Abstract
The health crisis caused by COVID-19 has had a huge impact on the provision of physiotherapists’ services during the pandemic. Patellofemoral pain syndrome (PFPS) is a major health problem and one of the most common causes of pain in the front of the knee in outpatients. The objective was to evaluate the effectiveness of a therapeutic physical exercise (TPE) program supervised by a physiotherapist using telematic channels in reducing pain and disability in a sample of 54 patients with PFPS in the Physiotherapy Service of the San José de la Rinconada Health Center (Seville). Subjects were evaluated pre- and post-intervention (4 weeks—12 treatment sessions). An analysis was made of perceived pain—using the visual analog scale (VAS) and the DN4 neuropathic pain questionnaire—and functional balance—through the Kujala Score test and the Lower Extremity Functional Scale. The supervised TPE program in patients with PFPS produced a reduction in pain: VAS F1, 52 = 8.68 (p = 0.005) η2 = 0.14 and DN4: F1, 52 = 69.94 (p = 0.000) η2 = 0.57; and in Lower Extremity Functional Scale (LEFS) disability: F1, 52 = 19.1 (p = 0.000) η2 = 0.27 and KUJALA: F1, 52 = 60.28 (p = 0.000) η2 = 0.54, which was statistically significant (p = 0.000 for p < 0.05). Hence, the TPE program presented was effective in reducing pain and disability in patients with PFPS.
Highlights
The period of time covering the present study is unprecedented
The purpose of this study is to evaluate the effectiveness of a therapeutic physical exercise (TPE) program in reducing pain and disability, to quantify the decrease in pain in the front of the knee, and to appraise the improvement in functional disability in patients with Patellofemoral pain syndrome (PFPS) after treatment with TPE supervised by a physiotherapist via telematic channels
We evaluated the effectiveness of a telematic TPE program, supervised by a physiotherapist, in reducing pain and disability in patients with PFPS
Summary
On 14 March 2020, the Government of Spain decreed a state of emergency, thereby beginning a period of confinement in order to stop the spread of the SARS-CoV-2 virus. This situation forced face-to-face care of patients attending the Physiotherapy Rooms in Primary Care Centers on an outpatient basis to be cancelled [1]. Therapeutic exercise routines would make it possible to maintain the therapeutic goals of the different programs being carried out depending on their pathology It was a question of developing a labor of health education in the population being cared for by said physiotherapy rooms. Some studies have suggested a high social acceptance and confidence of patients toward telehealth in trauma
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