Two Weeks of Wearing a Knee Brace Compared With Minimal Intervention on Kinesiophobia at 2 and 6 Weeks in People With Patellofemoral Pain: A Randomized Controlled Trial

Autor(es)

Priore, Liliam B. ^[1] ; Lack, Simon ^[2] ; Garcia, Carmen ^[1] ; Azevedo, Fabio M. ^[1] ; Silva, Danilo de Oliveira ^{[1, 3]}

Afiliação do(s) autor(es)

^[1] Sao Paulo State Univ, Sch Sci & Technol, Dept Physiotherapy, UNESP, Presidente Prudente - Brazil

^[2] Queen Mary Univ London, Sch Med & Dent, William Harvey Res Inst, Sports & Exercise Med, London - England

^[3] La Trobe Univ, La Trobe Sport & Exercise Med Res Ctr LASEM, Sch Allied Hlth, Melbourne, Vic - Australia

• Tipo de documento: Artigo Científico
• Fonte: ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION; v. 101, n. 4, p. 613-623, APR 2020.
• Citações Web of Science: 2

Resumo

Objective: To investigate the effect of a knee brace compared with minimal intervention on self-reported kinesiophobia and function, objective function, and physical activity level in people with patellofemoral pain (PFP). Design: Single-blind randomized controlled trial (1:1), parallel. Participants: Individuals with PFP (N=50). Main Outcome Measures: Primary: kinesiophobia (Tampa Scale for Kinesiophobia). Secondary: self-reported function (Anterior Knee Pain Scale), physical activity level (International Physical Activity Questionnaire), and objective function (forward step-down test). Outcomes were assessed at baseline (T0), at the end of the intervention (2wk) (T1), and at 6 weeks after baseline (T2). Intervention: Participants were randomly assigned to 1 of 2 interventions groups: (1) use of knee brace for 2 weeks during daily living, sports, or painful tasks (brace group) and (2) educational leaflet with information about PFP (leaflet group). Results: The knee brace reduced kinesiophobia in people with PFP compared with minimal intervention with moderate effect size at T1=mean difference (95% CI) - 5.56 (- 9.18 to - 1.93) and T-2=-5.24 (- 8.58 to - 1.89). There was no significant difference in self-reported and objective function and physical activity level. Conclusions: The knee brace improved kinesiophobia immediately after intervention (at 2wk) and at 6-week follow-up in people with PFP compared with minimal intervention. A knee brace may be considered within clinically reasoned paradigms to facilitate exercise therapy interventions for people with PFP. (C) 2019 by the American Congress of Rehabilitation Medicine (AU)

• Processo FAPESP: 17/02457-9 - Relação entre fatores biopsicossociais e performance em testes clínicos funcionais com e sem o uso de bracing de joelho em mulheres com dor femoropatelar
• Beneficiário: Liliam Barbuglio Del Priore
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica