Running Informed, Not Just Trained: A Self-Directed Web-Based Education for Boston Marathon Runners With Patellofemoral Pain
概览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 104
- 试验地点
- 1
- 主要终点
- Clinical outcomes (pain)
概览
简要总结
Runners experience diverse lower extremity injuries, and the most common is patellofemoral pain (PFP)-commonly known as "runner's knee" and characterized by pain around and/or behind the kneecap. The aim of this study is to evaluate the effectiveness of a 6-week, self-directed, web-based education program for runners competing in the 2026 Boston Marathon. The study will evaluate outcomes, including pain, function, and marathon performance, in runners who use a web-based educational program designed to help them understand and manage knee pain. There will be two groups: Group 1 will receive the 6-week web-based educational program prior to the 2026 Boston Marathon, while Group 2 will serve as the wait-and-see control group (no intervention) prior to the marathon and then receive the same program 6 weeks after completing the marathon.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Insidious onset of peripatellar and/or retropatellar pain ≥3 months
- •Worst pain level in the previous week ≥3/10 on the numeric pain rating scale
- •Pain during at least two of the following tasks: prolonged sitting, kneeling, squatting, walking, running, jumping, and stair negotiation.
- •All participants must have access to an internet-enabled device (e.g., computer, tablet, smartphone) equipped with audio capabilities sufficient to engage with the web-based education platform
排除标准
- •History of lower extremity surgery
- •History of lower extremity pain or injury (other than patellofemoral pain) in the previous six months
- •History of patellar dislocation or subluxation
- •Internal derangement (e.g., meniscal lesion)
- •Ligamentous instability
- •Other sources of anterior knee pain (e.g., patellar tendinopathy, bursitis)
研究组 & 干预措施
Pre-Marathon Education
This group will receive the educational platform for 6 weeks prior to the 2026 Boston Marathon. Participants will have access to MyKneeCap.com, a web-based platform designed to provide runners with evidence-based education on the physical and non-physical factors contributing to patellofemoral pain, as well as strategies for self-managing symptoms tailored specifically for runners.
干预措施: Education Platform-MyKneeCap.com (Behavioral)
Wait-and-See Control / Post-Marathon Education
This group will serve as a wait-and-see control (no intervention) prior to the 2026 Boston Marathon. After completing the marathon, participants will receive access to MyKneeCap.com, a web-based platform designed to provide runners with evidence-based education on the physical and non-physical factors contributing to patellofemoral pain, as well as strategies for self-managing symptoms tailored specifically for runners.
干预措施: Education Platform-MyKneeCap.com (Behavioral)
结局指标
主要结局
Clinical outcomes (pain)
时间窗: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon
Pain will be assessed for current pain and worst pain in the previous week using a 10-cm visual analog scale (VAS; 0=no pain; 10=worst pain imaginable), a reliable, valid, and responsive tool for evaluating treatment outcomes for patellofemoral pain.
Clinical outcomes (self-reported function)
时间窗: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon
Self-reported function will be evaluated using the 11-item Knee Injury and Osteoarthritis Outcome Score-Patellofemoral subscale (KOOS-PF; 0=extreme disability; 100=no disability), a reliable tool with the highest content validity for patellofemoral pain.
Clinical outcomes (global rating of change)
时间窗: 6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon
Global rating of change will be assessed for perceived recovery using a 7-point Likert scale (much worse, worse, slightly worse, no change, slightly better, better, or much better). The global rating of change scale is a reliable, clinically relevant, and patient-centered measure for interpreting meaningful improvements.
次要结局
- Psychological function (fear-avoidance beliefs)(6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon)
- Psychological function (pain self-efficacy)(6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon)
- Patient satisfaction(6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon)
- Marathon performance (finish time)(6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon)
- Marathon performance (division ranking)(6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon)
- Medical service use(6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon)
- Secondary musculoskeletal complaints(6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon)
- Return to running readiness(6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon)
- Barriers and facilitators (confidence in self-management)(6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon)
- Barriers and facilitators (usability of the education platform)(6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon)
- Barriers and facilitators (treatment expectations)(6-weeks leading up to the Boston Marathon, or 6-weeks post completion of Boston Marathon)
研究者
Sungwan Kim
Principal Investigator
Boston Children's Hospital