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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

BACKGROUND: Patellofemoral 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 intervent...

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Autores principales: Priore, Liliam Barbuglio Del, Perez, Vitoria Ozores, Briani, Ronaldo Valdir, Farinelli, Lucca Andre Liporoni Bego, da Silva, Júlia de Cássia Pinto, Martins, Odisséia Marli Gimenes, Lopes, Fábio Arruda, Amorim, Anita Barros, Pappas, Evangelos, de Azevedo, Fábio Mícolis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10173555/
https://www.ncbi.nlm.nih.gov/pubmed/37170262
http://dx.doi.org/10.1186/s12891-023-06491-x
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author Priore, Liliam Barbuglio Del
Perez, Vitoria Ozores
Briani, Ronaldo Valdir
Farinelli, Lucca Andre Liporoni Bego
da Silva, Júlia de Cássia Pinto
Martins, Odisséia Marli Gimenes
Lopes, Fábio Arruda
Amorim, Anita Barros
Pappas, Evangelos
de Azevedo, Fábio Mícolis
author_facet Priore, Liliam Barbuglio Del
Perez, Vitoria Ozores
Briani, Ronaldo Valdir
Farinelli, Lucca Andre Liporoni Bego
da Silva, Júlia de Cássia Pinto
Martins, Odisséia Marli Gimenes
Lopes, Fábio Arruda
Amorim, Anita Barros
Pappas, Evangelos
de Azevedo, Fábio Mícolis
author_sort Priore, Liliam Barbuglio Del
collection PubMed
description BACKGROUND: Patellofemoral 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. METHODS: This 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 REGISTRATION: Registro Brasileiro de Ensaios Clínicos (ReBEC) RBR-4yhbqwk, registered in April 6, 2021. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12891-023-06491-x.
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spelling pubmed-101735552023-05-12 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 Priore, Liliam Barbuglio Del Perez, Vitoria Ozores Briani, Ronaldo Valdir Farinelli, Lucca Andre Liporoni Bego da Silva, Júlia de Cássia Pinto Martins, Odisséia Marli Gimenes Lopes, Fábio Arruda Amorim, Anita Barros Pappas, Evangelos de Azevedo, Fábio Mícolis BMC Musculoskelet Disord Study Protocol BACKGROUND: Patellofemoral 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. METHODS: This 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 REGISTRATION: Registro Brasileiro de Ensaios Clínicos (ReBEC) RBR-4yhbqwk, registered in April 6, 2021. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12891-023-06491-x. BioMed Central 2023-05-11 /pmc/articles/PMC10173555/ /pubmed/37170262 http://dx.doi.org/10.1186/s12891-023-06491-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Study Protocol
Priore, Liliam Barbuglio Del
Perez, Vitoria Ozores
Briani, Ronaldo Valdir
Farinelli, Lucca Andre Liporoni Bego
da Silva, Júlia de Cássia Pinto
Martins, Odisséia Marli Gimenes
Lopes, Fábio Arruda
Amorim, Anita Barros
Pappas, Evangelos
de Azevedo, Fábio Mícolis
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10173555/
https://www.ncbi.nlm.nih.gov/pubmed/37170262
http://dx.doi.org/10.1186/s12891-023-06491-x
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