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物理治疗干预对髌股疼痛综合征疼痛管理、功能及生活质量的影响:一项系统评价方案

Effect of physiotherapy interventions on pain management, function and quality of life in patellofemoral pain syndrome: A systematic review protocol.

作者信息

Vikhe Chaitali S, Ramteke Swapnil U, Hullumani Sharath

机构信息

Department of Sports Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute Higher Education and Research (DU), Sawangi (Meghe), Wardha, India.

Assistant Professor Department of Paediatric Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (DU) Sawangi Meghe, Maharashtra, Wardha, India.

出版信息

PLoS One. 2024 Dec 19;19(12):e0312279. doi: 10.1371/journal.pone.0312279. eCollection 2024.

DOI:10.1371/journal.pone.0312279
PMID:39700184
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11658526/
Abstract

BACKGROUND

Patellofemoral pain syndrome (PFPS) is a prevalent and often debilitating condition, affecting approximately 22.7% of the population and significantly contributing to knee-related disorders. It primarily impacts young athletes and sedentary individuals, impairing their quality of life and functional abilities. Despite extensive research, the optimal management strategies for PFPS remain contentious due to its multifactorial etiology and persistent symptoms. The findings of this review will guide clinical practice and future research, ultimately improving outcomes for individuals with PFPS.

OBJECTIVE

This systematic review aims to evaluate the effectiveness of physiotherapy interventions in alleviating pain, enhancing functional outcomes, and improving the quality of life among runners who have been diagnosed with PFPS.

METHODS

This review will be carried out on randomized controlled trials (rcts) that assess any type of physiotherapy intervention for PFPS in runners. Eligible studies must report on pain intensity, functional improvement, or quality of life outcomes. Searches will be conducted in pubmed/MEDLINE, Cochrane Library, and pedro, covering publications from May 2014 to April 2024. Two reviewers will independently screen and select studies, extract data, and assess quality using the Cochrane Risk of Bias tool. We will perform a narrative synthesis of the data, focusing on pain management, functional recovery, and quality of life improvements. Sensitivity and subgroup analyses will explore variations across study designs and participant characteristics.

CONCLUSION

This systematic review protocol seeks to identify effective physiotherapy interventions for managing PFPS in runners. By analyzing rcts, the review will provide evidence-based recommendations to reduce pain, improve function, and enhance quality of life. The findings will guide clinical decisions.

SYSTEMATIC REVIEW REGISTRATION

International Prospective Register of Systematic Reviews (PROSPERO) under ID: CRD42024531888. Date- 7/05/2024, URL https://www.crd.york.ac.uk/prospero/#recorddetails.

摘要

背景

髌股疼痛综合征(PFPS)是一种常见且往往使人衰弱的疾病,影响约22.7%的人口,并在与膝关节相关的疾病中占很大比例。它主要影响年轻运动员和久坐不动的人,损害他们的生活质量和功能能力。尽管进行了广泛研究,但由于PFPS病因多因素且症状持续,其最佳管理策略仍存在争议。本综述的结果将指导临床实践和未来研究,最终改善PFPS患者的治疗效果。

目的

本系统综述旨在评估物理治疗干预对减轻已诊断为PFPS的跑步者疼痛、改善功能结局和提高生活质量的有效性。

方法

本综述将对评估针对跑步者PFPS的任何类型物理治疗干预的随机对照试验(RCT)进行。符合条件的研究必须报告疼痛强度、功能改善或生活质量结局。将在PubMed/MEDLINE、Cochrane图书馆和PEDro中进行检索,涵盖2014年5月至2024年4月的出版物。两名评审员将独立筛选和选择研究、提取数据,并使用Cochrane偏倚风险工具评估质量。我们将对数据进行叙述性综合,重点关注疼痛管理、功能恢复和生活质量改善。敏感性和亚组分析将探讨不同研究设计和参与者特征之间的差异。

结论

本系统综述方案旨在确定用于管理跑步者PFPS的有效物理治疗干预措施。通过分析RCT,本综述将提供基于证据的建议,以减轻疼痛、改善功能和提高生活质量。研究结果将指导临床决策。

系统综述注册

国际系统综述前瞻性注册库(PROSPERO),标识符:CRD42024531888。日期-2024年5月7日,网址https://www.crd.york.ac.uk/prospero/#recorddetails 。

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