Middlesex University London
Dr. Konstantinos Papadopoulos has been Graduated from Alexandreio Technological Institute of Thessaloniki Greece, as Physiotherapist. He holds an MSc degree in Exercise Rehabilitation, a PhD degree in Healthcare Sciences (Bangor University, UK) whilst he is also a Higher Education Acedemy (HEA) fellow.
He is currently a Senior Lecturer in Sport Physiotherapy in the Faculty of Science and Technology, London Sports Institute and is the programme leader for the MSc Sport Rehabilitation programme. He is a HCPC registered physiotherapist with a focus on Musculoskeletal conditions of the lower limb.
Patellofemoral Pain (PFP) is a very common knee condition with various aetiologies. Most of the studies are individual approaches which aimed to explore the associated risk factors, assessment and treatment techniques or clinical tests that are related to PFP without the identification of the issues surrounding PFP and applied physiotherapy practice. The aim of this presentation was to facilitate a ‘collective’ case study approach that draws together a range of evidence from different ‘cases’. These cases are defined as areas of evidence underpinning PFP management as an applied physiotherapy phenomenon. This presentation reports the complexity of PFP in terms of the (i) evidence-base, (ii) the application of clear guidance, (iii) the actions of physiotherapists in the applied field context and (iv) and the fundamental dissonance rather than bridging of the evidence-base and applied practice.
Findings of our studies and the further synthesis indicated that a model of applied physiotherapy emerged from the collective case study, based on the discrete results from each respective case. A final model was generated as part of the synthesis that identified the dynamics of practice environments and accounted for the influence of different variables that impacted on the outcomes of physiotherapy practice delivering interventions in PFP. A model of applied physiotherapy is presented that articulates how PFP should be viewed as a complex intervention and that a modified Promoting Action on Research Implementation (PARIHS) framework should be utilised to address the deficits of clinical practice.