People's beliefs about the meaning of crepitus in patellofemoral pain and the impact of these beliefs on their behaviour: A qualitative study / Claire J. Robertson, Michael Hurley, Fiona Jones

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Background: A feature of patellofemoral pain is joint crepitus. Several causes of cre described, but previous research has focused on the pathological meaning of crepitus.
demonstrated a de󿬁nitive link between noise and pathology and its importance and me is unresearched.
Objective: To explore the beliefs of patients with non-osteoarthritic patellofemoral pai crepitus, and how this impacts on their behaviour.
Design: Qualitative design using semi-structured interviews.
Method: A general inductive approach was used as this is a previously unresearched top by the health beliefs model, an interview schedule was used to re 󿬂ect different ele thematic analysis was used to generate themes to represent the dataset.
Participants were 11 patients diagnosed with non-osteoarthritic patellofemoral pain, c their symptoms, referred to an outpatient clinic.
Results/ 󿬁ndings: Three key themes emerged all with sub-themes within them. Firstly, noise had a sub-theme of search for and perceived meaning of noise. Symbolising age sub-theme whereby participants described feelings of premature ageing. The 󿬁nal emotional response with participants feeling a range of negative emotions. The seco in󿬂uence of others reveals participants describing two distinctly different relationships,
and family and one with professionals. The 󿬁nal theme was avoiding the noise. A sub-t movement shows participants describing fear-avoidant behaviour.
Conclusion: Crepitus is a poorly understood symptom that creates negative emotions logical beliefs and ultimately leads to altered behaviour.


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Patellofemoral pain Culture Fear Health beliefs