Patient Education for Patellofemoral Pain: A Systematic Review

J Orthop Sports Phys Ther. 2020 Jul;50(7):388-396. doi: 10.2519/jospt.2020.9400. Epub 2020 Apr 29.

Abstract

Objective: To evaluate the effect of education interventions compared with any type of comparator on managing patellofemoral pain (PFP).

Design: Intervention systematic review. PROSPERO identifier: CRD42018088671.

Literature search: MEDLINE, Embase, CINAHL, and Web of Science were searched for studies evaluating the effect of education on clinical and functional outcomes in people with PFP.

Study selection criteria: Two reviewers independently assessed studies for inclusion and quality. We included randomized controlled trials on PFP where at least 1 group received an education intervention (in isolation or in combination with other interventions).

Data synthesis: Available data were synthesized via meta-analysis where possible; data that were not appropriate for pooling were synthesized qualitatively. Interpretation was guided by the Grading of Recommendations Assessment, Development and Evaluation approach.

Results: Nine trials were identified. Low-credibility evidence indicated that health education material alone was inferior to exercise therapy for pain and function outcomes. Low- and very low-credibility evidence indicated that health professional-delivered education alone produced outcomes similar to those of exercise therapy combined with health professional-delivered education for pain and function, respectively.

Conclusion: Health professional-delivered education may produce similar outcomes in pain and function compared to exercise therapy plus health professional-delivered education in people with PFP. J Orthop Sports Phys Ther 2020;50(7):388-396. Epub 29 Apr 2020. doi:10.2519/jospt.2020.9400.

Keywords: anterior knee pain; health; knee; rehabilitation.

Publication types

  • Systematic Review

MeSH terms

  • Exercise Therapy
  • Humans
  • Patellofemoral Pain Syndrome / therapy*
  • Patient Education as Topic*