Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trial
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1186/s12891-023-06491-x http://hdl.handle.net/11449/247369 |
Resumo: | Background: Patellofemoral pain (PFP) is a common knee disorder that causes persistent pain, lower self-reported function and quality of life. People with PFP also present with altered psychological factors, which are associated with higher levels of pain and dysfunction. Mindfulness-based interventions (MBI) generally consist of meditative practices developed to provide a holistic approach to chronic conditions. However, the effects of MBI on clinical and psychological outcomes for people with PFP remains understudied. Methods: This assessor-blinded, parallel, two-arm randomized clinical trial aims to investigate the effects of adding an 8-week online MBI program to exercise therapy and patient education on clinical and psychological factors for people with PFP. We also aim to investigate whether psychological factors mediate changes in pain and function. Sixty-two participants with PFP will be recruited and randomized into one of two treatment groups (Mindfulness or Control group). Both groups will receive an 8-week intervention involving exercise therapy and education delivered through an online platform. The Mindfulness group will additionally receive a MBI component including formal and informal practices. Outcomes will be assessed online at baseline, intervention endpoint (follow-up 1) and 12 months after intervention completion (follow-up 2). Comparisons between groups will be performed at all time points with linear mixed models. A mediation analysis will be performed using a 3-variable framework. Discussion: Exercise therapy and patient education are considered the “best management” options for PFP. However, unsatisfactory long-term prognosis remains an issue. It is known that people with PFP present with altered psychological factors, which should be considered during the evaluation and treatment of people with PFP. Adding a MBI to the current best treatment for PFP may improve short and long-term effects by addressing the underlying psychological factors. Trial registration: Registro Brasileiro de Ensaios Clínicos (ReBEC) RBR-4yhbqwk, registered in April 6, 2021. |
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Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trialAnterior knee painEducationExercise therapyMindfulnessPsychological factorsBackground: Patellofemoral pain (PFP) is a common knee disorder that causes persistent pain, lower self-reported function and quality of life. People with PFP also present with altered psychological factors, which are associated with higher levels of pain and dysfunction. Mindfulness-based interventions (MBI) generally consist of meditative practices developed to provide a holistic approach to chronic conditions. However, the effects of MBI on clinical and psychological outcomes for people with PFP remains understudied. Methods: This assessor-blinded, parallel, two-arm randomized clinical trial aims to investigate the effects of adding an 8-week online MBI program to exercise therapy and patient education on clinical and psychological factors for people with PFP. We also aim to investigate whether psychological factors mediate changes in pain and function. Sixty-two participants with PFP will be recruited and randomized into one of two treatment groups (Mindfulness or Control group). Both groups will receive an 8-week intervention involving exercise therapy and education delivered through an online platform. The Mindfulness group will additionally receive a MBI component including formal and informal practices. Outcomes will be assessed online at baseline, intervention endpoint (follow-up 1) and 12 months after intervention completion (follow-up 2). Comparisons between groups will be performed at all time points with linear mixed models. A mediation analysis will be performed using a 3-variable framework. Discussion: Exercise therapy and patient education are considered the “best management” options for PFP. However, unsatisfactory long-term prognosis remains an issue. It is known that people with PFP present with altered psychological factors, which should be considered during the evaluation and treatment of people with PFP. Adding a MBI to the current best treatment for PFP may improve short and long-term effects by addressing the underlying psychological factors. Trial registration: Registro Brasileiro de Ensaios Clínicos (ReBEC) RBR-4yhbqwk, registered in April 6, 2021.Department of Physiotherapy School of Science and Technology Sao Paulo State University (UNESP), 305 Roberto Simonsen St, SPBrazilian Center for Mindfulness and Health Promotion - Mente Aberta Federal University of Sao Paulo (Unifesp)Department of Computer Engineering Virtual University of Sao Paulo State (UNIVESP)School of Health Sciences Faculty of Medicine and Health The University of SydneySchool of Medicine and Illawarra Medical and Health Research Institute University of WollongongDepartment of Physiotherapy School of Science and Technology Sao Paulo State University (UNESP), 305 Roberto Simonsen St, SPUniversidade Estadual Paulista (UNESP)Universidade de São Paulo (USP)The University of SydneyUniversity of WollongongPriore, Liliam Barbuglio Del [UNESP]Perez, Vitoria Ozores [UNESP]Briani, Ronaldo Valdir [UNESP]Farinelli, Lucca Andre Liporoni Bego [UNESP]da Silva, Júlia de Cássia Pinto [UNESP]Martins, Odisséia Marli GimenesLopes, Fábio ArrudaAmorim, Anita BarrosPappas, Evangelosde Azevedo, Fábio Mícolis [UNESP]2023-07-29T13:14:15Z2023-07-29T13:14:15Z2023-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1186/s12891-023-06491-xBMC Musculoskeletal Disorders, v. 24, n. 1, 2023.1471-2474http://hdl.handle.net/11449/24736910.1186/s12891-023-06491-x2-s2.0-85159228775Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBMC Musculoskeletal Disordersinfo:eu-repo/semantics/openAccess2023-07-29T13:14:16Zoai:repositorio.unesp.br:11449/247369Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-07-29T13:14:16Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trial |
