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. 2020 Dec;64(3):180-186.

Appraisal and summary of patellofemoral pain clinical practice guideline

Gaelan Connell  1   2 , Daphne To  1   2 , Mariam Ashraf  3 , Leslie Verville  1   2
Affiliations

Appraisal and summary of patellofemoral pain clinical practice guideline

Gaelan Connell et al. J Can Chiropr Assoc. 2020 Dec.

Abstract
in English, French

Objective: The purpose of this commentary was to critically appraise the patellofemoral pain clinical practice guideline published by the Academy of Orthopaedic Physical Therapy in 2019 and to summarize their recommendations for chiropractic practice.

Methods: Quality and reporting of this guideline was assessed with the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. Three reviewers independently scored between 1-7 (strongly disagree-strongly agree) for 23 items organized into six quality domains.

Results: AGREE II quality domain scores ranged between 57%-98%, with overall quality of the recommendation rated 89%. The guideline contained evidence summaries and/or recommendations for three topics: impairment/function-based diagnosis; examination; and interventions.

Conclusion: Based on its methodological quality, we recommend the use of this guideline for the examination, diagnosis, and management of patellofemoral pain in chiropractic practice. A summary of recommendations from this guideline is presented for use within the scope of chiropractic practice in Canada.

Objectif: Ces commentaires visaient à évaluer le la ligne directrice relative à la prise en charge du syndrome fémoro-patellaire publiées par l’Academy of Orthopaedic Physical Therapy en 2019 et de résumer les recommandations aux chiropraticiens.

Méthodologie: La qualité de cette ligne directrice a été évaluée à l’aide de l’instrument Appraisal of Guidelines for Research and Evaluation II (AGREE II). Trois examinateurs, chacun de leur côté, ont attribué une cote comprise entre 1 et 7 (allant de fortement en désaccord à fortement d’accord) à 23 aspects répartis dans six domaines reliés à la qualité.

Résultats: Les cotes attribuées au domaine relié à la qualité AGREE II allaient de 57 à 98 % ; de façon globale, la cote de la qualité de la recommandation était de 89 %. La ligne directrice renfermait des résumés de preuves et/ou des recommandations portant sur trois points à savoir le déficit/le diagnostic fondé sur la fonction, l’examen et les interventions.

Conclusion: À la lumière de la qualité de la méthodologie, nous recommandons l’utilisation de cette ligne directrice pour pratiquer l’examen, établir un diagnostic et prendre en charge du syndrome fémoropatellaire dans les cliniques chiropratiques. Un résumé des recommandations issues de cette ligne directrice est présenté à l’intention des chiropraticiens du Canada.

Keywords: appraisal; chiropractic; guideline; patellofemoral pain syndrome; summary.

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Conflict of interest statement

The authors have no disclaimers or competing interests to report in the preparation of this manuscript. This study was funded by the Canadian Chiropractic Research Foundation.

Figures

Figure 1
Figure 1
AGREE II scaled domain score formula.
Figure 2
Figure 2
Patellofemoral Pain Clinical Algorithm.
See this image and copyright information in PMC

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