Sungwan Kim, Yin Wu, Neal R Glaviano, Linda S Pescatello
{"title":"髌骨股骨痛患者的体育锻炼水平：系统综述和元分析。","authors":"Sungwan Kim, Yin Wu, Neal R Glaviano, Linda S Pescatello","doi":"10.1177/19417381241264494","DOIUrl":null,"url":null,"abstract":"<p><strong>Context: </strong>Pain and symptoms of patellofemoral pain (PFP) are often exacerbated during daily activities, which may result in reduced overall physical activity levels.</p><p><strong>Objective: </strong>To summarize the evidence for physical activity levels among persons with PFP compared with pain-free controls.</p><p><strong>Data sources: </strong>PubMed, Embase, CINHAL, Cochrane Library, and SPORTDiscus were searched from January 1, 2000 to February 22, 2024.</p><p><strong>Study selection: </strong>Peer-reviewed studies published in English that measured physical activity subjectively or objectively in persons with PFP and pain-free controls.</p><p><strong>Study design: </strong>Systematic review with meta-analysis.</p><p><strong>Level of evidence: </strong>Level 1.</p><p><strong>Data extraction: </strong>Standardized mean difference (SMD) with 95% CI are reported based on Hedges' <i>g</i> effect sizes.</p><p><strong>Results: </strong>From 23,745 records, 41 studies met the eligibility criteria. There was high-to-moderate-certainty evidence that persons with PFP reported higher physical activity levels compared with pain-free controls using the International Physical Activity Questionnaire (SMD, 0.27; 95% CI 0.03, 0.51), whereas lower physical activity levels compared with pain-free controls using the Tegner Activity Scale (SMD, -0.31; 95% CI -0.57, -0.04). There was low-to-moderate-certainty evidence that there was no group difference in physical activity levels using the Baecke Physical Activity Questionnaire (SMD, 0.17; 95% CI -0.09, 0.44) or self-reported sports participation duration (SMD, -0.46; 95% CI -0.98, 0.05). There was high-certainty evidence that runners with PFP reported shorter running distances compared with pain-free runners (SMD, -0.36, 95% CI -0.57, -0.14). No data pooling was possible for objectively measured physical activity levels due to device heterogeneity (ie, different algorithms used to quantify the intensity of physical activity).</p><p><strong>Conclusion: </strong>Self-reported physical activity levels among persons with PFP were inconsistent depending on the physical activity measurement tool used or which specific physical activity was measured. Clinicians should integrate multiple physical activity assessment tools to determine the extent to which PFP influences physical activity levels.</p><p><strong>Trial registration: </strong>PROSPERO #CRD42022314598.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":null,"pages":null},"PeriodicalIF":2.7000,"publicationDate":"2024-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Physical Activity Levels in Persons With Patellofemoral Pain: A Systematic Review and Meta-analysis.\",\"authors\":\"Sungwan Kim, Yin Wu, Neal R Glaviano, Linda S Pescatello\",\"doi\":\"10.1177/19417381241264494\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Context: </strong>Pain and symptoms of patellofemoral pain (PFP) are often exacerbated during daily activities, which may result in reduced overall physical activity levels.</p><p><strong>Objective: </strong>To summarize the evidence for physical activity levels among persons with PFP compared with pain-free controls.</p><p><strong>Data sources: </strong>PubMed, Embase, CINHAL, Cochrane Library, and SPORTDiscus were searched from January 1, 2000 to February 22, 2024.</p><p><strong>Study selection: </strong>Peer-reviewed studies published in English that measured physical activity subjectively or objectively in persons with PFP and pain-free controls.</p><p><strong>Study design: </strong>Systematic review with meta-analysis.</p><p><strong>Level of evidence: </strong>Level 1.</p><p><strong>Data extraction: </strong>Standardized mean difference (SMD) with 95% CI are reported based on Hedges' <i>g</i> effect sizes.</p><p><strong>Results: </strong>From 23,745 records, 41 studies met the eligibility criteria. There was high-to-moderate-certainty evidence that persons with PFP reported higher physical activity levels compared with pain-free controls using the International Physical Activity Questionnaire (SMD, 0.27; 95% CI 0.03, 0.51), whereas lower physical activity levels compared with pain-free controls using the Tegner Activity Scale (SMD, -0.31; 95% CI -0.57, -0.04). There was low-to-moderate-certainty evidence that there was no group difference in physical activity levels using the Baecke Physical Activity Questionnaire (SMD, 0.17; 95% CI -0.09, 0.44) or self-reported sports participation duration (SMD, -0.46; 95% CI -0.98, 0.05). There was high-certainty evidence that runners with PFP reported shorter running distances compared with pain-free runners (SMD, -0.36, 95% CI -0.57, -0.14). No data pooling was possible for objectively measured physical activity levels due to device heterogeneity (ie, different algorithms used to quantify the intensity of physical activity).</p><p><strong>Conclusion: </strong>Self-reported physical activity levels among persons with PFP were inconsistent depending on the physical activity measurement tool used or which specific physical activity was measured. 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引用次数: 0
