IMPACT OF PHYSICAL ASSESSMENT ON BEHAVIOR CHANGE IN WOMEN WITH PATELLOFEMORAL PAIN.
Health education; Kinesiophobia; Rehabilitation; Knee joint.
Introduction: Patellofemoral Pain (PFP) is one of the most prevalent knee joint dysfunctions, primarily affecting adolescents and young adults, with a higher predisposition in women. Although pain improvement is a main objective, kinesiophobia and low physical activity persist as significant barriers in the rehabilitation of individuals with PFP. Previous studies have investigated the impact of physical evaluations, as a form of health education, on changing health habits, with varied results regarding the long-term sustainability of behavioral changes. Objectives: To analyze the influence of performing a physical evaluation on the level of pain, function, kinesiophobia, and physical activity in women with PFP. Methodology: This is a pilot of a prospective cohort study, approved by the Research Ethics Committee of UFRN, that longitudinally followed 29 adult women (18-40 years old) with unilateral or bilateral PFP for six months. Participants were required to have knee pain for at least three months during specific activities and clinical signs of PFP. The International Physical Activity Questionnaire – short version (IPAQ-SF), the Anterior Knee Pain Scale (AKPS), and the Tampa Scale for Kinesiophobia – 11-item version (TSK-11) were used. Statistical analysis included paired t-tests or Wilcoxon tests and one-way ANOVA or Welch's ANOVA for comparisons between time points and physical activity profiles. Results: The sample consisted of 29 young adult women with normal BMI (mean age 31.55 ± 5.82 years). No significant changes were found in AKPS or kinesiophobia between the different profiles of physical activity change. Conclusion: Health physical evaluation with detailed feedback was not shown to be associated with significant improvement in pain and function in women with PFP.