Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trial.

Autor: Priore LBD; Department of Physiotherapy, School of Science and Technology, Sao Paulo State University (UNESP), 305 Roberto Simonsen St, Presidente Prudente, SP, 19060-900, Brazil. liliam.priore@unesp.br., Perez VO; Department of Physiotherapy, School of Science and Technology, Sao Paulo State University (UNESP), 305 Roberto Simonsen St, Presidente Prudente, SP, 19060-900, Brazil., Briani RV; Department of Physiotherapy, School of Science and Technology, Sao Paulo State University (UNESP), 305 Roberto Simonsen St, Presidente Prudente, SP, 19060-900, Brazil., Farinelli LALB; Department of Physiotherapy, School of Science and Technology, Sao Paulo State University (UNESP), 305 Roberto Simonsen St, Presidente Prudente, SP, 19060-900, Brazil., da Silva JCP; Department of Physiotherapy, School of Science and Technology, Sao Paulo State University (UNESP), 305 Roberto Simonsen St, Presidente Prudente, SP, 19060-900, Brazil., Martins OMG; Brazilian Center for Mindfulness and Health Promotion - Mente Aberta, Federal University of Sao Paulo (Unifesp), Sao Paulo, Brazil., Lopes FA; Department of Computer Engineering, Virtual University of Sao Paulo State (UNIVESP), Dracena, Brazil., Amorim AB; School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia., Pappas E; School of Medicine and Illawarra Medical and Health Research Institute, University of Wollongong, Wollongong, Australia., de Azevedo FM; Department of Physiotherapy, School of Science and Technology, Sao Paulo State University (UNESP), 305 Roberto Simonsen St, Presidente Prudente, SP, 19060-900, Brazil.
Jazyk: angličtina
Zdroj: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2023 May 11; Vol. 24 (1), pp. 372. Date of Electronic Publication: 2023 May 11.
DOI: 10.1186/s12891-023-06491-x
Abstrakt: Background: Patellofemoral pain (PFP) is a common knee disorder that causes persistent pain, lower self-reported function and quality of life. People with PFP also present with altered psychological factors, which are associated with higher levels of pain and dysfunction. Mindfulness-based interventions (MBI) generally consist of meditative practices developed to provide a holistic approach to chronic conditions. However, the effects of MBI on clinical and psychological outcomes for people with PFP remains understudied.
Methods: This assessor-blinded, parallel, two-arm randomized clinical trial aims to investigate the effects of adding an 8-week online MBI program to exercise therapy and patient education on clinical and psychological factors for people with PFP. We also aim to investigate whether psychological factors mediate changes in pain and function. Sixty-two participants with PFP will be recruited and randomized into one of two treatment groups (Mindfulness or Control group). Both groups will receive an 8-week intervention involving exercise therapy and education delivered through an online platform. The Mindfulness group will additionally receive a MBI component including formal and informal practices. Outcomes will be assessed online at baseline, intervention endpoint (follow-up 1) and 12 months after intervention completion (follow-up 2). Comparisons between groups will be performed at all time points with linear mixed models. A mediation analysis will be performed using a 3-variable framework.
Discussion: Exercise therapy and patient education are considered the "best management" options for PFP. However, unsatisfactory long-term prognosis remains an issue. It is known that people with PFP present with altered psychological factors, which should be considered during the evaluation and treatment of people with PFP. Adding a MBI to the current best treatment for PFP may improve short and long-term effects by addressing the underlying psychological factors.
Trial Registration: Registro Brasileiro de Ensaios Clínicos (ReBEC) RBR-4yhbqwk, registered in April 6, 2021.
(© 2023. The Author(s).)
Databáze: MEDLINE
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