Clinic- and laboratory-based measures of postural control in patellofemoral pain: A systematic review with meta-analysis and evidence gap map.

Autor: Batista NP; School of Exercise and Rehabilitation Sciences, University of Toledo, Toledo, OH, USA. Electronic address: natan.pbatista@gmail.com., de Oliveira Silva D; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia. Electronic address: d.deoliveirasilva@latrobe.edu.au., Mochizuki L; School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil. Electronic address: mochi@usp.br., Norte GE; School of Exercise and Rehabilitation Sciences, University of Toledo, Toledo, OH, USA. Electronic address: grant.norte@ucf.edu., Bazett-Jones DM; School of Exercise and Rehabilitation Sciences, University of Toledo, Toledo, OH, USA. Electronic address: david.bazettjones@utoledo.edu.
Jazyk: angličtina
Zdroj: Gait & posture [Gait Posture] 2024 Mar; Vol. 109, pp. 189-200. Date of Electronic Publication: 2024 Feb 03.
DOI: 10.1016/j.gaitpost.2024.02.002
Abstrakt: Background: Patellofemoral pain (PFP) is a prevalent musculoskeletal disorder associated with functional impairments. Although postural control is commonly assessed in people with PFP, there are inconsistent results regarding potential postural control deficits in this population.
Research Question: This review aims to evaluate whether postural control is impaired in people with patellofemoral pain (PFP) and the effectiveness of interventions on postural control measures.
Methods: We searched six databases from their inception to May 5, 2023. We included studies assessing clinic- or laboratory-based postural control measures in people with PFP compared to pain-free controls, and intervention studies with PFP populations. We assessed risk of bias using the Joanna Briggs Institute critical appraisal checklists and the Cochrane Risk of Bias 2 tool. We assessed the certainty of evidence using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach. We used random-effects meta-analyses considering subgroups based on type of task, measure, and intervention.
Results: Fifty-three studies were included. Very low certainty evidence indicated that people with PFP have shorter anterior (SMD = 0.53, 95 %CI:0.16,0.90), posteromedial (SMD = 0.54, 95 %CI:0.04,1.03) and posterolateral (SMD = 0.59, 95 %CI:0.11,1.07) reach distance, and worse composite score (SMD = 0.46, 95 %CI:0.22,0.70). Very low to moderate certainty evidence indicated that people with PFP have worse anterior-posterior and overall stability indexes during single-leg stance (SMD = -0.71, 95 %CI:-1.29,-0.14; SMD = -0.63, 95 %CI:-0.94,-0.32) and overall stability index during double-leg stance (SMD = -0.39, 95 %CI:-0.78,-0.00), but no differences in center of pressure area during stair ascent (SMD = 0.32, 95 %CI:-2.72, 3.36). Low certainty evidence indicated that kinesio taping improved anterior reach distance (SMD = -0.49, 95 %CI:-0.89,-0.09), while no significant differences were observed between pre- and post-intervention outcomes for conventional rehabilitation and rigid taping.
Significance: Clinicians should use clinic- (star excursion or Y-balance tests) and laboratory-based (stability indexes) measures to identify impairments of postural control in people with PFP. Low certainty of evidence suggests short-term improvement in postural control with kinesio taping.
Competing Interests: Declaration of Competing Interest We affirm that we have no financial affiliation or involvement with any commercial organization that has a direct financial interest in any matter included in this manuscript. We also affirm that we have no other conflict of interest (e.g., personal associations or involvement) that has played a role in the design, execution, analysis and interpretation of data or writing of this manuscript. Each of the authors has read and concurs with the content in the final manuscript. The material within has not been and will not be submitted for publication elsewhere except as an abstract.
(Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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