Research Unit for General Practice in Aalborg, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Center for Neuroplasticity and Pain (CNAP), SMI,Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Br J Sports Med. 2018 Mar;52(6):385. doi: 10.1136/bjsports-2017-097547. Epub 2017 Oct 30.
To evaluate the completeness of exercise prescription in randomised controlled trials (RCTs) for patellofemoral pain (PFP), identify which elements are most frequently missing and supplement recommendations based on additional data from authors.
Systematic review.
All studies included in the most recent Cochrane review were evaluated. Additionally, the Cochrane search was updated in June 2016 in Cochrane, MEDLINE, EMBASE, PEDro, CINAHL and AMED databases. Two raters independently assessed completeness of reporting using the Toigo and Boutellier mechanobiological exercise descriptors, and Template for Intervention Description and Replication (TIDieR) checklist. Authors were also contacted to provide additional information.
RCTs of exercise interventions for PFP.
We included 38 RCTs. The level of exercise prescription detail was low, with no study providing complete information. The most commonly reported exercise descriptors were the 'duration of the experimental period' (n=38/38) and 'number of exercise interventions' (n=35). From TIDieR, the most commonly reported items were the 'intervention name' (n=38) and 'rationale' (n=36).The least reported items from the exercise descriptors were 'volitional muscular failure', 'temporal distribution of contraction modes', 'time under tension' and 'recovery between exercise sessions' (all n=2/38). From TIDieR, the least reported item was 'How well (fidelity and adherence)' (n=3/38).36 authors were contacted, with 22 replies and 13 providing additional exercise prescription details .
Exercise prescriptions in RCTs with proven efficacy for PFP are poorly reported, impairing their implementation in clinical practice.
CRD42016039138.
评估随机对照试验（RCT）中髌股疼痛（PFP）运动处方的完整性，确定最常缺失的要素，并根据作者提供的额外数据补充建议。
系统评价。
评估了最近 Cochrane 综述中纳入的所有研究。此外，2016 年 6 月在 Cochrane、MEDLINE、EMBASE、PEDro、CINAHL 和 AMED 数据库中更新了 Cochrane 检索。两名评估员使用 Toigo 和 Boutellier 机械生物学运动描述符以及干预描述和复制模板（TIDieR）检查表独立评估报告的完整性。还联系了作者以提供额外信息。
PFP 运动干预的 RCT。
我们纳入了 38 项 RCT。运动处方的详细程度较低，没有研究提供完整的信息。报告最多的运动描述符是“实验期的持续时间”（n=38/38）和“运动干预的次数”（n=35）。从 TIDieR 来看，报告最多的项目是“干预名称”（n=38）和“原理”（n=36）。运动描述符中报告最少的项目是“自愿肌肉衰竭”、“收缩模式的时间分布”、“张力时间”和“运动之间的恢复”（均 n=2/38）。从 TIDieR 来看，报告最少的项目是“执行情况（忠实度和依从性）如何”（n=3/38）。联系了 36 位作者，其中 22 位回复，13 位提供了额外的运动处方细节。
在已证明对 PFP 有效的 RCT 中，运动处方的报告很差，这影响了其在临床实践中的实施。
PROSPERO 注册号：CRD42016039138。
