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Evaluating the Effectiveness of Clinical Practice Guideline Adherence for Patellofemoral Pain

RecruitingNAAges 18 Years - anyAllSara Gorczynski, PT, DPT
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In plain words

What the trial is, and whether it could suit you

The overall goal of this multisite, randomized clinical trial is to evaluate the short- and long-term effectiveness of a Clinical Practice Guideline (CPG)-adherent physical therapy approach to patellofemoral pain (PFP) management among military Service members. The main questions it aims to answer are: 1. Can a CPG-adherent care approach to PFP management improve short- and long-term knee function, pain, and confidence with completing duty-related activities? 2. Can a CPG-adherent care approach to PFP management reduce utilization of healthcare resources and analgesic medication prescription at 12-month follow-up? 3. Are there patient- and care-specific factors that predict or mediate clinical benefit from physical therapy care for PFP? Researchers will compare the CPG-adherent physical therapy intervention to usual physical therapy care in the Military Health System. Participants wil

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Active-duty Service member * Aged โ‰ฅ18 years * Presence of unilateral or bilateral PFP based on the core criterion of peripatellar and/or retropatellar pain with reproduction of PFP by at least one activity that loads the patellofemoral joint during weight bearing on a flexed knee, such as prolonged sitting, kneeling, squatting, hopping, running, stair climbing, patellar palpation * Available to participate in physical therapy treatment within 6 weeks of initial enrollment Exclusion Criteria: * Presence of tibiofemoral OA based on imaging evidence in the electronic health records in the past year or self-report * History of patellar or intra-articular knee trauma (e.g., dislocation/fracture) or surgery * History of neurodegenerative conditions that may affect movement patterns (e.g., Multiple Sclerosis) * Meniscal or ligamentous pathologies within the past year based on imaging evidence of acute injury in the electronic health record or self-report * Quadriceps or patellar tendon injuries within the past year based on imaging evidence of acute injury in the electronic health record or self-report * Known pregnancy (pregnant females may be eligible for participation after end of pregnancy and medical clearance by a qualified and licensed healthcare provider) * Receipt of physical therapy care for PFP within the three months prior to enrollment * Known to be pending medical evaluation board, discharge from the military, scheduled deployment, or litigation for an injury at time of enrollment.
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What it tests

  • Clinical Practice Guideline-adherent Care
  • Usual Care
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Where

1 site
Naval Medical Center San Diego
San Diego, United States
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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