| Title |
The effect of targeted treatment on people with patellofemoral pain: a pragmatic, randomised controlled feasibility study
|
|---|---|
| Published in |
BMC Musculoskeletal Disorders, August 2017
|
| DOI | 10.1186/s12891-017-1698-7 |
| Pubmed ID | |
| Authors |
Benjamin T. Drew, Philip G. Conaghan, Toby O. Smith, James Selfe, Anthony C. Redmond |
| Abstract |
Targeted treatment, matched according to specific clinical criteria e.g. hip muscle weakness, may result in better outcomes for people with patellofemoral pain (PFP). However, to ensure the success of future trials, a number of questions on the feasibility of a targeted treatment need clarification. The aim of the study was to explore the feasibility of matched treatment (MT) compared to usual care (UC) management for a subgroup of people with PFP determined to have hip weakness and to explore the mechanism of effect for hip strengthening. In a pragmatic, randomised controlled feasibility study, 24 participants with PFP (58% female; mean age 29 years) were randomly allocated to receive either MT aimed specifically at hip strengthening, or UC over an eight-week period. The primary outcomes were feasibility outcomes, which included rates of adherence, attrition, eligibility, missing data and treatment efficacy. Secondary outcomes focused on the mechanistic outcomes of the intervention, which included hip kinematics. Conversion to consent (100%), missing data (0%), attrition rate (8%) and adherence to both treatment and appointments (>90%) were deemed successful endpoints. The analysis of treatment efficacy showed that the MT group reported a greater improvement for the Global Rating of Change Scale (62% vs. 9%) and the Anterior Knee Pain Scale (-5.23 vs. 1.18) but no between-group differences for either average or worst pain. Mechanistic outcomes showed a greatest reduction in peak hip internal rotation angle for the MT group (13.1% vs. -2.7%). This feasibility study indicates that a definitive randomised controlled trial investigating a targeted treatment approach is achievable. Findings suggest the mechanism of effect of hip strengthening may be to influence kinematic changes in hip function in the transverse plane. This study was registered retrospectively. ISRCTN74560952 . Registration date: 2017-02-06. |
X Demographics
The data shown below were collected from the profiles of 16 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 4 | 25% |
| United States | 3 | 19% |
| Australia | 2 | 13% |
| Ireland | 1 | 6% |
| Germany | 1 | 6% |
| Unknown | 5 | 31% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 9 | 56% |
| Scientists | 7 | 44% |
Mendeley readers
The data shown below were compiled from readership statistics for 225 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 225 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 38 | 17% |
| Student > Master | 32 | 14% |
| Student > Ph. D. Student | 14 | 6% |
| Student > Doctoral Student | 11 | 5% |
| Researcher | 10 | 4% |
| Other | 28 | 12% |
| Unknown | 92 | 41% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 58 | 26% |
| Medicine and Dentistry | 33 | 15% |
| Sports and Recreations | 16 | 7% |
| Engineering | 2 | <1% |
| Biochemistry, Genetics and Molecular Biology | 2 | <1% |
| Other | 12 | 5% |
| Unknown | 102 | 45% |
Attention Score in Context
This research output has an Altmetric Attention Score of 11. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 May 2018.
All research outputs
#3,715,970
of 23,577,654 outputs
Outputs from BMC Musculoskeletal Disorders
#716
of 4,162 outputs
Outputs of similar age
#64,869
of 318,501 outputs
Outputs of similar age from BMC Musculoskeletal Disorders
#17
of 75 outputs
Altmetric has tracked 23,577,654 research outputs across all sources so far. Compared to these this one has done well and is in the 84th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,162 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.2. This one has done well, scoring higher than 82% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 318,501 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 79% of its contemporaries.
We're also able to compare this research output to 75 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 77% of its contemporaries.