Targeted interventions for patellofemoral pain syndrome (TIPPS): classification of clinical subgroups

Hdl Handle:
http://hdl.handle.net/10149/305049
Title:
Targeted interventions for patellofemoral pain syndrome (TIPPS): classification of clinical subgroups
Authors:
Selfe, J. (James); Callaghan, M. (Micheal); Witvrouw, E. (Erik); Richards, J. (James); Dey, M. P. (Maria); Sutton, C. (Chris); Dixon, J. (John); Martin, D. J. (Denis); Stokes, M. (Maria); Janssen, J. (Jessie); Ritchie, E. (Elizabeth); Turner, D. (David)
Affiliation:
Teesside University. Health and Social Care Institute.
Citation:
Selfe J., Callaghan M., Witvrouw E., Richards J., Dey M.P.,Sutton C., Dixon J., Martin D., Stokes M., Janssen J., Ritchie E., Turner, D. 'Targeted interventions for patellofemoral pain syndrome (TIPPS): classification of clinical subgroups' BMJ Open, 3 (9):e003795
Journal:
BMJ Open
Issue Date:
23-Sep-2013
URI:
http://hdl.handle.net/10149/305049
DOI:
10.1136/bmjopen-2013-003795
Additional Links:
http://bmjopen.bmj.com/cgi/doi/10.1136/bmjopen-2013-003795
Abstract:
Introduction Patellofemoral pain (PFP) can cause significant pain leading to limitations in societal participation and physical activity. An international expert group has highlighted the need for a classification system to allow targeted intervention for patients with PFP; we have developed a work programme systematically investigating this. We have proposed six potential subgroups: hip abductor weakness, quadriceps weakness, patellar hypermobility, patellar hypomobility, pronated foot posture and lower limb biarticular muscle tightness. We could not uncover any evidence of the relative frequency with which patients with PFP fell into these subgroups or whether these subgroups were mutually exclusive. The aim of this study is to provide information on the clinical utility of our classification system. Methods and analysis 150 participants will be recruited over 18 months in four National Health Services (NHS) physiotherapy departments in England. Inclusion criteria: adults 18–40 years with PFP for longer than 3 months, PFP in at least two predesignated functional activities and PFP elicited by clinical examination. Exclusion criteria: prior or forthcoming lower limb surgery; comorbid illness or health condition; and lower limb training or pregnancy. We will record medical history, demographic details, pain, quality of life, psychomotor movement awareness and knee temperature. We will assess hip abductor and quadriceps weakness, patellar hypermobility and hypomobility, foot posture and lower limb biarticular muscle tightness. The primary analytic approach will be descriptive. We shall present numbers and percentages of participants who meet the criteria for membership of (1) each of the subgroups, (2) none of the subgroups and (3) multiple subgroups. Exact (binomial) 95% CIs for these percentages will also be presented. Ethics and dissemination This study has been approved by National Research Ethics Service (NRES) Committee North West—Greater Manchester North (11/NW/0814) and University of Central Lancashire (UCLan) Built, Sport, Health (BuSH) Ethics Committee (BuSH 025). An abstract has been accepted for the third International Patellofemoral Pain Research Retreat, Vancouver, September 2013.
Type:
Article
Language:
en
ISSN:
2044-6055
Rights:
Author can archive publisher's version/PDF. For full details see http://www.sherpa.ac.uk/romeo[Accessed: 07/11/2013]

Full metadata record

DC FieldValue Language
dc.contributor.authorSelfe, J. (James)en_GB
dc.contributor.authorCallaghan, M. (Micheal)en_GB
dc.contributor.authorWitvrouw, E. (Erik)en_GB
dc.contributor.authorRichards, J. (James)en_GB
dc.contributor.authorDey, M. P. (Maria)en_GB
dc.contributor.authorSutton, C. (Chris)en_GB
dc.contributor.authorDixon, J. (John)en_GB
dc.contributor.authorMartin, D. J. (Denis)en_GB
dc.contributor.authorStokes, M. (Maria)en_GB
dc.contributor.authorJanssen, J. (Jessie)en_GB
dc.contributor.authorRitchie, E. (Elizabeth)en_GB
dc.contributor.authorTurner, D. (David)en_GB
dc.date.accessioned2013-11-07T14:07:44Z-
dc.date.available2013-11-07T14:07:44Z-
dc.date.issued2013-09-23-
dc.identifier.citationBMJ Open, 3 (9):e003795en_GB
dc.identifier.issn2044-6055-
dc.identifier.doi10.1136/bmjopen-2013-003795-
dc.identifier.urihttp://hdl.handle.net/10149/305049-
dc.description.abstractIntroduction Patellofemoral pain (PFP) can cause significant pain leading to limitations in societal participation and physical activity. An international expert group has highlighted the need for a classification system to allow targeted intervention for patients with PFP; we have developed a work programme systematically investigating this. We have proposed six potential subgroups: hip abductor weakness, quadriceps weakness, patellar hypermobility, patellar hypomobility, pronated foot posture and lower limb biarticular muscle tightness. We could not uncover any evidence of the relative frequency with which patients with PFP fell into these subgroups or whether these subgroups were mutually exclusive. The aim of this study is to provide information on the clinical utility of our classification system. Methods and analysis 150 participants will be recruited over 18 months in four National Health Services (NHS) physiotherapy departments in England. Inclusion criteria: adults 18–40 years with PFP for longer than 3 months, PFP in at least two predesignated functional activities and PFP elicited by clinical examination. Exclusion criteria: prior or forthcoming lower limb surgery; comorbid illness or health condition; and lower limb training or pregnancy. We will record medical history, demographic details, pain, quality of life, psychomotor movement awareness and knee temperature. We will assess hip abductor and quadriceps weakness, patellar hypermobility and hypomobility, foot posture and lower limb biarticular muscle tightness. The primary analytic approach will be descriptive. We shall present numbers and percentages of participants who meet the criteria for membership of (1) each of the subgroups, (2) none of the subgroups and (3) multiple subgroups. Exact (binomial) 95% CIs for these percentages will also be presented. Ethics and dissemination This study has been approved by National Research Ethics Service (NRES) Committee North West—Greater Manchester North (11/NW/0814) and University of Central Lancashire (UCLan) Built, Sport, Health (BuSH) Ethics Committee (BuSH 025). An abstract has been accepted for the third International Patellofemoral Pain Research Retreat, Vancouver, September 2013.en_GB
dc.language.isoenen
dc.relation.urlhttp://bmjopen.bmj.com/cgi/doi/10.1136/bmjopen-2013-003795en_GB
dc.rightsAuthor can archive publisher's version/PDF. For full details see http://www.sherpa.ac.uk/romeo[Accessed: 07/11/2013]en_GB
dc.titleTargeted interventions for patellofemoral pain syndrome (TIPPS): classification of clinical subgroupsen
dc.typeArticleen
dc.contributor.departmentTeesside University. Health and Social Care Institute.en_GB
dc.identifier.journalBMJ Openen_GB
or.citation.harvardSelfe J., Callaghan M., Witvrouw E., Richards J., Dey M.P.,Sutton C., Dixon J., Martin D., Stokes M., Janssen J., Ritchie E., Turner, D. 'Targeted interventions for patellofemoral pain syndrome (TIPPS): classification of clinical subgroups' BMJ Open, 3 (9):e003795-
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