Mitchell Selhorst1, Jessica Hoehn2, Todd Degenhart3, Laura Schmitt4, Alicia Fernandez-Fernandez5. 1. Sports and Orthopedic Physical Therapy, Nationwide Children's Hospital, Columbus, OH, United States. Electronic address: Mitchell.Selhorst@Nationwidechildrens.org. 2. Department of Pediatric Psychology and Neuropsychology, Nationwide Children's Hospital, Columbus, OH, United States. 3. Sports and Orthopedic Physical Therapy, Nationwide Children's Hospital, Columbus, OH, United States. 4. Jameson Crane Sports Medicine Research Institute, Ohio State University Wexner Medical Center, Columbus, OH, United States; Division of Physical Therapy, School of Health and Rehabilitation Sciences, Ohio State University, Columbus, OH, United States. 5. Department of Physical Therapy, Nova Southeastern University, Fort Lauderdale, Florida, United States.
Abstract
OBJECTIVES: To test the hypothesis that a brief psychologically-informed video can reduce maladaptive psychological beliefs in adolescents with patellofemoral pain. DESIGN: Case series. SETTING: Pediatric Outpatient Hospital. PARTICIPANTS: Twenty adolescents receiving physical therapy for patellofemoral pain (14 ± 1.7 years, 50% female), 3 participants were lost to follow-up at 2 weeks. MAIN OUTCOME MEASURES: None. RESULTS: The baseline FABA-PA score was 12.0 ± 5, TSK-11 was 22.1 ± 4.0 and the PCS-c was 14.3 ± 8. Immediate reductions in FABQ-PA (mean difference = 4.52, 95% CI 1.99, 7.07; 32% reduction), TSK-11 (mean difference = 5.06, 95% CI 1.88, 8.24; 22% reduction) and PCS-c (mean difference = 3.65, 95% CI 0.62, 6.68; 26% reduction) were observed immediately post-video intervention (p < 0.01). At 2 weeks, these maladaptive beliefs remained lowered. CONCLUSIONS: This study provides preliminary evidence that incorporating a brief one-time psychologically-informed video into standard physical therapy care may significantly reduce maladaptive psychological beliefs in adolescents with patellofemoral pain.
OBJECTIVES: To test the hypothesis that a brief psychologically-informed video can reduce maladaptive psychological beliefs in adolescents with patellofemoral pain. DESIGN: Case series. SETTING: Pediatric Outpatient Hospital. PARTICIPANTS: Twenty adolescents receiving physical therapy for patellofemoral pain (14 ± 1.7 years, 50% female), 3 participants were lost to follow-up at 2 weeks. MAIN OUTCOME MEASURES: None. RESULTS: The baseline FABA-PA score was 12.0 ± 5, TSK-11 was 22.1 ± 4.0 and the PCS-c was 14.3 ± 8. Immediate reductions in FABQ-PA (mean difference = 4.52, 95% CI 1.99, 7.07; 32% reduction), TSK-11 (mean difference = 5.06, 95% CI 1.88, 8.24; 22% reduction) and PCS-c (mean difference = 3.65, 95% CI 0.62, 6.68; 26% reduction) were observed immediately post-video intervention (p < 0.01). At 2 weeks, these maladaptive beliefs remained lowered. CONCLUSIONS: This study provides preliminary evidence that incorporating a brief one-time psychologically-informed video into standard physical therapy care may significantly reduce maladaptive psychological beliefs in adolescents with patellofemoral pain.
Authors: Isobel C O'Sullivan; Nathalia Cordeiro da Costa; Melinda M Franettovich Smith; Bill Vicenzino; Kay M Crossley; Steven J Kamper; Marienke van Middelkoop; Hylton B Menz; Kylie Tucker; Karina T O'Leary; Natalie J Collins Journal: J Foot Ankle Res Date: 2022-05-16 Impact factor: 3.050