Evidence map›Paper›PMID 37170262›Full record

ArticleBMC musculoskeletal disorders2023

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.

Liliam Barbuglio Del Priore, Vitoria Ozores Perez, Ronaldo Valdir Briani, Lucca Andre Liporoni Bego Farinelli, Júlia de Cássia Pinto da Silva, Odisséia Marli Gimenes Martins, Fábio Arruda Lopes, Anita Barros Amorim, Evangelos Pappas, Fábio Mícolis de Azevedo

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 33% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. Article
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

10 authors at 4 institutions in 2 countries.

Liliam Barbuglio Del PrioreDepartment of Physiotherapy, School of Science and Technology, Sao Paulo State University (UNESP), 305 Roberto Simonsen St, Presidente Prudente, SP, 19060-900, Brazil. liliam.priore@unesp.br.
Vitoria Ozores PerezDepartment of Physiotherapy, School of Science and Technology, Sao Paulo State University (UNESP), 305 Roberto Simonsen St, Presidente Prudente, SP, 19060-900, Brazil.
Ronaldo Valdir BrianiDepartment of Physiotherapy, School of Science and Technology, Sao Paulo State University (UNESP), 305 Roberto Simonsen St, Presidente Prudente, SP, 19060-900, Brazil.
Lucca Andre Liporoni Bego FarinelliDepartment of Physiotherapy, School of Science and Technology, Sao Paulo State University (UNESP), 305 Roberto Simonsen St, Presidente Prudente, SP, 19060-900, Brazil.
Júlia de Cássia Pinto da SilvaDepartment of Physiotherapy, School of Science and Technology, Sao Paulo State University (UNESP), 305 Roberto Simonsen St, Presidente Prudente, SP, 19060-900, Brazil.
Odisséia Marli Gimenes MartinsBrazilian Center for Mindfulness and Health Promotion - Mente Aberta, Federal University of Sao Paulo (Unifesp), Sao Paulo, Brazil.
Fábio Arruda LopesDepartment of Computer Engineering, Virtual University of Sao Paulo State (UNIVESP), Dracena, Brazil.
Anita Barros AmorimSchool of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Evangelos PappasSchool of Medicine and Illawarra Medical and Health Research Institute, University of Wollongong, Wollongong, Australia.
Fábio Mícolis de AzevedoDepartment of Physiotherapy, School of Science and Technology, Sao Paulo State University (UNESP), 305 Roberto Simonsen St, Presidente Prudente, SP, 19060-900, Brazil.
Universidade Estadual Paulista (Unesp) · BRIllawarra Health and Medical Research Institute · AUUniversidade Federal de São Paulo · BRUniversity of Sydney · AU

Funding

Sao Paulo Research Foundation - Fapesp Scholarship 2020/12475-7
6 · The paper itself

Abstract

backgroundPatellofemoral 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.

methodsThis 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 registrationRegistro Brasileiro de Ensaios Clínicos (ReBEC) RBR-4yhbqwk, registered in April 6, 2021.

Indexed as

Exercise TherapyMindfulnessPatellofemoral Pain SyndromeHumansPatient Education as TopicQuality of LifeRandomized Controlled Trials as TopicAnterior knee painEducationExercise therapyMindfulnessPsychological factors

Identifiers

PMID37170262
PMCPMC10173555
OpenAlexW4376226306

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.