A loaded self-managed exercise programme for patellofemoral pain: a mixed methods feasibility study
<br/><strong>Background: </strong>A novel loaded self-managed exercise programme that includes pain education and self-management strategies may result in better outcomes for people with patellofemoral pain (PFP). However, establishing program feasibility is an essential first step...
Main Authors: | , , , , , , , |
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Format: | Journal article |
Language: | English |
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BioMed Central
2019
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_version_ | 1797105942724083712 |
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author | Smith, BE Hendrick, P Bateman, M Moffatt, F Rathleff, MS Selfe, J Smith, TO Logan, P |
author_facet | Smith, BE Hendrick, P Bateman, M Moffatt, F Rathleff, MS Selfe, J Smith, TO Logan, P |
author_sort | Smith, BE |
collection | OXFORD |
description | <br/><strong>Background: </strong>A novel loaded self-managed exercise programme that includes pain education and self-management strategies may result in better outcomes for people with patellofemoral pain (PFP). However, establishing program feasibility is an essential first step before testing efficacy. The purpose of this study was to evaluate the feasibility and acceptability of conducting a definitive RCT which will evaluate the clinical and cost-effectiveness of a loaded self-managed exercise programme for people with PFP compared with usual physiotherapy.<br/><strong>Methods: </strong>In a mixed methods, pragmatic, randomised controlled feasibility study, 60 participants with PFP (57% female; mean age 29 years) were recruited from a physiotherapy clinic within a large UK teaching hospital. They were randomly allocated to receive either a loaded self-managed exercise programme (n = 30) or usual physiotherapy (n = 30). Feasibility indicators of process, resources, and management were collected through follow-up of standardised questionnaires six months after recruitment and semi-structured interviews with 20 participants and physiotherapists.<br/><strong>Results: </strong>Recruitment rate was 5 participants per month; consent rate was 99%; adherence to intervention appointments was 87%; completeness of questionnaire data was 100%; and adherence to intervention delivery was 95%.<br/>Three exercise diaries were returned at six months (5%). At six months, 25 questionnaire booklets were returned (9 in the loaded self-managed group, 16 in the usual physiotherapy group), with a total retention rate of 42%.<br/>At six months, 56% (5/9) of respondents in the loaded self-managed group and 56% (9/16) in the usual physiotherapy group were classified as ‘recovered’.<br/>Both groups demonstrated improvements in average pain (VAS), kinesiophobia, pain catastrophizing, general self-efficacy and EQ-5D-5 L from baseline to six months.<br/><strong>Conclusion: </strong>The results of this feasibility study confirm that it is feasible and acceptable to deliver a loaded self-managed exercise programme to adults with PFP in an NHS physiotherapy outpatient setting. However, between group differences in lost to follow up and poor exercise diary completion mean we are uncertain on some feasibility aspects. These methodological issues need addressing prior to conducting a definitive RCT. |
first_indexed | 2024-03-07T06:54:35Z |
format | Journal article |
id | oxford-uuid:fdb353c6-3c13-45bd-8e17-37c5573d455d |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-07T06:54:35Z |
publishDate | 2019 |
publisher | BioMed Central |
record_format | dspace |
spelling | oxford-uuid:fdb353c6-3c13-45bd-8e17-37c5573d455d2022-03-27T13:30:52ZA loaded self-managed exercise programme for patellofemoral pain: a mixed methods feasibility studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:fdb353c6-3c13-45bd-8e17-37c5573d455dEnglishSymplectic Elements at OxfordBioMed Central2019Smith, BEHendrick, PBateman, MMoffatt, FRathleff, MSSelfe, JSmith, TOLogan, P<br/><strong>Background: </strong>A novel loaded self-managed exercise programme that includes pain education and self-management strategies may result in better outcomes for people with patellofemoral pain (PFP). However, establishing program feasibility is an essential first step before testing efficacy. The purpose of this study was to evaluate the feasibility and acceptability of conducting a definitive RCT which will evaluate the clinical and cost-effectiveness of a loaded self-managed exercise programme for people with PFP compared with usual physiotherapy.<br/><strong>Methods: </strong>In a mixed methods, pragmatic, randomised controlled feasibility study, 60 participants with PFP (57% female; mean age 29 years) were recruited from a physiotherapy clinic within a large UK teaching hospital. They were randomly allocated to receive either a loaded self-managed exercise programme (n = 30) or usual physiotherapy (n = 30). Feasibility indicators of process, resources, and management were collected through follow-up of standardised questionnaires six months after recruitment and semi-structured interviews with 20 participants and physiotherapists.<br/><strong>Results: </strong>Recruitment rate was 5 participants per month; consent rate was 99%; adherence to intervention appointments was 87%; completeness of questionnaire data was 100%; and adherence to intervention delivery was 95%.<br/>Three exercise diaries were returned at six months (5%). At six months, 25 questionnaire booklets were returned (9 in the loaded self-managed group, 16 in the usual physiotherapy group), with a total retention rate of 42%.<br/>At six months, 56% (5/9) of respondents in the loaded self-managed group and 56% (9/16) in the usual physiotherapy group were classified as ‘recovered’.<br/>Both groups demonstrated improvements in average pain (VAS), kinesiophobia, pain catastrophizing, general self-efficacy and EQ-5D-5 L from baseline to six months.<br/><strong>Conclusion: </strong>The results of this feasibility study confirm that it is feasible and acceptable to deliver a loaded self-managed exercise programme to adults with PFP in an NHS physiotherapy outpatient setting. However, between group differences in lost to follow up and poor exercise diary completion mean we are uncertain on some feasibility aspects. These methodological issues need addressing prior to conducting a definitive RCT. |
spellingShingle | Smith, BE Hendrick, P Bateman, M Moffatt, F Rathleff, MS Selfe, J Smith, TO Logan, P A loaded self-managed exercise programme for patellofemoral pain: a mixed methods feasibility study |
title | A loaded self-managed exercise programme for patellofemoral pain: a mixed methods feasibility study |
title_full | A loaded self-managed exercise programme for patellofemoral pain: a mixed methods feasibility study |
title_fullStr | A loaded self-managed exercise programme for patellofemoral pain: a mixed methods feasibility study |
title_full_unstemmed | A loaded self-managed exercise programme for patellofemoral pain: a mixed methods feasibility study |
title_short | A loaded self-managed exercise programme for patellofemoral pain: a mixed methods feasibility study |
title_sort | loaded self managed exercise programme for patellofemoral pain a mixed methods feasibility study |
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