-based education platform. Questions covered beliefs about causes and persistence of pain, effectiveness of treatments, and willingness to undergo surgery. Open-ended responses were analysed thematically. McNemar's test with Yates correction compared changes between pre- and post-intervention for multiple choice questions.
Results: At baseline and 6 weeks, PFP onset was primarily attributed to loading. At baseline, pain persistence was linked to loading, structure, and muscle impairments, with muscle impairments being replaced by sedentary behaviour at the 6-week follow-up. At baseline, most participants (69%-81%) believed that taping, bracing, foot orthoses, and exercises were effective treatment options. Fewer participants (16%-22%) believed that dry needling, injections, ultrasound, and surgery were effective. At 6 weeks, beliefs about the effectiveness of exercise (16% increase, ES = 0.15), injections (13% decrease, ES = 0.44), and ultrasound (15% decrease, ES = 0.50) changed. At baseline and 6 weeks, most participants (93%-95%) believed exercise was more effective than surgery, and 46%-59% were willing to undergo surgery if imaging revealed abnormalities.
Conclusion: Beliefs about the causes and persistence of PFP centred on loading and pathoanatomical factors, remaining largely unchanged after self-directed web-based education. Web-based education may help to promote the benefits of exercise and reduce beliefs that injection and ultrasound are helpful.
期刊介绍：
Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
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