Short-term clinical course of knee pain in children and adolescents: a feasibility study using electronic methods of data collection

Michael Swain, Steven J. Kamper, Chris G. Maher, Jane Latimer, Carolyn Broderick, Damien McKay, Nicholas Henschke

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background and Purpose: Musculoskeletal disorders, such as knee pain, are common in children and adolescents, but there is a lack of high quality research that evaluates the clinical course of these conditions. The objective of this study was to evaluate the feasibility of conducting a prospective study of children and adolescents with knee pain using electronic methods of data collection. Methods: Children and adolescents with knee pain that presented to primary care physiotherapy clinics were enrolled and followed‐up on a weekly basis via short messaging service (SMS) until their knee pain had recovered (i.e. two consecutive weeks of no pain). Feasibility was assessed in terms of recruitment, retention and response rates to SMS and an online questionnaire. Baseline and 6‐month follow‐up measures included pain, disability, physical function, physical activity and health related quality of life. Kaplan–Meier survival analysis was used to estimate the median time to knee pain recovery. Results: Thirty participants (mean age 13.0 ± 2.2 years, 53% boys) were recruited over 26 months. The overall response rate to weekly SMS follow‐up was 71.3% (809 received/1135 sent). One third of participants stopped responding to SMS prior to recovery, and these participants typically had a much lower response rate during the time they remained in the study. At 6‐month follow‐up, 80% of the cohort completed the final online questionnaire, and 29% of participants still reported current knee pain (≥1/10 VAS). The median time for knee pain recovery was 8 weeks (95%CI: 5, 10). Conclusion: Electronic data collection alone seems insufficient to track pain recovery in young people and may need to be supplemented with more traditional data collection methods. Researchers should consider further measures to address slow recruitment rates and high attrition when designing large prospective studies of children and adolescents in the future.
LanguageEnglish
Article numbere1669
Pages1-8
Number of pages8
JournalPhysiotherapy research international : the journal for researchers and clinicians in physical therapy
Volume22
Issue number4
Early online date16 May 2016
DOIs
Publication statusPublished - Oct 2017

Fingerprint

Feasibility Studies
Curriculum
Knee
Pain
Prospective Studies
Kaplan-Meier Estimate
Survival Analysis
Primary Health Care
Quality of Life
Research Personnel
Exercise

Keywords

  • adolescence
  • cohort study
  • measurement
  • musculoskeletal
  • paediatrics

Cite this

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title = "Short-term clinical course of knee pain in children and adolescents: a feasibility study using electronic methods of data collection",
abstract = "Background and Purpose: Musculoskeletal disorders, such as knee pain, are common in children and adolescents, but there is a lack of high quality research that evaluates the clinical course of these conditions. The objective of this study was to evaluate the feasibility of conducting a prospective study of children and adolescents with knee pain using electronic methods of data collection. Methods: Children and adolescents with knee pain that presented to primary care physiotherapy clinics were enrolled and followed‐up on a weekly basis via short messaging service (SMS) until their knee pain had recovered (i.e. two consecutive weeks of no pain). Feasibility was assessed in terms of recruitment, retention and response rates to SMS and an online questionnaire. Baseline and 6‐month follow‐up measures included pain, disability, physical function, physical activity and health related quality of life. Kaplan–Meier survival analysis was used to estimate the median time to knee pain recovery. Results: Thirty participants (mean age 13.0 ± 2.2 years, 53{\%} boys) were recruited over 26 months. The overall response rate to weekly SMS follow‐up was 71.3{\%} (809 received/1135 sent). One third of participants stopped responding to SMS prior to recovery, and these participants typically had a much lower response rate during the time they remained in the study. At 6‐month follow‐up, 80{\%} of the cohort completed the final online questionnaire, and 29{\%} of participants still reported current knee pain (≥1/10 VAS). The median time for knee pain recovery was 8 weeks (95{\%}CI: 5, 10). Conclusion: Electronic data collection alone seems insufficient to track pain recovery in young people and may need to be supplemented with more traditional data collection methods. Researchers should consider further measures to address slow recruitment rates and high attrition when designing large prospective studies of children and adolescents in the future.",
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Short-term clinical course of knee pain in children and adolescents : a feasibility study using electronic methods of data collection. / Swain, Michael; Kamper, Steven J.; Maher, Chris G.; Latimer, Jane; Broderick, Carolyn; McKay, Damien; Henschke, Nicholas.

