A Self-Directed Web-Based Education for Boston Marathon Runners With Patellofemoral Pain

Официальное название

Running Informed, Not Just Trained: A Self-Directed Web-Based Education for Boston Marathon Runners With Patellofemoral Pain

Обзор

Runners experience diverse lower extremity injuries, and the most common is patellofemoral pain (PFP)-commonly known as "runner's knee" and characterized by pain around and/or behind the kneecap. The aim of this study is to evaluate the effectiveness of a 6-week, self-directed, web-based education program for runners competing in the 2026 Boston Marathon. The study will evaluate outcomes, including pain, function, and marathon performance, in runners who use a web-based educational program designed to help them understand and manage knee pain. There will be two groups: Group 1 will receive the 6-week web-based educational program prior to the 2026 Boston Marathon, while Group 2 will serve as the wait-and-see control group (no intervention) prior to the marathon and then receive the same program 6 weeks after completing the marathon.

Вмешательства

• Поведенческое Education Platform-MyKneeCap.com
  This intervention uses MyKneeCap.com, a free, web-based educational platform designed to help runners understand their knee pain. The platform provides information about patellofemoral pain and includes exercise programs aimed at reducing pain and improving knee function. This intervention does not involve any drugs, devices, or other procedural components.

Первичные конечные точки

• Clinical outcomes (pain) [Срок оценки: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon]
• Clinical outcomes (self-reported function) [Срок оценки: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon]
• Clinical outcomes (global rating of change) [Срок оценки: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon]

Вторичные конечные точки (11)

• Psychological function (fear-avoidance beliefs) [Срок оценки: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon]
• Psychological function (pain self-efficacy) [Срок оценки: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon]
• Patient satisfaction [Срок оценки: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon]
• Marathon performance (finish time) [Срок оценки: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon]
• Marathon performance (division ranking) [Срок оценки: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon]
• Medical service use [Срок оценки: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon]
• Secondary musculoskeletal complaints [Срок оценки: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon]
• Return to running readiness [Срок оценки: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon]
• Barriers and facilitators (confidence in self-management) [Срок оценки: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon]
• Barriers and facilitators (usability of the education platform) [Срок оценки: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon]
• Barriers and facilitators (treatment expectations) [Срок оценки: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon]

Критерии участия

Критерии включения

• Insidious onset of peripatellar and/or retropatellar pain ≥3 months
• Worst pain level in the previous week ≥3/10 on the numeric pain rating scale
• Pain during at least two of the following tasks: prolonged sitting, kneeling, squatting, walking, running, jumping, and stair negotiation.
• All participants must have access to an internet-enabled device (e.g., computer, tablet, smartphone) equipped with audio capabilities sufficient to engage with the web-based education platform

Критерии исключения

• History of lower extremity surgery
• History of lower extremity pain or injury (other than patellofemoral pain) in the previous six months
• History of patellar dislocation or subluxation
• Internal derangement (e.g., meniscal lesion)
• Ligamentous instability
• Other sources of anterior knee pain (e.g., patellar tendinopathy, bursitis)

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

США · 1 центр

• Boston Children's Hospital — Waltham

Публикации

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• Cohen J. Statistical power analysis for the behavioral sciences. Academic press; 1988
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• Briggs KK, Lysholm J, Tegner Y, Rodkey WG, Kocher MS, Steadman JR. The reliability, validity, and responsiveness of the Lysholm score and Tegner activity scale for anterior cruciate ligament injuries of the knee: 25 years later. Am J Sports Med. 2009 May;37(5):890-7. doi: 10.1177/0363546508330143. Epub 2009 Mar 4. PMID 19261899
• Vicenzino BT, Rathleff MS, Holden S, Maclachlan L, Smith BE, de Oliveira Silva D, van Middelkoop M. Developing Clinical and Research Priorities for Pain and Psychological Features in People With Patellofemoral Pain: An International Consensus Process With Health Care Professionals. J Orthop Sports Phys Ther. 2022 Jan;52(1):29-39. doi: 10.2519/jospt.2022.10647. PMID 34972490
• Asghari A, Nicholas MK. Pain self-efficacy beliefs and pain behaviour. A prospective study. Pain. 2001 Oct;94(1):85-100. doi: 10.1016/S0304-3959(01)00344-X. PMID 11576748
• Piva SR, Fitzgerald GK, Irrgang JJ, Fritz JM, Wisniewski S, McGinty GT, Childs JD, Domenech MA, Jones S, Delitto A. Associates of physical function and pain in patients with patellofemoral pain syndrome. Arch Phys Med Rehabil. 2009 Feb;90(2):285-95. doi: 10.1016/j.apmr.2008.08.214. PMID 19236982

Идентификаторы

NCT: NCT07266922 · IRB-P00052732

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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