Publication: Impact of telehealth-based therapeutic exercise on pain, functional performance and dynamic knee valgus in young adult females with patellofemoral pain: a randomised controlled trial
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Issued Date
2024-12-18
Resource Type
ISSN
20557647
Scopus ID
2-s2.0-85214126490
Journal Title
BMJ Open Sport and Exercise Medicine
Volume
10
Issue
4
Rights Holder(s)
SCOPUS
Bibliographic Citation
BMJ Open Sport and Exercise Medicine Vol.10 No.4 (2024)
Suggested Citation
Nilmart P., Vongsirinavarat M., Khawsuwan P., Chumthong K., Tadein R., Komalasari D.R. Impact of telehealth-based therapeutic exercise on pain, functional performance and dynamic knee valgus in young adult females with patellofemoral pain: a randomised controlled trial. BMJ Open Sport and Exercise Medicine Vol.10 No.4 (2024). doi:10.1136/bmjsem-2024-001939 Retrieved from: https://hdl.handle.net/20.500.14740/20559
Corresponding Author(s)
Other Contributor(s)
Abstract
Objectives This study aimed to evaluate the effectiveness of a telehealth-based therapeutic exercise (TTE) programme with real-time video conference supervision for young adult females with patellofemoral pain (PFP). Methods The study design was a randomised controlled trial. Forty-two participants with PFP were allocated to either the TTE group or the control (C) group. The TTE group received a 4-week telehealth-based exercise programme supervised through real-time video conferencing, while the C group followed a self-guided stretching exercise. Pain intensity was assessed using the Visual Analogue Scale, while functional performance was evaluated with hop tests and the step-down test. Dynamic knee valgus was measured by the frontal plane projection angle during a single-leg squat. In addition, the study used a specific health questionnaire which evaluated knee pain and function, including the self-administered Kujala Patellofemoral Questionnaire (KPQ). All outcomes were assessed both before and after the intervention. Results After the 4-week interventions, the results showed a significant interaction between the group and the time of pain intensity, functional performance and dynamic knee valgus (p<0.001). The TTE group demonstrated significant pain reduction (p<0.001) and improved KPQ score (p<0.001), while the C group showed no significant changes. TTE participants also exhibited improved functional performance in the hop and step-down tests. Additionally, dynamic knee valgus was significantly decreased in the TTE group. Conclusion The telehealth-based exercise programmes offer a convenient and effective alternative for managing PFP symptoms, providing remotely accessible and specialised care.