Community-based rehabilitation implementation framework to address patellofemoral pain amongst runners in under-resourced communities: Delphi consensus.

IF 1 Q4 REHABILITATION South African Journal of Physiotherapy Pub Date : 2021-06-22 eCollection Date: 2021-01-01 DOI:10.4102/sajp.v77i1.1531

Siyabonga Kunene, Nomathemba Taukobong, Serela Ramklass

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引用次数: 1

Abstract

Background: Runners in under-resourced communities in parts of South Africa present with a high prevalence of patellofemoral pain (PFP), which affects their level of participation in sporting activities. Therefore, a specific rehabilitation approach is necessary to manage the PFP-related needs of these runners within their means and reach.

Objective: To develop a community-based rehabilitation (CBR) implementation framework for PFP amongst runners in under-resourced communities.

Method: Our study used the Delphi technique to develop an appropriate rehabilitation implementation framework for PFP in community-based settings. Sport medicine experts, involved in the treatment and rehabilitation of PFP, were recruited to participate. The Delphi process consisted of three rounds to attain consensus amongst the experts on the components and elements that could be contained in a rehabilitation implementation framework for the management of PFP. Experts rated the framework items using a five-point Likert scale.

Results: A total of 19 experts participated in our study: 10 were females and 9 were males of whom 13 were aged between 36 and 55 years. Most were local experts (15) with 11-20 years of clinical experience. Four core rehabilitation implementation items were identified through the Delphi process. These were: (1) the establishment of transdisciplinary rehabilitation teams, (2) upskilling of available clinicians, their assistants and trainers, (3) implementation of a CBR programme at low-level or no-cost and (4) referral of cases to secondary or tertiary institutions for further management.

Conclusion: Consensus was reached for a comprehensive CBR implementation framework aimed at addressing the specific needs of runners with PFP in under-resourced communities.

Clinical implications: A further study to test the feasibility of the agreed-upon intervention is recommended.

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社区康复实施框架解决资源不足社区跑步者髌骨痛:德尔菲共识。

背景：南非部分地区资源不足社区的跑步者髌股疼痛（PFP）患病率很高，这影响了他们参与体育活动的水平。因此，有必要采取具体的康复方法，在力所能及的范围内满足这些跑步者的PFP相关需求。目的：为资源不足社区的跑步者制定一个基于社区的PFP康复（CBR）实施框架。方法：我们的研究使用德尔菲技术为PFP在社区环境中制定了一个适当的康复实施框架。招募了参与PFP治疗和康复的运动医学专家参加。德尔菲进程包括三轮，以在专家之间就PFP管理的恢复实施框架中可以包含的组成部分和要素达成共识。专家们使用Likert五分量表对框架项目进行评分。结果：共有19名专家参与了我们的研究：10名为女性，9名为男性，其中13名年龄在36至55岁之间。大多数是具有11-20年临床经验的当地专家（15人）。通过德尔菲进程确定了四个核心康复实施项目。这些措施包括：（1）建立跨学科康复团队，（2）提高可用临床医生、其助理和培训师的技能，（3）以低成本或无成本实施CBR计划，以及（4）将病例转介至二级或三级机构进行进一步管理。结论：已就全面的CBR实施框架达成共识，该框架旨在解决资源不足社区中PFP跑步者的具体需求。临床意义：建议进行进一步研究，以测试商定干预措施的可行性。

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