Smith Benjamin E, Hendrick Paul, Bateman Marcus, Moffatt Fiona, Rathleff Michael Skovdal, Selfe James, Smith Toby O, Logan Pip
Derby Teaching Hospitals NHS Foundation Trust, Physiotherapy Department (Level 3), London Road Community Hospital, Derby, DE1 2QY, UK.
Division of Rehabilitation and Ageing, School of Medicine, University of Nottingham, Nottingham, UK.
BMC Musculoskelet Disord. 2017 May 8;18(1):181. doi: 10.1186/s12891-017-1539-8.
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.
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.
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.
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.
髌股疼痛（PFP）被认为是最常见的膝关节疼痛形式之一。本研究旨在确定英国的物理治疗师目前如何管理髌股疼痛（PFP），特别是在运动处方和对疼痛的反应方面。
参考以往的调查和近期的系统评价设计了一项匿名调查。通过专业网络、“物理治疗师特许协会互动版（iCSP）”留言板和社交媒体（推特）发送邀请邮件，邀请治疗PFP患者的英国执业物理治疗师参与。使用描述性统计分析数据。
共完成99份调查问卷。受访者报告了广泛的管理策略，包括多种类型和剂量的运动处方。选择的五种最常见管理策略为：闭链强化练习（98%）；教育与建议（96%）；开链强化练习（76%）；贴扎（70%）和拉伸（65%）。与没有特殊兴趣的物理治疗师相比，对治疗PFP有特殊兴趣的物理治疗师在统计学上更有可能使用矫形器（P = 0.02）和支具（P = 0.01）来管理患者。如果运动时疼痛，约55%的人不会开运动处方。31%的物理治疗师会建议患者如果感到疼痛就不要继续休闲和/或体育活动。
英国目前在PFP管理策略方面的实践存在差异。对于这种麻烦的肌肉骨骼疾病，有必要进行进一步的高质量研究，为物理治疗实践提供依据。
