ArticleThe South African journal of physiotherapy2021
Community-based rehabilitation implementation framework to address patellofemoral pain amongst runners in under-resourced communities: Delphi consensus.
Article in The South African journal of physiotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Running-related injuries and risks among runners in township running clubs in Soweto, Johannesburg.South African journal of sports medicine · 2026Article
- Developing a Community-Based Exercise and Physical Programme for Runners With Patellofemoral Pain in Under-Resourced Communities: A Delphi Study.Physiotherapy Canada. Physiotherapie Canada · 2025Article
- Consensus methods in patellofemoral pain: how rigorous are they? A scoping review.British journal of sports medicine · 2024Article
- Lessons learned about development and assessment of feasibility of tools for health and rehabilitation services.Pilot and feasibility studies · 2024Article
- Developing and implementing a model of care for athletes living with disabilities: A protocol.The South African journal of physiotherapy · 2023Article
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Authors and funding
3 authors.
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Abstract
backgroundRunners in under-resourced communities in parts of South Africa present with a high prevalence of patellofemoral pain (PFP), which affects their level of participation in sporting activities. Therefore, a specific rehabilitation approach is necessary to manage the PFP-related needs of these runners within their means and reach.
objectiveTo develop a community-based rehabilitation (CBR) implementation framework for PFP amongst runners in under-resourced communities.
methodOur study used the Delphi technique to develop an appropriate rehabilitation implementation framework for PFP in community-based settings. Sport medicine experts, involved in the treatment and rehabilitation of PFP, were recruited to participate. The Delphi process consisted of three rounds to attain consensus amongst the experts on the components and elements that could be contained in a rehabilitation implementation framework for the management of PFP. Experts rated the framework items using a five-point Likert scale.
resultsA total of 19 experts participated in our study: 10 were females and 9 were males of whom 13 were aged between 36 and 55 years. Most were local experts (15) with 11-20 years of clinical experience. Four core rehabilitation implementation items were identified through the Delphi process. These were: (1) the establishment of transdisciplinary rehabilitation teams, (2) upskilling of available clinicians, their assistants and trainers, (3) implementation of a CBR programme at low-level or no-cost and (4) referral of cases to secondary or tertiary institutions for further management.
conclusionConsensus was reached for a comprehensive CBR implementation framework aimed at addressing the specific needs of runners with PFP in under-resourced communities. CLINICAL IMPLICATIONS: A further study to test the feasibility of the agreed-upon intervention is recommended.
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