Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

80 questions · 95 findings · 22 reviews · Bone, Joint and Muscle Trauma

No studies found 0 · 0%GRADE not reported 0 · 0%Very low 67 · 70.5%Low 16 · 16.8%Moderate 6 · 6.3%High 6 · 6.3%

Closed kinetic chain exercises vs open kinetic chain exercises

Functional ability · patients with patellofemoral pain syndrome (symptoms > 4 weeks (1 study); symptoms > 6 weeks (1 study); symptoms > 8 weeks (1 study); not…

It is very uncertain whether closed kinetic chain exercises changes functional ability (short‐term) AKPS (0 to 100; higher scores mean… compared with open kinetic chain exercises (very low certainty).

2 findings from 1 review

Exercise therapy vs a control strategy (no treatment, placebo or waiting list controls)

Usual pain (short‐term) · patients with patellofemoral pain syndrome (symptoms > 3 weeks (1 study); symptoms > 1 month (3 studies); symptoms > 2 months (2 studies);…

It is very uncertain whether exercise therapy changes usual pain (short‐term) Scale (0 to 10; higher scores mean worse pain) compared with a control strategy (no treatment, placebo or waiting list controls) (very low certainty).

1 finding from 1 review

Target of exercise: hip + knee vs knee exercises

Pain during activity (short‐term) · patients with patellofemoral pain syndrome (symptoms > 1 month (3 studies); symptoms > 2 months (1 study); symptoms > 3 months (2…

It is very uncertain whether target of exercise: hip + knee changes pain during activity (short‐term) Scale (0 to 10; higher scores mean… compared with knee exercises (very low certainty).

1 finding from 1 review

Target of exercise: hip + knee vs knee exercises

Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · patients with patellofemoral pain syndrome (symptoms > 1 month (3 studies); symptoms > 2 months (1 study); symptoms > 3 months (2…

It is very uncertain whether target of exercise: hip + knee changes usual pain (short‐term) VAS (0 to 10; higher scores mean worse pain) compared with knee exercises (very low certainty).

1 finding from 1 review

Target of exercise: hip + knee vs knee exercises

Pain during activity (long‐term) VAS (0 to 10; higher scores mean worse pain) · patients with patellofemoral pain syndrome (symptoms > 1 month (3 studies); symptoms > 2 months (1 study); symptoms > 3 months (2…

It is very uncertain whether target of exercise: hip + knee changes pain during activity (long‐term) NPRS (0 to 10; higher scores mean… compared with knee exercises (very low certainty).

1 finding from 1 review

Target of exercise: hip + knee vs knee exercises

Functional ability · patients with patellofemoral pain syndrome (symptoms > 1 month (3 studies); symptoms > 2 months (1 study); symptoms > 3 months (2…

It is very uncertain whether target of exercise: hip + knee changes functional ability (short‐term) Scale (0 to 100; higher scores mean… compared with knee exercises (very low certainty).

2 findings from 1 review

Target of exercise: hip vs knee exercises

Pain during activity (short‐term) · patients with patellofemoral pain syndrome (symptoms > 1 month (1 study); symptoms > 6 months (1 study))

It is very uncertain whether target of exercise: hip changes pain during activity (short‐term) VAS (0 to 10; higher scores mean… compared with knee exercises (very low certainty).

1 finding from 1 review

Exercise therapy vs a control strategy (no treatment, placebo or waiting list controls)

Pain during activity (long‐term) VAS (0 to 10; higher scores mean worse pain) · patients with patellofemoral pain syndrome (symptoms > 3 weeks (1 study); symptoms > 1 month (3 studies); symptoms > 2 months (2 studies);…

It is very uncertain whether exercise therapy changes pain during activity (long‐term) Scale (0 to 10; higher scores mean… compared with a control strategy (no treatment, placebo or waiting list controls) (very low certainty).

1 finding from 1 review

Target of exercise: hip vs knee exercises

Pain during activity (long‐term) VAS (0 to 10; higher scores mean worse pain) · patients with patellofemoral pain syndrome (symptoms > 1 month (1 study); symptoms > 6 months (1 study))

It is very uncertain whether target of exercise: hip changes pain during activity (long‐term) VAS (0 to 10; higher scores mean… compared with knee exercises (very low certainty).

1 finding from 1 review

Target of exercise: hip vs knee exercises

Functional ability · patients with patellofemoral pain syndrome (symptoms > 1 month (1 study); symptoms > 6 months (1 study))

It is very uncertain whether target of exercise: hip changes functional ability (short‐term) Scale (0 to 100; higher scores mean… compared with knee exercises (very low certainty).

1 finding from 1 review

Target of exercise: hip vs knee exercises

Functional status, long‐term · patients with patellofemoral pain syndrome (symptoms > 1 month (1 study); symptoms > 6 months (1 study))

It is very uncertain whether target of exercise: hip changes functional ability (long‐term) WOMAC (0 to 96; inverted scores so… compared with knee exercises (very low certainty).

1 finding from 1 review

High‐intensity vs low‐intensity exercise programmes

Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · patients with patellofemoral pain syndrome (untreated PFPS of over 2 months in duration)

It is very uncertain whether high‐intensity changes usual pain (short‐term) VAS (0 to 10; higher scores mean worse pain) compared with low‐intensity exercise programmes (very low certainty).

2 findings from 1 review

Exercise therapy vs a control strategy (no treatment, placebo or waiting list controls)

Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · patients with patellofemoral pain syndrome (symptoms > 3 weeks (1 study); symptoms > 1 month (3 studies); symptoms > 2 months (2 studies);…

It is very uncertain whether exercise therapy changes usual pain (long‐term) VAS (0 to 10; higher scores mean worse pain) compared with a control strategy (no treatment, placebo or waiting list controls) (very low certainty).

1 finding from 1 review

High‐intensity vs low‐intensity exercise programmes

Functional ability · patients with patellofemoral pain syndrome (untreated PFPS of over 2 months in duration)

It is very uncertain whether high‐intensity changes functional ability (short‐term) FIQ modified (0 to 16; higher scores… compared with low‐intensity exercise programmes (very low certainty).

2 findings from 1 review

Exercise therapy vs a control strategy (no treatment, placebo or waiting list controls)

Functional ability · patients with patellofemoral pain syndrome (symptoms > 3 weeks (1 study); symptoms > 1 month (3 studies); symptoms > 2 months (2 studies);…

It is very uncertain whether exercise therapy changes functional ability (short‐term) Scale (0 to 100; higher scores mean… compared with a control strategy (no treatment, placebo or waiting list controls) (very low certainty).

2 findings from 1 review

Summary of findings: Knee orthosis (any type) and exercise vs control (exercise only)

Pain at 3 to 6 months Scale from: 0 (no pain) to 10 (worse pain) · Adults (recruited from health clinics or military recruits) with PFPS (duration of symptoms ranged from acute, under 2 to 3 weeks in two…

It is very uncertain whether summary of findings: Knee orthosis (any type) and exercise changes pain score (VAS) Scale from: 0 to 10 (higher scores mean worse pain) compared with control (exercise only) (very low certainty).

1 finding from 1 review