Reaching a consensus on a patellofemoral pain syndrome self-management programme for recreational cyclists in Saudi Arabia: A modified Delphi study.

Background: Recreational cycling is increasingly popular in Al Madinah, Saudi Arabia. However, many cyclists lack structured self-management programmes (SMPs) to address patellofemoral pain syndrome (PFPS), a common overuse injury that significantly affects knee function and cycling performance. Des...

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Publicado en:South African Journal of Physiotherapy Vol. 82; no. 1; pp. 1 - 11
Autores principales: Masoudi, Ameen, Bello, Bashir, Chemane, Nomzamo, Useh, Ushotanefe, Magida, Nontembiso
Formato: research tables/charts Journal Article
Publicado: African Online Scientific Information System PTY LTD 2026
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Reaching a consensus on a patellofemoral pain syndrome self-management programme for recreational cyclists in Saudi Arabia: A modified Delphi study.
      aug:
        au:
          Masoudi, Ameen
          Bello, Bashir
          Chemane, Nomzamo
          Useh, Ushotanefe
          Magida, Nontembiso
        affil: Department of Physiotherapy, School of Health Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
      sug:
        subj:
          Consensus Saudi Arabia
          Patellofemoral Pain Syndrome Rehabilitation
          Patellofemoral Pain Syndrome Therapy
          Self-Management Saudi Arabia
          Cycling
          Saudi Arabia
          Human
          Delphi Technique
          Physical Therapists Psychosocial Factors
          Sports Medicine
          Exercise Physiologists Psychosocial Factors
          Summated Rating Scaling
          Muscle Strengthening
          Medical Practice, Evidence-Based
          Knee Pain Therapy
          Multidisciplinary Care Team
          Descriptive Statistics
          Male
          Female
          Adult
          Middle Age
          Qualitative Studies
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Recreational cycling is increasingly popular in Al Madinah, Saudi Arabia. However, many cyclists lack structured self-management programmes (SMPs) to address patellofemoral pain syndrome (PFPS), a common overuse injury that significantly affects knee function and cycling performance. Despite the growing interest in cycling, a critical gap remains in culturally relevant, evidence-based SMP. Objectives: Our study aimed to develop expert consensus on the essential components of SMP for recreational cyclists with PFPS. Method: Our study employed a two-round modified Delphi to develop expert consensus on the components of an SMP for recreational cyclists with PFPS. A panel of 25 experts, comprising physiotherapists, biokinetists, sports medicine professionals and exercise physiologists, participated in Round 1, with 19 experts (76% retention) completing Round 2. The process involved rating proposed programme objectives, principles, outcome measures and pain relief strategies using a four-point Likert scale. Consensus was defined as ≥ 70% of respondents selecting either 'disagree' to 'strongly agree'. Results: Consensus was reached on strengthening exercises (88%), evidence-based practice (84%), pain education (84%), PFPS education (92%) and knee pain management (92%). Round 2 results were streamlined and ranked according to pain, function, adherence, cultural resources and engagement supports, following clarifications and the addition of new items from experts. Conclusion: Our study establishes an evidence-based, region-specific framework for self-managing PFPS among recreational cyclists. Clinical implications: The proposed programme is designed to enhance adherence, reduce the risk of injury and improve cycling performance. Future research should evaluate the effectiveness of this approach, its scalability, outcomes and integration into national sports and rehabilitation strategies.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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