In: Physiotherapy research international : the journal for researchers and clinicians in physical therapy, Vol. 22, No. 4, e1669, 10.2017, p. 1-8.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Short-term clinical course of knee pain in children and adolescents

T2 - Physiotherapy research international : the journal for researchers and clinicians in physical therapy

AU - Swain, Michael

AU - Kamper, Steven J.

AU - Maher, Chris G.

AU - Latimer, Jane

AU - Broderick, Carolyn

AU - McKay, Damien

AU - Henschke, Nicholas

N1 - Copyright © 2016 John Wiley & Sons, Ltd.

PY - 2017/10

Y1 - 2017/10

N2 - Background and Purpose: Musculoskeletal disorders, such as knee pain, are common in children and adolescents, but there is a lack of high quality research that evaluates the clinical course of these conditions. The objective of this study was to evaluate the feasibility of conducting a prospective study of children and adolescents with knee pain using electronic methods of data collection. Methods: Children and adolescents with knee pain that presented to primary care physiotherapy clinics were enrolled and followed‐up on a weekly basis via short messaging service (SMS) until their knee pain had recovered (i.e. two consecutive weeks of no pain). Feasibility was assessed in terms of recruitment, retention and response rates to SMS and an online questionnaire. Baseline and 6‐month follow‐up measures included pain, disability, physical function, physical activity and health related quality of life. Kaplan–Meier survival analysis was used to estimate the median time to knee pain recovery. Results: Thirty participants (mean age 13.0 ± 2.2 years, 53% boys) were recruited over 26 months. The overall response rate to weekly SMS follow‐up was 71.3% (809 received/1135 sent). One third of participants stopped responding to SMS prior to recovery, and these participants typically had a much lower response rate during the time they remained in the study. At 6‐month follow‐up, 80% of the cohort completed the final online questionnaire, and 29% of participants still reported current knee pain (≥1/10 VAS). The median time for knee pain recovery was 8 weeks (95%CI: 5, 10). Conclusion: Electronic data collection alone seems insufficient to track pain recovery in young people and may need to be supplemented with more traditional data collection methods. Researchers should consider further measures to address slow recruitment rates and high attrition when designing large prospective studies of children and adolescents in the future.

AB - Background and Purpose: Musculoskeletal disorders, such as knee pain, are common in children and adolescents, but there is a lack of high quality research that evaluates the clinical course of these conditions. The objective of this study was to evaluate the feasibility of conducting a prospective study of children and adolescents with knee pain using electronic methods of data collection. Methods: Children and adolescents with knee pain that presented to primary care physiotherapy clinics were enrolled and followed‐up on a weekly basis via short messaging service (SMS) until their knee pain had recovered (i.e. two consecutive weeks of no pain). Feasibility was assessed in terms of recruitment, retention and response rates to SMS and an online questionnaire. Baseline and 6‐month follow‐up measures included pain, disability, physical function, physical activity and health related quality of life. Kaplan–Meier survival analysis was used to estimate the median time to knee pain recovery. Results: Thirty participants (mean age 13.0 ± 2.2 years, 53% boys) were recruited over 26 months. The overall response rate to weekly SMS follow‐up was 71.3% (809 received/1135 sent). One third of participants stopped responding to SMS prior to recovery, and these participants typically had a much lower response rate during the time they remained in the study. At 6‐month follow‐up, 80% of the cohort completed the final online questionnaire, and 29% of participants still reported current knee pain (≥1/10 VAS). The median time for knee pain recovery was 8 weeks (95%CI: 5, 10). Conclusion: Electronic data collection alone seems insufficient to track pain recovery in young people and may need to be supplemented with more traditional data collection methods. Researchers should consider further measures to address slow recruitment rates and high attrition when designing large prospective studies of children and adolescents in the future.

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