Are there three main subgroups within the patellofemoral pain population? A detailed characterisation study of 127 patients to help develop targeted intervention (TIPPs)

British Journal of Sports Medicine
James SelfePaola Dey

Abstract

Current multimodal approaches for the management of non-specific patellofemoral pain are not optimal, however, targeted intervention for subgroups could improve patient outcomes. This study explores whether subgrouping of non-specific patellofemoral pain patients, using a series of low cost simple clinical tests, is possible. The exclusivity and clinical importance of potential subgroups was assessed by applying à priori test thresholds (1 SD) from seven clinical tests in a sample of adult patients with non-specific patellofemoral pain. Hierarchical clustering and latent profile analysis, were used to gain additional insights into subgroups using data from the same clinical tests. 130 participants were recruited, 127 had complete data: 84 (66%) female, mean age 26 years (SD 5.7) and mean body mass index 25.4 (SD 5.83), median (IQR) time between onset of pain and assessment was 24 (7-60) months. Potential subgroups defined by the à priori test thresholds were not mutually exclusive and patients frequently fell into multiple subgroups. Using hierarchical clustering and latent profile analysis three subgroups were identified using 6 of the 7 clinical tests. These subgroups were given the following nomenclature: (1) 'strong', (2) '...Continue Reading

Citations

Mar 23, 2017·British Journal of Sports Medicine·Liam R MaclachlanBill Vicenzino
May 18, 2017·Journal of Sport Rehabilitation·Neal R Glaviano, Susan Saliba
Oct 30, 2018·Journal of Athletic Training·Lori A BolglaChristopher M Powers
Dec 18, 2019·Scandinavian Journal of Medicine & Science in Sports·Alexandra HottSigurd Liavaag
Dec 14, 2019·The American Journal of Sports Medicine·Cameron N FickFrances T Sheehan
Mar 29, 2019·BMC Musculoskeletal Disorders·Benjamin E SmithPip Logan
Aug 21, 2020·The American Journal of Sports Medicine·Camila GrantFrances T Sheehan
Dec 21, 2019·American Journal of Physical Medicine & Rehabilitation·Karlie PayneTheresa A Larkin
Sep 3, 2019·The Journal of Orthopaedic and Sports Physical Therapy·Richard W WillyChristine M McDonough
May 26, 2018·Scandinavian Journal of Pain·Liam R MaclachlanBill Vicenzino
Nov 21, 2020·Clinical Biomechanics·Tadeu Aldrovando Brihy de AlbuquerquePaulo Roberto Garcia Lucareli
May 25, 2021·Journal of Back and Musculoskeletal Rehabilitation·Pınar KısacıkAynur Ayşe Karaduman
May 26, 2021·Musculoskeletal Science & Practice·Kim Hébert-LosierJim Richards
Jul 26, 2021·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·Henrike Greaves Richard Jones

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