Physiotherapy Department, University of KwaZulu-Natal, Durban, South Africa.
Lifestyle Diseases Research Entity, Faculty of Health Sciences, North West University, Mafikeng, South Africa.
JMIR Res Protoc. 2024 Nov 1;13:e58340. doi: 10.2196/58340.
BACKGROUND: Patellofemoral pain syndrome is a highly prevalent overuse knee injury in athletic populations associated with pain and functional limitations, exacerbated by activities such as running, pivoting, cycling, and jumping. Self-management programs empowering athletes to take an active role in controlling their symptoms for chronic musculoskeletal conditions such as patellofemoral pain syndrome have grown in popularity. However, the efficacy of self-management programs specifically for athletes with patellofemoral pain syndrome is unclear due to limited and heterogeneous evidence. OBJECTIVE: The systematic review study will evaluate the effectiveness of self-management programs on pain and function, in athletes with patellofemoral pain syndrome. METHODS: PubMed/MEDLINE, Cochrane Library, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and PsycINFO databases will be systematically searched using terms related to "patellofemoral pain syndrome," "self-management," and "athletes." Interventional studies that are randomized and nonrandomized controlled trials will be included, comparing self-management programs to other treatments or control conditions among athletes with patellofemoral pain syndrome. Four reviewers will independently screen studies, extract data using the COVIDENCE software, and assess the quality of the study and evidence using the Pedro scale of risk of bias tool and GRADE approach, respectively. If feasible, a meta-analysis will be performed using the RevMan (version 5.4; the Cochrane Collaboration). RESULTS: The systematic review is currently in the search phase, with the authors refining search strings for the selected databases. The final search strings are expected to be ready by March 2024, and the review is projected to be completed by July 2024. CONCLUSIONS: This systematic review protocol outlines a rigorous methodology for evaluating the effectiveness of self-management programs among athletes with patellofemoral pain syndrome. The findings will inform clinical practice and guide the development of tailored interventions to optimize outcomes for athletes with patellofemoral pain syndrome. TRIAL REGISTRATION: PROSPERO CRD42023492746; https://tinyurl.com/c5jze9ca. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/58340.
背景：髌股疼痛综合征是一种在运动员中高发的过度使用性膝关节损伤，与疼痛和功能受限有关，跑步、旋转、骑车和跳跃等活动会使症状加重。自我管理项目使运动员能够积极控制髌股疼痛综合征等慢性肌肉骨骼疾病的症状，这种项目越来越受欢迎。然而，由于证据有限且存在异质性，自我管理项目对髌股疼痛综合征运动员的疗效尚不清楚。
目的：本系统评价研究将评估自我管理方案对髌股疼痛综合征运动员疼痛和功能的疗效。
方法：将使用与“髌股疼痛综合征”、“自我管理”和“运动员”相关的术语，对 PubMed/MEDLINE、Cochrane 图书馆、CINAHL（护理与联合健康文献累积索引）和 PsycINFO 数据库进行系统检索。将纳入比较自我管理方案与髌股疼痛综合征运动员其他治疗或对照条件的干预性研究，包括随机和非随机对照试验。四位评审员将独立筛选研究、使用 COVIDENCE 软件提取数据，并分别使用 Pedro 风险偏倚评估工具和 GRADE 方法评估研究和证据的质量。如果可行，将使用 RevMan（版本 5.4；Cochrane 协作）进行荟萃分析。
结果：系统评价目前处于搜索阶段，作者正在为选定的数据库优化搜索字符串。预计最终搜索字符串将于 2024 年 3 月完成，该评价将于 2024 年 7 月完成。
结论：本系统评价方案概述了一种严格的方法，用于评估髌股疼痛综合征运动员自我管理方案的疗效。研究结果将为临床实践提供信息，并指导制定针对髌股疼痛综合征运动员的个体化干预措施，以优化其结局。
试验注册：PROSPERO CRD42023492746；https://tinyurl.com/c5jze9ca。
国际注册报告标识符（IRRID）：PRR1-10.2196/58340。
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