Evidence map›Paper›PMID 40736481›Full record

ArticleMusculoskeletal care2025

Beliefs of People With Patellofemoral Pain About Their Condition and Treatments Before and After Self-Directed Access to a Web-Based Education Platform.

Larissa Rodrigues Souto, Danilo De Oliveira Silva, Marcella Ferraz Pazzinatto, Christian John Barton

Registry-linked trialAbstract read
In one paragraph

Article in Musculoskeletal care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07266922 (Running Informed, Not Just Trained), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT07266922 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Running Informed, Not Just Trained: A Self-Directed Web-Based Education for Boston Marathon Runners With Patellofemoral Pain

TypeinterventionalSponsorBoston Children's HospitalRan2026 to 2026Enrolled104ConditionsPatellofemoral PainArmsEducation Platform-MyKneeCap.com
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
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

4 authors.

Larissa Rodrigues SoutoLa Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Australia.ORCID 0000-0003-0968-4835
Danilo De Oliveira SilvaLa Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Australia.
Marcella Ferraz PazzinattoLa Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Australia.
Christian John BartonLa Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Australia.

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 001National Health and Medical Research Council GNT2033417
6 · The paper itself

Abstract

objectivesTo evaluate the beliefs of people with patellofemoral pain (PFP) about their condition's development and persistence, and treatment options, before and after self-directed access to a web-based education platform.

designPre- and post-intervention trial.

methodsFifty-eight people with PFP completed custom questionnaires (open-ended and multiple choice) before and 6 weeks after accessing the "My Knee Cap" web-based education platform. Questions covered beliefs about causes and persistence of pain, effectiveness of treatments, and willingness to undergo surgery. Open-ended responses were analysed thematically. McNemar's test with Yates correction compared changes between pre- and post-intervention for multiple choice questions.

resultsAt baseline and 6 weeks, PFP onset was primarily attributed to loading. At baseline, pain persistence was linked to loading, structure, and muscle impairments, with muscle impairments being replaced by sedentary behaviour at the 6-week follow-up. At baseline, most participants (69%-81%) believed that taping, bracing, foot orthoses, and exercises were effective treatment options. Fewer participants (16%-22%) believed that dry needling, injections, ultrasound, and surgery were effective. At 6 weeks, beliefs about the effectiveness of exercise (16% increase, ES = 0.15), injections (13% decrease, ES = 0.44), and ultrasound (15% decrease, ES = 0.50) changed. At baseline and 6 weeks, most participants (93%-95%) believed exercise was more effective than surgery, and 46%-59% were willing to undergo surgery if imaging revealed abnormalities.

conclusionBeliefs about the causes and persistence of PFP centred on loading and pathoanatomical factors, remaining largely unchanged after self-directed web-based education. Web-based education may help to promote the benefits of exercise and reduce beliefs that injection and ultrasound are helpful.

Indexed as

Health Knowledge, Attitudes, PracticePatellofemoral Pain SyndromePatient Education as TopicAdultFemaleHumansInternetMaleMiddle AgedSurveys and QuestionnairesYoung Adultanterior knee painbeliefsself‐directed learningweb‐based education

Identifiers

PMID40736481
PMCPMC12309629

What OpenQuestion holds

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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.