Impact of telehealth-based therapeutic exercise on pain, functional performance and dynamic knee valgus in young adult females with patellofemoral pain: a randomised controlled trial
Objectives This study aimed to evaluate the effectiveness of a telehealth-based therapeutic exercise (TTE) programme with real-time video conference supervision for young adult females with patellofemoral pain (PFP).Methods The study design was a randomised controlled trial. Forty-two participants w...
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BMJ Publishing Group
2024-12-01
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| Series: | BMJ Open Sport & Exercise Medicine |
| Online Access: | https://bmjopensem.bmj.com/content/10/4/e001939.full |
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| author | Patcharin Nilmart Mantana Vongsirinavarat Pimpaka Khawsuwan Kiatrada Chumthong Russareeta Tadein Dwi Rosella Komalasari |
| author_facet | Patcharin Nilmart Mantana Vongsirinavarat Pimpaka Khawsuwan Kiatrada Chumthong Russareeta Tadein Dwi Rosella Komalasari |
| author_sort | Patcharin Nilmart |
| collection | DOAJ |
| description | Objectives This study aimed to evaluate the effectiveness of a telehealth-based therapeutic exercise (TTE) programme with real-time video conference supervision for young adult females with patellofemoral pain (PFP).Methods The study design was a randomised controlled trial. Forty-two participants with PFP were allocated to either the TTE group or the control (C) group. The TTE group received a 4-week telehealth-based exercise programme supervised through real-time video conferencing, while the C group followed a self-guided stretching exercise. Pain intensity was assessed using the Visual Analogue Scale, while functional performance was evaluated with hop tests and the step-down test. Dynamic knee valgus was measured by the frontal plane projection angle during a single-leg squat. In addition, the study used a specific health questionnaire which evaluated knee pain and function, including the self-administered Kujala Patellofemoral Questionnaire (KPQ). All outcomes were assessed both before and after the intervention.Results After the 4-week interventions, the results showed a significant interaction between the group and the time of pain intensity, functional performance and dynamic knee valgus (p<0.001). The TTE group demonstrated significant pain reduction (p<0.001) and improved KPQ score (p<0.001), while the C group showed no significant changes. TTE participants also exhibited improved functional performance in the hop and step-down tests. Additionally, dynamic knee valgus was significantly decreased in the TTE group.Conclusion The telehealth-based exercise programmes offer a convenient and effective alternative for managing PFP symptoms, providing remotely accessible and specialised care. |
| format | Article |
| id | doaj-art-3056d7d20cfe4cf9b5e99d2a9a376f4d |
| institution | DOAJ |
| issn | 2055-7647 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Sport & Exercise Medicine |
| spelling | doaj-art-3056d7d20cfe4cf9b5e99d2a9a376f4d2025-08-20T02:52:42ZengBMJ Publishing GroupBMJ Open Sport & Exercise Medicine2055-76472024-12-0110410.1136/bmjsem-2024-001939Impact of telehealth-based therapeutic exercise on pain, functional performance and dynamic knee valgus in young adult females with patellofemoral pain: a randomised controlled trialPatcharin Nilmart0Mantana Vongsirinavarat1Pimpaka Khawsuwan2Kiatrada Chumthong3Russareeta Tadein4Dwi Rosella Komalasari5Faculty of Physical Therapy, Srinakharinwirot University, Ongkharak, Nakhonnayok, ThailandFaculty of Physical Therapy, Mahidol University, Salaya, Nakhon Pathom, ThailandPhysical Therapy, Walailak University, Thasala, Nakhon Sri Thammarat, ThailandPhysical Therapy, Walailak University, Thasala, Nakhon Sri Thammarat, ThailandPhysical Therapy, Walailak University, Thasala, Nakhon Sri Thammarat, ThailandMuhammadiyah University of Surakarta, Surakarta, IndonesiaObjectives This study aimed to evaluate the effectiveness of a telehealth-based therapeutic exercise (TTE) programme with real-time video conference supervision for young adult females with patellofemoral pain (PFP).Methods The study design was a randomised controlled trial. Forty-two participants with PFP were allocated to either the TTE group or the control (C) group. The TTE group received a 4-week telehealth-based exercise programme supervised through real-time video conferencing, while the C group followed a self-guided stretching exercise. Pain intensity was assessed using the Visual Analogue Scale, while functional performance was evaluated with hop tests and the step-down test. Dynamic knee valgus was measured by the frontal plane projection angle during a single-leg squat. In addition, the study used a specific health questionnaire which evaluated knee pain and function, including the self-administered Kujala Patellofemoral Questionnaire (KPQ). All outcomes were assessed both before and after the intervention.Results After the 4-week interventions, the results showed a significant interaction between the group and the time of pain intensity, functional performance and dynamic knee valgus (p<0.001). The TTE group demonstrated significant pain reduction (p<0.001) and improved KPQ score (p<0.001), while the C group showed no significant changes. TTE participants also exhibited improved functional performance in the hop and step-down tests. Additionally, dynamic knee valgus was significantly decreased in the TTE group.Conclusion The telehealth-based exercise programmes offer a convenient and effective alternative for managing PFP symptoms, providing remotely accessible and specialised care.https://bmjopensem.bmj.com/content/10/4/e001939.full |
| spellingShingle | Patcharin Nilmart Mantana Vongsirinavarat Pimpaka Khawsuwan Kiatrada Chumthong Russareeta Tadein Dwi Rosella Komalasari Impact of telehealth-based therapeutic exercise on pain, functional performance and dynamic knee valgus in young adult females with patellofemoral pain: a randomised controlled trial BMJ Open Sport & Exercise Medicine |
| title | Impact of telehealth-based therapeutic exercise on pain, functional performance and dynamic knee valgus in young adult females with patellofemoral pain: a randomised controlled trial |
| title_full | Impact of telehealth-based therapeutic exercise on pain, functional performance and dynamic knee valgus in young adult females with patellofemoral pain: a randomised controlled trial |
| title_fullStr | Impact of telehealth-based therapeutic exercise on pain, functional performance and dynamic knee valgus in young adult females with patellofemoral pain: a randomised controlled trial |
| title_full_unstemmed | Impact of telehealth-based therapeutic exercise on pain, functional performance and dynamic knee valgus in young adult females with patellofemoral pain: a randomised controlled trial |
| title_short | Impact of telehealth-based therapeutic exercise on pain, functional performance and dynamic knee valgus in young adult females with patellofemoral pain: a randomised controlled trial |
| title_sort | impact of telehealth based therapeutic exercise on pain functional performance and dynamic knee valgus in young adult females with patellofemoral pain a randomised controlled trial |
| url | https://bmjopensem.bmj.com/content/10/4/e001939.full |
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