摘要
背景：髌骨股骨痛（PFP）的疼痛和症状通常会在日常活动中加剧，这可能会导致总体体力活动水平下降：总结与无痛对照组相比，PFP 患者体力活动水平的证据：数据来源：检索了 2000 年 1 月 1 日至 2024 年 2 月 22 日期间的 PubMed、Embase、CINHAL、Cochrane Library 和 SPORTDiscus：研究设计：研究设计：系统回顾与荟萃分析：数据提取根据赫奇斯效应大小（Hedges'g effect sizes）报告标准化平均差（SMD）和 95% CI：从 23745 条记录中，有 41 项研究符合资格标准。中高度确定性证据表明，与无痛对照组相比，PFP 患者使用国际体力活动调查问卷报告的体力活动水平更高（SMD，0.27；95% CI 0.03，0.51），而与无痛对照组相比，使用 Tegner 活动量表报告的体力活动水平更低（SMD，-0.31；95% CI -0.57，-0.04）。有中低度确定性证据表明，使用 Baecke 体力活动调查表（SMD，0.17；95% CI -0.09，0.44）或自我报告的运动参与持续时间（SMD，-0.46；95% CI -0.98，0.05），体力活动水平没有组间差异。有高度确定性的证据表明，与无痛跑步者相比，患有 PFP 的跑步者报告的跑步距离更短（SMD，-0.36；95% CI -0.57，-0.14）。由于设备的异质性（即用于量化体力活动强度的算法不同），无法对客观测量的体力活动水平进行数据汇总：结论：PFP 患者自我报告的体力活动水平并不一致，这取决于所使用的体力活动测量工具或测量的具体体力活动。临床医生应整合多种体力活动评估工具，以确定PFP对体力活动水平的影响程度：试验注册：PROCO #CRD42022314598。
Physical Activity Levels in Persons With Patellofemoral Pain: A Systematic Review and Meta-analysis.
Context: Pain and symptoms of patellofemoral pain (PFP) are often exacerbated during daily activities, which may result in reduced overall physical activity levels.
Objective: To summarize the evidence for physical activity levels among persons with PFP compared with pain-free controls.
Data sources: PubMed, Embase, CINHAL, Cochrane Library, and SPORTDiscus were searched from January 1, 2000 to February 22, 2024.
Study selection: Peer-reviewed studies published in English that measured physical activity subjectively or objectively in persons with PFP and pain-free controls.
Study design: Systematic review with meta-analysis.
Level of evidence: Level 1.
Data extraction: Standardized mean difference (SMD) with 95% CI are reported based on Hedges' g effect sizes.
Results: From 23,745 records, 41 studies met the eligibility criteria. There was high-to-moderate-certainty evidence that persons with PFP reported higher physical activity levels compared with pain-free controls using the International Physical Activity Questionnaire (SMD, 0.27; 95% CI 0.03, 0.51), whereas lower physical activity levels compared with pain-free controls using the Tegner Activity Scale (SMD, -0.31; 95% CI -0.57, -0.04). There was low-to-moderate-certainty evidence that there was no group difference in physical activity levels using the Baecke Physical Activity Questionnaire (SMD, 0.17; 95% CI -0.09, 0.44) or self-reported sports participation duration (SMD, -0.46; 95% CI -0.98, 0.05). There was high-certainty evidence that runners with PFP reported shorter running distances compared with pain-free runners (SMD, -0.36, 95% CI -0.57, -0.14). No data pooling was possible for objectively measured physical activity levels due to device heterogeneity (ie, different algorithms used to quantify the intensity of physical activity).
Conclusion: Self-reported physical activity levels among persons with PFP were inconsistent depending on the physical activity measurement tool used or which specific physical activity was measured. Clinicians should integrate multiple physical activity assessment tools to determine the extent to which PFP influences physical activity levels.
期刊介绍：
Sports Health: A Multidisciplinary Approach is an indispensable resource for all medical professionals involved in the training and care of the competitive or recreational athlete, including primary care physicians, orthopaedic surgeons, physical therapists, athletic trainers and other medical and health care professionals.
Published bimonthly, Sports Health is a collaborative publication from the American Orthopaedic Society for Sports Medicine (AOSSM), the American Medical Society for Sports Medicine (AMSSM), the National Athletic Trainers’ Association (NATA), and the Sports Physical Therapy Section (SPTS).
The journal publishes review articles, original research articles, case studies, images, short updates, legal briefs, editorials, and letters to the editor.
Topics include:
-Sports Injury and Treatment
-Care of the Athlete
-Athlete Rehabilitation
-Medical Issues in the Athlete
-Surgical Techniques in Sports Medicine
-Case Studies in Sports Medicine
-Images in Sports Medicine
-Legal Issues
-Pediatric Athletes
-General Sports Trauma
-Sports Psychology
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