Developing a Community-Based Exercise and Physical Programme for Runners With Patellofemoral Pain in Under-Resourced Communities: A Delphi Study.
Purpose: Patellofemoral pain (PFP) is a multifactorial condition that is highly prevalent among recreational runners. Poor homeostasis between load and runner's capacity is the main cause of PFP. A low-cost and community-based intervention is needed to address the rehabilitation needs of runners in...
| Publicado en: | Physiotherapy Canada Vol. 77; no. 3; pp. 313 - 321 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
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University of Toronto Press
Aug2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187899196&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187899196 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03000508 R42 jtl: Physiotherapy Canada issn: 03000508 maglogo: N pubinfo: dt: Aug2025 vid: 77 iid: 3 pid: 678 pub: University of Toronto Press place: North York, Ontario artinfo: ui: 187899196 177550339 187899196 187899196 10.3138/ptc-2023-0098 187899196 ppf: 313 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Developing a Community-Based Exercise and Physical Programme for Runners With Patellofemoral Pain in Under-Resourced Communities: A Delphi Study. aug: au: Kunene, Siyabonga affil: From the Physiotherapy Department, University of the Witwatersrand, Johannesburg, South Africa, and Wits Sports and Health, University of the Witwatersrand, Johannesburg, South Africa. sug: subj: Therapeutic Exercise Methods Community Programs Running Athletes Patellofemoral Pain Syndrome Rehabilitation Resource-Limited Settings Running Injuries Rehabilitation Human Male Female Adult Middle Age Delphi Technique Descriptive Statistics Summated Rating Scaling Muscle Strengthening Hip Physiology Quadriceps Muscles Physiology Stress, Psychological Anxiety Sleep Hygiene Counseling Questionnaires Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Purpose: Patellofemoral pain (PFP) is a multifactorial condition that is highly prevalent among recreational runners. Poor homeostasis between load and runner's capacity is the main cause of PFP. A low-cost and community-based intervention is needed to address the rehabilitation needs of runners in under-resourced communities. The purpose of this study was to develop a community-based exercise and physical programme for runners with PFP in under-resourced communities. Method: This study used a Delphi method that included sports experts (physicians, physiotherapists, biokineticists, podiatrists, and sports therapists) who consented to participate. Delphi included three rounds of iterations to attain consensus among experts. Experts reached a consensus by rating PFP programme items using the 5-point Likert scale. Results: Ten experts participated. There were more males (n = 6) than females (n = 4). Participants were aged between 36 and 55 years (n = 5) and had 16–20 years of clinical experience (n = 5). Delphi process yielded an exercise and physical intervention, which included the following 10 recommended strategies: hip muscle training, quadriceps muscle training, general lower limb and trunk strengthening, use of appropriate running shoes, and use of prefabricated in-shoe foot orthosis, tissue mobilization, patellar taping/bracing, education, flexibility exercises, addressing external loads, and addressing non-physical internal loads. Conclusions: A consensus was reached for a suitable exercise and physical programme for runners in under-resourced communities. A follow-up implementation study is, therefore, recommended. Résumé: Objectif : les douleurs fémoropatellaires (DFP) désignent une affection multifactorielle hautement prévalente chez les coureurs récréatifs. Une mauvaise homéostasie entre la charge et la capacité du coureur en est la principale cause. Une intervention communautaire peu coûteuse s'impose pour répondre aux besoins de réadaptation des coureurs dans des communautés pauvres en ressources. L'objectif de cette étude était de préparer un programme communautaire d'exercice et d'activité physique pour les coureurs éprouvant des DFP dans des communautés pauvres en ressources. Méthodologie : cette étude faisait appel à une méthode Delphi auprès d'experts du sport (médecins, physiothérapeutes, biokinésistes, podiatres et thérapeutes sportifs) qui avaient consenti à participer. La méthode Delphi incluait trois itérations pour parvenir au consensus des experts. Les experts y sont parvenus par le classement des points du programme de DFP au moyen de l'échelle de Likert en cinq points. Résultats : dix experts ont participé, soit plus d'hommes (n = 6) que de femmes (n = 4), âgés de 36 à 55 ans (n = 5) et ayant de 16 à 20 ans d'expérience clinique (n = 5). Le processus Delphi comprenait une forme d'exercice et une intervention physique, qui incluaient les dix stratégies recommandées suivantes: entraînement du muscle de la hanche, entraînement du quadriceps, renforcement général des membres inférieurs et du tronc, utilisation de chaussures de course appropriées, utilisation d'une orthèse plantaire préfabriquée, mobilisation des tissus, rubans kinésiologiques ou orthèses patellaires, éducation, exercices de souplesse, prise en compte des charges externes et des charges internes non physiques. Conclusions : les chercheurs sont parvenus à un consensus quant à un programme d'exercice et d'activité physique approprié pour les coureurs dans les communautés pauvres en ressources. Une étude de suivi de la mise en œuvre est donc recommandée. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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