Current management strategies for patellofemoral pain: an online survey of 99 practising UK physiotherapists

Background: Patellofemoral pain (PFP) is considered one of the commonest forms of knee pain. This study aimed to identify how physiotherapists in the United Kingdom (UK) currently manage patellofemoral pain (PFP), particularly in relation to exercise prescription, and response to pain. Methods: An...

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Main Authors: Smith, Benjamin E., Hendrick, Paul, Bateman, Marcus, Moffatt, Fiona, Rathleff, Michael Skovdal, Selfe, James, Smith, Toby O., Logan, Pip
Format: Article
Published: BioMed Central 2017
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Online Access:https://eprints.nottingham.ac.uk/42442/
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author Smith, Benjamin E.
Hendrick, Paul
Bateman, Marcus
Moffatt, Fiona
Rathleff, Michael Skovdal
Selfe, James
Smith, Toby O.
Logan, Pip
author_facet Smith, Benjamin E.
Hendrick, Paul
Bateman, Marcus
Moffatt, Fiona
Rathleff, Michael Skovdal
Selfe, James
Smith, Toby O.
Logan, Pip
author_sort Smith, Benjamin E.
building Nottingham Research Data Repository
collection Online Access
description Background: Patellofemoral pain (PFP) is considered one of the commonest forms of knee pain. This study aimed to identify how physiotherapists in the United Kingdom (UK) currently manage patellofemoral pain (PFP), particularly in relation to exercise prescription, and response to pain. Methods: An anonymous survey was designed with reference to previous surveys and recent systematic reviews. Practising UK physiotherapists who treat patients with PFP were invited to take part via an invitation email sent through professional networks, the ‘interactive Chartered Society of Physiotherapy (iCSP)’ message board, and social media (Twitter). Descriptive statistics were used to analyse the data. Results: A total of 99 surveys were completed. Responders reported a wide range of management strategies, including a broad selection of type and dose of exercise prescription. The five most common management strategies chosen were: closed chain strengthening exercises (98%); education and advice (96%); open chain strengthening exercises (76%); taping (70%) and stretches (65%). Physiotherapists with a special interest in treating PFP were statistically more likely to manage patients with orthotics (P=0.02) and bracing (P=0.01) compared to physiotherapists without a special interest. Approximately 55% would not prescribe an exercise if it was painful. Thirty-one percent of physiotherapists would advise patients not to continue with leisure and/or sporting activity if they experienced any pain. Conclusion: Current UK practice in the management strategies of PFP is variable. Further high quality research on which to inform physiotherapy practice is warranted for this troublesome musculoskeletal condition.
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spelling nottingham-424422020-05-04T18:45:06Z https://eprints.nottingham.ac.uk/42442/ Current management strategies for patellofemoral pain: an online survey of 99 practising UK physiotherapists Smith, Benjamin E. Hendrick, Paul Bateman, Marcus Moffatt, Fiona Rathleff, Michael Skovdal Selfe, James Smith, Toby O. Logan, Pip Background: Patellofemoral pain (PFP) is considered one of the commonest forms of knee pain. This study aimed to identify how physiotherapists in the United Kingdom (UK) currently manage patellofemoral pain (PFP), particularly in relation to exercise prescription, and response to pain. Methods: An anonymous survey was designed with reference to previous surveys and recent systematic reviews. Practising UK physiotherapists who treat patients with PFP were invited to take part via an invitation email sent through professional networks, the ‘interactive Chartered Society of Physiotherapy (iCSP)’ message board, and social media (Twitter). Descriptive statistics were used to analyse the data. Results: A total of 99 surveys were completed. Responders reported a wide range of management strategies, including a broad selection of type and dose of exercise prescription. The five most common management strategies chosen were: closed chain strengthening exercises (98%); education and advice (96%); open chain strengthening exercises (76%); taping (70%) and stretches (65%). Physiotherapists with a special interest in treating PFP were statistically more likely to manage patients with orthotics (P=0.02) and bracing (P=0.01) compared to physiotherapists without a special interest. Approximately 55% would not prescribe an exercise if it was painful. Thirty-one percent of physiotherapists would advise patients not to continue with leisure and/or sporting activity if they experienced any pain. Conclusion: Current UK practice in the management strategies of PFP is variable. Further high quality research on which to inform physiotherapy practice is warranted for this troublesome musculoskeletal condition. BioMed Central 2017-05-08 Article PeerReviewed Smith, Benjamin E., Hendrick, Paul, Bateman, Marcus, Moffatt, Fiona, Rathleff, Michael Skovdal, Selfe, James, Smith, Toby O. and Logan, Pip (2017) Current management strategies for patellofemoral pain: an online survey of 99 practising UK physiotherapists. BMC Musculoskeletal Disorders, 18 . 181/1-181/11. ISSN 1471-2474 patellofemoral pain anterior knee pain exercise therapy survey https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-017-1539-8 doi:10.1186/s12891-017-1539-8 doi:10.1186/s12891-017-1539-8
spellingShingle patellofemoral pain
anterior knee pain
exercise therapy
survey
Smith, Benjamin E.
Hendrick, Paul
Bateman, Marcus
Moffatt, Fiona
Rathleff, Michael Skovdal
Selfe, James
Smith, Toby O.
Logan, Pip
Current management strategies for patellofemoral pain: an online survey of 99 practising UK physiotherapists
title Current management strategies for patellofemoral pain: an online survey of 99 practising UK physiotherapists
title_full Current management strategies for patellofemoral pain: an online survey of 99 practising UK physiotherapists
title_fullStr Current management strategies for patellofemoral pain: an online survey of 99 practising UK physiotherapists
title_full_unstemmed Current management strategies for patellofemoral pain: an online survey of 99 practising UK physiotherapists
title_short Current management strategies for patellofemoral pain: an online survey of 99 practising UK physiotherapists
title_sort current management strategies for patellofemoral pain: an online survey of 99 practising uk physiotherapists
topic patellofemoral pain
anterior knee pain
exercise therapy
survey
url https://eprints.nottingham.ac.uk/42442/
https://eprints.nottingham.ac.uk/42442/
https://eprints.nottingham.ac.uk/42442/