Department of Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Sevilla, 41009 Sevilla, Spain.
Physiotherapy Unit, Andalusian Health Service, 41005 Sevilla, Spain.
Int J Environ Res Public Health. 2021 Jan 25;18(3):1048. doi: 10.3390/ijerph18031048.
The health crisis caused by COVID-19 has had a huge impact on the provision of physiotherapists' services during the pandemic. Patellofemoral pain syndrome (PFPS) is a major health problem and one of the most common causes of pain in the front of the knee in outpatients. The objective was to evaluate the effectiveness of a therapeutic physical exercise (TPE) program supervised by a physiotherapist using telematic channels in reducing pain and disability in a sample of 54 patients with PFPS in the Physiotherapy Service of the San José de la Rinconada Health Center (Seville). Subjects were evaluated pre- and post-intervention (4 weeks-12 treatment sessions). An analysis was made of perceived pain-using the visual analog scale (VAS) and the DN4 neuropathic pain questionnaire-and functional balance-through the Kujala Score test and the Lower Extremity Functional Scale. The supervised TPE program in patients with PFPS produced a reduction in pain: VAS F = 8.68 ( = 0.005) η = 0.14 and DN4: F = 69.94 ( = 0.000) η = 0.57; and in Lower Extremity Functional Scale (LEFS) disability: F = 19.1 ( = 0.000) η = 0.27 and KUJALA: F = 60.28 ( = 0.000) η = 0.54, which was statistically significant ( = 0.000 for < 0.05). Hence, the TPE program presented was effective in reducing pain and disability in patients with PFPS.
由 COVID-19 引起的健康危机对大流行期间物理治疗师服务的提供产生了巨大影响。髌股疼痛综合征(PFPS)是一个主要的健康问题,也是门诊患者膝关节前部疼痛的最常见原因之一。目的是评估由物理治疗师通过远程通信渠道监督的治疗性体育锻炼(TPE)计划在减少 54 名 PFPS 患者疼痛和残疾方面的有效性在圣何塞·德·拉·里科纳达健康中心(塞维利亚)的物理治疗服务。受试者在干预前和干预后(4 周-12 次治疗)进行评估。使用视觉模拟量表(VAS)和 DN4 神经病理性疼痛问卷评估感知疼痛,使用 Kujala 评分测试和下肢功能量表评估功能平衡。PFPS 患者的监督 TPE 计划可减轻疼痛:VAS F = 8.68( = 0.005)η = 0.14 和 DN4:F = 69.94( = 0.000)η = 0.57;下肢功能量表(LEFS)残疾:F = 19.1( = 0.000)η = 0.27 和 KUJALA:F = 60.28( = 0.000)η = 0.54,具有统计学意义( = 0.000 为 <0.05)。因此,所提出的 TPE 计划在减轻 PFPS 患者的疼痛和残疾方面是有效的。