Patient Education for Patellofemoral Pain: A Systematic Review

• Main Author: Silva, Danilo De Oliveira [UNESP]
• Publication Date: 2020
• Other Authors: Pazzinatto, Marcella Ferraz [UNESP], Rathleff, Michael Skovdal, Holden, Sinead, Bell, Emily [UNESP], Azevedo, Fabio [UNESP], Barton, Christian
• Format: Other
• Language: eng
• Source: Repositório Institucional da UNESP
• Download full: http://dx.doi.org/10.2519/jospt.2020.9400; http://hdl.handle.net/11449/209710
• topic: anterior knee pain; health; knee; rehabilitation

OBJECTIVE: To evaluate the effect of education interventions compared with any type of comparator on managing patellofemoral pain (PFP). DESIGN: Intervention systematic review. PROSPERO identifier: CRD42018088671. LITERATURE SEARCH: MEDLINE, Embase, CINAHL, and Web of Science were searched for studies evaluating the effect of education on clinical and functional outcomes in people with PFP. STUDY SELECTION CRITERIA: Two reviewers independently assessed studies for inclusion and quality. We included randomized controlled trials on PFP where at least 1 group received an education intervention (in isolation or in combination with other interventions). DATA SYNTHESIS: Available data were synthesized via meta-analysis where possible; data that were not appropriate for pooling were synthesized qualitatively. Interpretation was guided by the Grading of Recommendations Assessment, Development and Evaluation approach. RESULTS: Nine trials were identified. Low credibility evidence indicated that health education material alone was inferior to exercise therapy for pain and function outcomes. Lowand very low-credibility evidence indicated that health professional-delivered education alone produced outcomes similar to those of exercise therapy combined with health professional-delivered education for pain and function, respectively. CONCLUSION: Health professional-delivered education may produce similar outcomes in pain and function compared to exercise therapy plus health professional-delivered education in people with PFP.