The efficacy of conservative treatment protocols for patients with Patellofemoral Pain Syndrome (PFPS): A systematic review
Item
- Title
- The efficacy of conservative treatment protocols for patients with Patellofemoral Pain Syndrome (PFPS): A systematic review
- Title
- The efficacy of conservative treatment protocols for patients with Patellofemoral Pain Syndrome (PFPS): A systematic review
- Author(s)
- Bryant Emily
- Abstract
- Background: Patellofemoral pain syndrome (PFPS) is a common musculoskeletal presentation to primary healthcare practitioners. A range of conservative treatments are utilised that osteopaths often use however, there appears to be a lack of evidence based protocol. Objective: To review the evidence regarding the efficacy of non-surgical/non-pharmacological interventions on pain, knee functional status and disability in patients with PFPS. Methods: Systematic computerised and hand literature searches for randomised controlled trials (RCTs), evaluation using methodological quality criteria by Furlan et al (2009) and The PEDro scale (1999). Scores per paper were combined and converted into a percentage then ranked according to quality. Results: 22 RCTs were eligible for review; the majority were moderate to high quality. 6 common themes were identified; exercise, taping, exercise & taping combined, MT/PT with adjuncts and orthoses. Scoring by the reviewer was consistent between the 2 scales. Conclusions: This review provides moderate evidence to support the short-term benefits of exercise, taping, MT/PT and orthoses when used in combination or in isolation. Due to the heterogeneity of interventions used in the studies, inadequate evidence supports the superiority of one over another. It would be advisable for manual therapists to utilise a combination of conservative interventions.
- Abstract
- Background: Patellofemoral pain syndrome (PFPS) is a common musculoskeletal presentation to primary healthcare practitioners. A range of conservative treatments are utilised that osteopaths often use however, there appears to be a lack of evidence based protocol. Objective: To review the evidence regarding the efficacy of non-surgical/non-pharmacological interventions on pain, knee functional status and disability in patients with PFPS. Methods: Systematic computerised and hand literature searches for randomised controlled trials (RCTs), evaluation using methodological quality criteria by Furlan et al (2009) and The PEDro scale (1999). Scores per paper were combined and converted into a percentage then ranked according to quality. Results: 22 RCTs were eligible for review; the majority were moderate to high quality. 6 common themes were identified; exercise, taping, exercise & taping combined, MT/PT with adjuncts and orthoses. Scoring by the reviewer was consistent between the 2 scales. Conclusions: This review provides moderate evidence to support the short-term benefits of exercise, taping, MT/PT and orthoses when used in combination or in isolation. Due to the heterogeneity of interventions used in the studies, inadequate evidence supports the superiority of one over another. It would be advisable for manual therapists to utilise a combination of conservative interventions.
- presented at
- British School of Osteopathy
- Date Accepted
- 2011
- Date Submitted
- 3.2.2012 00:00:00
- Type
- osteo_thesis
- Language
- English
- Pub-Identifier
- 15041
- Inst-Identifier
- 780
- Keywords
- Systematic Review; Patellofemoral pain syndrome; Physical therapy; Manual therapy; Exercise; Taping; Orthoses
- Recommended
- 0
- Item sets
- Thesis
Bryant Emily, “The efficacy of conservative treatment protocols for patients with Patellofemoral Pain Syndrome (PFPS): A systematic review”, Osteopathic Research Web, accessed May 14, 2024, https://www.osteopathicresearch.com/s/orw/item/1795