title |
Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trial |
spellingShingle |
Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trial Priore, Liliam Barbuglio Del [UNESP] Anterior knee pain Education Exercise therapy Mindfulness Psychological factors |
title_short |
Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trial |
title_full |
Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trial |
title_fullStr |
Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trial |
title_full_unstemmed |
Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trial |
title_sort |
Effects of an online program including mindfulness, exercise therapy and patient education compared to online exercise therapy and patient education for people with Patellofemoral Pain: protocol for a randomized clinical trial |
author |
Priore, Liliam Barbuglio Del [UNESP] |
author_facet |
Priore, Liliam Barbuglio Del [UNESP] Perez, Vitoria Ozores [UNESP] Briani, Ronaldo Valdir [UNESP] Farinelli, Lucca Andre Liporoni Bego [UNESP] da Silva, Júlia de Cássia Pinto [UNESP] Martins, Odisséia Marli Gimenes Lopes, Fábio Arruda Amorim, Anita Barros Pappas, Evangelos de Azevedo, Fábio Mícolis [UNESP] |
author_role |
author |
author2 |
Perez, Vitoria Ozores [UNESP] Briani, Ronaldo Valdir [UNESP] Farinelli, Lucca Andre Liporoni Bego [UNESP] da Silva, Júlia de Cássia Pinto [UNESP] Martins, Odisséia Marli Gimenes Lopes, Fábio Arruda Amorim, Anita Barros Pappas, Evangelos de Azevedo, Fábio Mícolis [UNESP] |
author2_role |
author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) Universidade de São Paulo (USP) The University of Sydney University of Wollongong |
dc.contributor.author.fl_str_mv |
Priore, Liliam Barbuglio Del [UNESP] Perez, Vitoria Ozores [UNESP] Briani, Ronaldo Valdir [UNESP] Farinelli, Lucca Andre Liporoni Bego [UNESP] da Silva, Júlia de Cássia Pinto [UNESP] Martins, Odisséia Marli Gimenes Lopes, Fábio Arruda Amorim, Anita Barros Pappas, Evangelos de Azevedo, Fábio Mícolis [UNESP] |
dc.subject.por.fl_str_mv |
Anterior knee pain Education Exercise therapy Mindfulness Psychological factors |
topic |
Anterior knee pain Education Exercise therapy Mindfulness Psychological factors |
description |
Background: Patellofemoral pain (PFP) is a common knee disorder that causes persistent pain, lower self-reported function and quality of life. People with PFP also present with altered psychological factors, which are associated with higher levels of pain and dysfunction. Mindfulness-based interventions (MBI) generally consist of meditative practices developed to provide a holistic approach to chronic conditions. However, the effects of MBI on clinical and psychological outcomes for people with PFP remains understudied. Methods: This assessor-blinded, parallel, two-arm randomized clinical trial aims to investigate the effects of adding an 8-week online MBI program to exercise therapy and patient education on clinical and psychological factors for people with PFP. We also aim to investigate whether psychological factors mediate changes in pain and function. Sixty-two participants with PFP will be recruited and randomized into one of two treatment groups (Mindfulness or Control group). Both groups will receive an 8-week intervention involving exercise therapy and education delivered through an online platform. The Mindfulness group will additionally receive a MBI component including formal and informal practices. Outcomes will be assessed online at baseline, intervention endpoint (follow-up 1) and 12 months after intervention completion (follow-up 2). Comparisons between groups will be performed at all time points with linear mixed models. A mediation analysis will be performed using a 3-variable framework. Discussion: Exercise therapy and patient education are considered the “best management” options for PFP. However, unsatisfactory long-term prognosis remains an issue. It is known that people with PFP present with altered psychological factors, which should be considered during the evaluation and treatment of people with PFP. Adding a MBI to the current best treatment for PFP may improve short and long-term effects by addressing the underlying psychological factors. Trial registration: Registro Brasileiro de Ensaios Clínicos (ReBEC) RBR-4yhbqwk, registered in April 6, 2021. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-07-29T13:14:15Z 2023-07-29T13:14:15Z 2023-12-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1186/s12891-023-06491-x BMC Musculoskeletal Disorders, v. 24, n. 1, 2023. 1471-2474 http://hdl.handle.net/11449/247369 10.1186/s12891-023-06491-x 2-s2.0-85159228775 |
url |
http://dx.doi.org/10.1186/s12891-023-06491-x http://hdl.handle.net/11449/247369 |
identifier_str_mv |
BMC Musculoskeletal Disorders, v. 24, n. 1, 2023. 1471-2474 10.1186/s12891-023-06491-x 2-s2.0-85159228775 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
BMC Musculoskeletal Disorders |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1803649731772022784 |