Psychologically-informed video reduces maladaptive beliefs in adolescents with patellofemoral pain.

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.

• Authors: Mitchell Selhorst, Jessica Hoehn, Todd Degenhart, Laura Schmitt, Alicia Fernandez-Fernandez
• Journal: Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine (Phys Ther Sport) Vol. 41 Pg. 23-28 (Jan 2020) ISSN: 1873-1600 [Electronic] England
• PMID: 31704460 (Publication Type: Journal Article)
• Copyright: Copyright © 2019 Elsevier Ltd. All rights reserved.

Topics

• Adolescent
• Ambulatory Care
• Child
• Fear
• Female
• Hospitals, Pediatric
• Humans
• Male
• Pain Management (methods)
• Patellofemoral Joint (physiopathology)
• Physical Therapy Modalities (psychology)
• Prospective Studies