The Effect of Mindful Movement on Pain Intensity, Leg Muscle Fitness and Psychological Features in University Athletes with Chronic Patellofemoral Pain - A Randomized Controlled Trial Pilot Study
Keywords:
mindful movement, pain intensity, leg muscle fitness, psychological features, chronic patellofemoral painAbstract
Objectives: To evaluate and compare the effects of mindful movement therapy and general exercise therapy on pain intensity, leg muscle fitness, and psychological features in university athletes with chronic patellofemoral pain
Study design: Randomized controlled trial, a pilot study
Setting: Sport laboratory room, Department of Health and Sport Science, Mahasarakham University
Subjects: Thirteen athletes with chronic patellofemoral pain
Methods: The participants were males and females aged 19 to 25 years old who had had anterior knee pain for over three months. The self-report questionnaire and clinical tests diagnosed patellofemoral pain. The thirteen people were divided into two groups by block randomized allocation: the mindful movement group (n=7) and the general exercise therapy group (n=6). They were assessed for pain intensity, leg muscle fitness, and psycho-logical features before and after the eight-week study. Both groups visited the physiotherapist to train three times a week for eight weeks.
Results: After the 8-week intervention, both groups showed significant improvement in pain intensity, pain catastrophizing scale, fear-avoidance beliefs questionnaire, and strength, endurance, and power tests of the legs over baseline (p < 0.05), but the acceptance scores of the mindful movement group (p = 0.286) and all levels of mindfulness of the general exercise therapy group showed no statistically significant difference (p = 0.904). The differences in average outcomes between the two groups at baseline were not statistically significant with the exception of leg power (p = 0.008). Moreover, there was no significant difference in the change in all outcomes between the two groups after the 8-week intervention (p > 0.05).
Conclusions: Both interventions can reduce pain intensity and improve physical and psychological features, even though the athletes had continued to perform other physical activities in daily life while participating in the program. Future studies with a larger sample size and a determination of retention time are needed.
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