Beliefs of People With Patellofemoral Pain About Their Condition and Treatments Before and After Self‐Directed Access to a Web‐Based Education Platform.

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...

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Publicado en:Musculoskeletal Care Vol. 23; no. 3; pp. 1 - 15
Autores principales: Souto, Larissa Rodrigues, De Oliveira Silva, Danilo, Pazzinatto, Marcella Ferraz, Barton, Christian John
Formato: clinical trial research tables/charts Journal Article
Publicado: Wiley-Blackwell Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/msc.70165
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        atl: Beliefs of People With Patellofemoral Pain About Their Condition and Treatments Before and After Self‐Directed Access to a Web‐Based Education Platform.
      aug:
        au:
          Souto, Larissa Rodrigues
          De Oliveira Silva, Danilo
          Pazzinatto, Marcella Ferraz
          Barton, Christian John
        affil: La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Australia
      sug:
        subj:
          Patellofemoral Pain Syndrome Psychosocial Factors
          Patellofemoral Pain Syndrome Therapy
          Knee Pain
          Self-Directed Learning
          Internet Access
          World Wide Web
          Health Education Methods
          Health Beliefs
          Outcomes of Education Evaluation
          Human
          Male
          Female
          Pretest-Posttest Design
          Descriptive Statistics
          Visual Analog Scaling
          Scales
          Adult
          Nonrandomized Trials
          Clinical Trials
          Funding Source
          Checklists
          Questionnaires
          Sedentary Behavior
          Orthoses
          Taping and Strapping
          Therapeutic Exercise
          Injections
          Dry Needling
          Patellofemoral Pain Syndrome Surgery
          Ultrasonic Therapy
          Adult: 19-44 years
          Male
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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