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Athletic Trainers' Confidence and Knowledge to Manage Patellofemoral Pain
Athletic Trainers' Confidence and Knowledge to Manage Patellofemoral Pain
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Athletic Trainers' Confidence and Knowledge to Manage Patellofemoral Pain
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Athletic Trainers' Confidence and Knowledge to Manage Patellofemoral Pain
Athletic Trainers' Confidence and Knowledge to Manage Patellofemoral Pain

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Athletic Trainers' Confidence and Knowledge to Manage Patellofemoral Pain
Athletic Trainers' Confidence and Knowledge to Manage Patellofemoral Pain
Journal Article

Athletic Trainers' Confidence and Knowledge to Manage Patellofemoral Pain

2021
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Overview
Patellofemoral pain (PFP) is prevalent and challenging to manage. Most people with PFP are unsatisfied with their knee function 6-months following treatment, and report ongoing pain up to 16-years after diagnosis. Confidence and knowledge to provide evidence-based care to people with PFP amongst Athletic Trainers (ATs) is currently unknown. Investigate confidence and knowledge of ATs for the treatment, diagnosis, risk factors, and prognosis with current evidence for PFP. Cross-sectional study. Online survey. Patient or Other Participants: A random sample of 3000 ATs were invited to participate; 261 completed the survey (10% participation rate, 88% completion rate). AT demographics, confidence in PFP management, and knowledge related to diagnosis, risk factors, prognosis and treatment were surveyed. Chi-squared analyses assessed responses related to confidence and knowledge to manage PFP. ATs beliefs about evidence was compared to current evidence available (i.e. consensus statements, position statements, systematic reviews). 91% of ATs surveyed were confident that their management of PFP aligns with current evidence, but only 59% were confident in identifying risk factors for PFP development. 91-92% of ATs responded that quadriceps and hip muscle weakness were risk factor for PFP, which aligns with current evidence for quadriceps but not hip muscle weakness. 93-97% of AT responses related to therapeutic exercise aligned with current evidence. However, 35-48% of responses supported the use of passive treatments, such as electrophysical agents and ultrasound, which do not align with current evidence. Most ATs are aware of supporting evidence for therapeutic exercise in PFP management and are confident providing it, providing a strong foundation for evidence-based care. However, varying awareness of evidence related to risk factors and passive treatments for PFP highlights a need for professional development initiatives to better align AT knowledge with current evidence.