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Predictors of pain and function outcome after rehabilitation in patients with patellofemoral pain syndrome
Open accessAbstract
OBJECTIVE: To identify changes in impairments associated with functional and pain outcome in patients with patello-femoral pain syndrome following a standardized physiotherapy treatment. DESIGN: One group pre-post design. SUBJECTS: Seventy-four patients (median age 27 years, 52% female) diagnosed with patellofemoral pain syndrome and referred to physiotherapy treatment. METHODS: Baseline measures included self-reported function and pain, which were the dependent variables, and measures of independent variables: strength of quadriceps, hip abduction and hip external rotation; length of hamstrings, quadriceps, plantar flexors, iliotibial band/tensor fascia lata complex, and lateral retinaculum; quality of movement, and fear-avoidance beliefs. Following the baseline measurements, subjects participated in a standardized physiotherapy program. Measurements were repeated at 2-month follow-up. Data were analyzed using 2 forward regression models, the first using function outcome, and the second using pain outcome as the criterion. Age, gender, height and weight were controlled in the regression models. RESULTS: Change in fear-avoidance beliefs about physical activity and change in gastrocnemius length predicted function outcome. Change in fear-avoidance beliefs about physical activity and about work predicted outcome of pain. CONCLUSION: Change in fear-avoidance beliefs about physical activity was the strongest predictor of function and pain outcome. The fact that patients who decreased their fear-avoidance beliefs improved function and decreased pain indicates that perhaps fear-avoidance beliefs should be targeted during the treatment of patients with patellofemoral pain syndrome.
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From Beyond yellow flags: The Big‐Five personality traits and psychologically informed musculoskeletal rehabilitation. (2023) · cites this paper as Piva et al., 2009
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Patellofemoral Pain: Proximal, Distal, and Local Factors
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“37”
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“[23] found that fear avoidance beliefs revealed to be predictor of pain and function.”
Background
Metadata
- Authors
- Piva, Sr., Fitzgerald, G., Wisniewski, S., & Delitto, A.
- Venue
- Journal of Rehabilitation Medicine
- Published
- 2009
- Volume
- 41
- Issue
- 8
- Pages
- 604-612
- ISSN
- 1650-1977 (ISSN-L)
- OpenAlex
- W2017982646
- Cited by
- 133
- References
- 36
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 5 · 2023: 8 · 2022: 5 · 2021: 9 · 2020: 8 · 2019: 15 · 2018: 12 · 2017: 12 · 2016: 4 · 2015: 5 · 2014: 12 · 2013: 5 · 2012: 8
- FWCI
- 4.60
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Rehabilitation Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Physical Therapy Association
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Myofascial pain diagnosis and treatment
- Keywords
- patellofemoral pain, fear-avoidance beliefs, physiotherapy, pain outcomes, functional outcome, quadriceps strength, hip external rotation, hamstring length, iliotibial band, lateral retinaculum, movement quality, prognostic factors
- MeSH terms
- Adolescent, Adult, Child, Fear, Female, Humans, Male, Middle Aged, Pain Measurement, Prognosis, Exercise, Range of Motion, Articular, Treatment Outcome, Outcome Assessment, Health Care, Physical Therapy Modalities, Patellofemoral Pain Syndrome, Muscle Strength, Young Adult
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