A2 Vertaisarvioitu katsausartikkeli tieteellisessä lehdessä
Effectiveness of conservative treatment for patellofemoral pain syndrome: A systematic review and meta-analysis
Tekijät: Mikhail Saltychev, Rebecca A. Dutton, Katri Laimi, Gary S. Beaupre, Petri Virolainen, Michael Fredericson
Kustantaja: FOUNDATION REHABILITATION INFORMATION
Julkaisuvuosi: 2018
Journal: Journal of Rehabilitation Medicine
Tietokannassa oleva lehden nimi: JOURNAL OF REHABILITATION MEDICINE
Lehden akronyymi: J REHABIL MED
Vuosikerta: 50
Numero: 5
Aloitussivu: 393
Lopetussivu: 401
Sivujen määrä: 9
ISSN: 1650-1977
eISSN: 1651-2081
DOI: https://doi.org/10.2340/16501977-2295
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/32074060
Objective: To evaluate the evidence regarding the effectiveness of conservative treatment in reducing patellofemoral pain.Data sources: CENTRAL, MEDLINE, CINAHL, and PE-Dro databases.Study selection: Adults with patellofemoral pain, randomized controlled trials only, any conservative treatment compared with placebo, sham, other conservative treatment, or no treatment. Two independent reviewers.Data extraction: Data were extracted from the full-text of the articles, based on Cochrane Collaboration recommendations. The outcome of interest was the difference between groups regarding change in pain severity.Data synthesis: The majority of studies were underpowered. More than 80% of the 37 trials did not show a clinically significant benefit. Clinically significant effects of different sizes were found for 7 trials (6 studies out of 7 had short follow-ups). These effects were found for: (i) pulsed electromagnetic fields combined with home exercise -33.0 (95% CI -45.2 to -20.8); (ii) hip muscle strengthening -65.0 (95% CI -87.7 to -48.3) and -32.0 (-37.0 to -27.0); (iii) weight-bearing exercise -40.0 (95% CI -49.4 to -30.6); (iv) neuromuscular facilitation combined with aerobic exercise and stretching -60.1 (95% CI -66.9 to -54.5); (v) postural stabilization -24.4 (95% CI -33.5 to -15.3); and (vi) patellar bracing -31.6 (95% CI -35.2 to -28.0).Conclusion: There is no evidence that a single treatment modality works for all patients with patellofemoral pain. There is limited evidence that some treatment modalities may be beneficial for some subgroups of patients with patellofemoral pain.
Ladattava julkaisu This is an electronic reprint of the original article. |  |
