■髌股疼痛(PFP)的疼痛和症状通常在日常活动中加剧,这可能导致整体体力活动水平降低。
■总结PFP患者与无痛对照组相比的体力活动水平的证据。
■PubMed,Embase,CINHAL,科克伦图书馆,和SPORTDiscus从2000年1月1日至2024年2月22日进行了搜索。
■以英文发表的同行评审研究,主观或客观地测量了PFP和无痛控制者的身体活动。
■采用荟萃分析的系统评价。
■一级。
■基于对冲效应大小报告具有95%CI的标准化平均差(SMD)。
■来自23,745条记录,41项研究符合资格标准。使用国际身体活动问卷(SMD,0.27;95%CI0.03,0.51),而使用Tegner活动量表(SMD,-0.31;95%CI-0.57,-0.04)。使用Baecke体育锻炼问卷(SMD,0.17;95%CI-0.09,0.44)或自我报告的运动参与持续时间(SMD,-0.46;95%CI-0.98,0.05)。有高度确定性的证据表明,与无痛跑步者相比,PFP跑步者的跑步距离较短(SMD,-0.36,95%CI-0.57,-0.14)。由于设备异质性,客观测量的身体活动水平不可能有数据汇集(即,用于量化身体活动强度的不同算法)。
■根据使用的身体活动测量工具或测量的特定身体活动,PFP患者的自我报告身体活动水平不一致。临床医生应整合多种身体活动评估工具,以确定PFP对身体活动水平的影响程度。
■PROSPERO#CRD4202234598。
UNASSIGNED: Pain and symptoms of patellofemoral pain (PFP) are often exacerbated during daily activities, which may result in reduced overall physical activity levels.
UNASSIGNED: To summarize the evidence for physical activity levels among persons with PFP compared with pain-free controls.
UNASSIGNED: PubMed, Embase, CINHAL, Cochrane Library, and SPORTDiscus were searched from January 1, 2000 to February 22, 2024.
UNASSIGNED: Peer-reviewed studies published in English that measured physical activity subjectively or objectively in persons with PFP and pain-free controls.
UNASSIGNED: Systematic review with meta-analysis.
UNASSIGNED: Level 1.
UNASSIGNED: Standardized mean difference (SMD) with 95% CI are reported based on Hedges\' g effect sizes.
UNASSIGNED: From 23,745 records, 41 studies met the eligibility criteria. There was high-to-moderate-certainty evidence that persons with PFP reported higher physical activity levels compared with pain-free controls using the International Physical Activity Questionnaire (SMD, 0.27; 95% CI 0.03, 0.51), whereas lower physical activity levels compared with pain-free controls using the Tegner Activity Scale (SMD, -0.31; 95% CI -0.57, -0.04). There was low-to-moderate-certainty evidence that there was no group difference in physical activity levels using the Baecke Physical Activity Questionnaire (SMD, 0.17; 95% CI -0.09, 0.44) or self-reported sports participation duration (SMD, -0.46; 95% CI -0.98, 0.05). There was high-certainty evidence that runners with PFP reported shorter running distances compared with pain-free runners (SMD, -0.36, 95% CI -0.57, -0.14). No data pooling was possible for objectively measured physical activity levels due to device heterogeneity (ie, different algorithms used to quantify the intensity of physical activity).
UNASSIGNED: Self-reported physical activity levels among persons with PFP were inconsistent depending on the physical activity measurement tool used or which specific physical activity was measured. Clinicians should integrate multiple physical activity assessment tools to determine the extent to which PFP influences physical activity levels.
UNASSIGNED: PROSPERO #CRD42022314598.