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Effectiveness of adjunctive treatment combined with exercise therapy for patellofemoral pain: a protocol for a systematic review with network meta-analysis of randomised controlled trials.
Souto, Larissa Rodrigues; Borges, Malu Siqueira; Marcolino, Alexandre Marcio; Serrão, Fábio Viadanna; Padovez, Roberta de Fátima Carreira Moreira.
Afiliação
  • Souto LR; Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos, Brazil.
  • Borges MS; Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos, Brazil.
  • Marcolino AM; Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos, Brazil.
  • Serrão FV; Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos, Brazil fserrao@ufscar.br.
  • Padovez RFCM; Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos, Brazil.
BMJ Open ; 12(5): e054221, 2022 05 19.
Article em En | MEDLINE | ID: mdl-35589339
INTRODUCTION: Patellofemoral pain (PFP) is a chronic condition that affects up to 25% of the general population and has a negative impact on functionality and quality of life due to the high levels of pain experienced by these patients. In order to improve pain and function, rehabilitation programmes that combine adjunctive treatments with exercise therapy are often used in research and clinical settings. However, despite the variety of adjunctive treatments available, their effectiveness when compared with exercise therapy has yet to be elucidated. Thus, the aim of this study is to evaluate the effectiveness of adjunctive treatments plus exercise therapy versus exercise therapy, and determine the relative efficacy of different types of adjunctive treatments plus exercise therapy for individuals with PFP. METHODS AND ANALYSIS: A systematic review and network meta-analysis will be conducted based on the Cochrane Collaboration recommendations and reported in line with Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. We will search Embase, PubMed (MEDLINE), CENTRAL, CINAHL, PEDro, SPORTDiscus, Web of Science and OpenGrey. It will be included randomised controlled trials that compared adjunctive treatment plus exercise therapy to placebo adjunctive treatment plus exercise therapy or exercise therapy. The outcomes of interest will be pain and function, with no restrictions on language, setting or year of publication. Study selection will be performed by two independent reviewers, based on the eligibility criteria. Risk of bias will be assessed using the Physiotherapy Evidence Database scale and the evidence summarised via the Grading of Recommendation, Assessment, Development and Evaluation approach. A Bayesian network meta-analysis will be performed to compare the efficacy of different adjunctive treatments plus exercise therapy. Consistency between direct and indirect comparisons will be assessed. ETHICS AND DISSEMINATION: No ethical statement will be required for this systematic review and meta-analysis. The findings will be published in a relevant international peer-reviewed journal and presented at conferences. PROSPERO REGISTRATION NUMBER: CRD42020197081.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Síndrome da Dor Patelofemoral Tipo de estudo: Clinical_trials / Guideline / Prognostic_studies / Systematic_reviews Aspecto: Ethics / Patient_preference Limite: Humans Idioma: En Revista: BMJ Open Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Síndrome da Dor Patelofemoral Tipo de estudo: Clinical_trials / Guideline / Prognostic_studies / Systematic_reviews Aspecto: Ethics / Patient_preference Limite: Humans Idioma: En Revista: BMJ Open Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido