Evidence map›Paper›PMID 25883866›Full record

ArticleInternational journal of sports physical therapy2015

Evaluation of a treatment algorithm for patients with patellofemoral pain syndrome: a pilot study.

Mitchell Selhorst, William Rice, Todd Degenhart, Michael Jackowski, Melissa Tatman

2 registry-linked trialsOpen access · greenAbstract read
PubMed Full text at PMC
In one paragraph

Article in International journal of sports physical therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02461095 nacompletednot on this map

Evaluation of a Treatment Algorithm for Patients With Patellofemoral Pain Syndrome: A Randomized Controlled Trial

TypeinterventionalSponsorNationwide Children's HospitalRan2015 to 2017Enrolled55ConditionsPatellofemoral Pain SyndromeArmsImpairment based approach, PFPS Algorithm approach
NCT03184545 phase3recruitingnot on this mapstarted 2017, after this paper: background citation

A Prospective Randomized Study Comparing the Outcome of Electrical Stimulation of Vastus Medialis Obliquus Muscle and Physical Therapy Vs Only Physical Therapy but No Electrical Stimulation in Patients with Patellofemoral Pain Syndrome

TypeinterventionalSponsorNorthwell HealthRan2017 to 2027Enrolled92ConditionsPatellofemoral Pain SyndromeArmsEMS, Physical therapy
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Mitchell SelhorstSports and Orthopedic Physical Therapy, Nationwide Children's Hospital, Columbus, Ohio, USA.
William RiceSports and Orthopedic Physical Therapy, Nationwide Children's Hospital, Columbus, Ohio, USA.
Todd DegenhartSports and Orthopedic Physical Therapy, Nationwide Children's Hospital, Columbus, Ohio, USA.
Michael JackowskiSports and Orthopedic Physical Therapy, Nationwide Children's Hospital, Columbus, Ohio, USA.
Melissa TatmanSports and Orthopedic Physical Therapy, Nationwide Children's Hospital, Columbus, Ohio, USA.
Nationwide Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment of patellofemoral pain syndrome (PFPS) has been extensively studied in physical therapy literature. Patients with PFPS demonstrate quadriceps and hip musculature weakness, altered lower extremity (LE) kinematics, and decreased LE flexibility. Psychosocial factors have also been identified as an important factor in patients with PFPS. The authors hypothesize that an ordered approach addressing each of these impairments sequentially will result in greater improvement in PFPS symptoms. The purpose of this pilot study was to assess the feasibility of performing a randomized trial and to determine the sample size necessary to examine the validity of this hypothesis.

methodsPatients received a sequential treatment approach using a PFPS treatment algorithm (PFPS Algorithm) designed by the authors. Patients were evaluated assessing psychosocial factors, flexibility, LE kinematics, and LE strength. Impairments that were found in the evaluation were addressed sequentially over the episode of care. Patients were prescribed therapy two times per week for six weeks. Pain, Anterior Knee Pain Scale (AKPS), and Global Rating of Change (GROC) were measured at evaluation and discharge.

resultsThirty consecutive patients with PFPS who were referred to physical therapy were enrolled in the pilot study. All phases of the feasibility study including recruitment, treatment protocols and data collection were effectively carried out. One hundred percent of patients treated with the PFPS algorithm who completed the prescribed treatment had a clinically significant improvement in the AKPS and GROC. A floor effect was noted with NPRS with 38% of patients unable to achieve clinically significant improvement.

conclusionsWith minor changes to the protocol and outcome measures used, a full randomized trial is feasible and merited. Steps must be taken to reduce the high drop-out rate among both groups. LEVEL OF EVIDENCE: 1b.

Indexed as

knee painPatellofemoral painphysical therapy

Identifiers

PMID25883866
PMCPMC4387725
OpenAlexW614556442

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.