Rehabilitation Protocol for Patellar Tendinopathy Applied Among 16- to 19-Year Old Volleyball Players

Biernat, Ryszard; Trzaskoma, Zbigniew; Trzaskoma, Łukasz; Czaprowski, Dariusz

doi:10.1519/jsc.0b013e31829797b4

Cited by 28 publications

(30 citation statements)

References 51 publications

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“…Only one 11 of the six studies including mixed populations of adolescents and adults was included in the data synthesis (details of exclusion outlined below). This study by Biernat et al compared the effect of usual care to eccentric exercises in male adolescents on patient-recorded outcomes (VISA-P questionnaire).…”

Section: Resultsmentioning

confidence: 99%

Therapeutic interventions in children and adolescents with patellar tendon related pain: a systematic review

Cairns

Owen

Kluzek

et al. 2018

BMJ Open Sport Exerc Med

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ObjectiveEvaluate effectiveness and harms of interventions for patellar tendon related pain in children and adolescents.DesignSystematic review and meta-analysis.Data sourcesMedline via Pubmed, Embase via OVID, CINAHL via Ebsco, SportDiscus up until 24 November 2017 were searched.Eligibility criteria for selecting studiesInclusion criteria were (1) controlled or randomised controlled clinical trials (RCTs), (2) participants with diagnosis of patellar tendon related disorder, (3) participants≤18 years of age at enrolment and (4) published in a peer-reviewed English or Scandinavian language journal.ResultsOf 530 studies identified, eight were included after screening, with three included in data synthesis. To be included in data synthesis, we required studies to have included (and have data available for) a minimum of 10 participants under 18 years. All studies were rated as being at high risk of bias. For adolescents with patellar tendinopathy, one RCT compared eccentric exercises to usual care and found no difference between groups. In adolescents with Osgood-Schlatter disease (OSD), injection of local anaesthetic with dextrose proved superior to either usual care or local anaesthetic alone (three armed RCTs). In a retrospective case controlled study in adolescents with OSD, surgery provided no benefit over conservative management in terms of persistent symptoms and had a higher complication rate.ConclusionThere is weak evidence to support the use of dextrose injection with local anaesthetic and no evidence to support the use of specific types of exercises to treat children/adolescents with OSD/patellar tendinopathy. Until further evidence arises, clinicians should include load modification and advise on a return to sport based on symptoms.

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Section: Resultsmentioning

confidence: 99%

Therapeutic interventions in children and adolescents with patellar tendon related pain: a systematic review

Cairns

Owen

Kluzek

et al. 2018

BMJ Open Sport Exerc Med

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“…13,14 Biernat et al used ultrasonography to examine the structural changes of the patellar tendon during a rehabilitation protocol that consisted of eccentric exercise in competitive volleyball players and found that eccentric exercise can be effective when combined with functional exercises in treating patellar tendonapathy. 15 Although studies have been conducted using diagnostic ultrasound to evaluate structural changes in various tendons and muscle-tendon units (MTUs), these studies have not compared different types of exercise and/or stretching. 11,[16][17][18][19][20] An increase in knowledge of structural changes is needed to aid healthcare professionals in rehabilitation of patients.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Functional Activities on Structural Changes of the Inferior Patellar Pole

McKinney

Wallmann

Stalcup

et al. 2017

Intl J Sports Phys Ther

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Background: It is well known that eccentric and concentric exercise produce varied amounts of stress on the connective tissues. Diagnostic ultrasound has been used to measure these structural changes by observing fascicle length, angle, and thickness; however, there is a lack of evidence comparing the structural changes as it relates to eccentric, concentric, and stretching protocols. Purpose: The purpose of this study was to compare the acute effects of static stretching, eccentric, concentric, and a combination of eccentric/concentric exercises on structural changes of the muscle tendon unit at the inferior patellar pole utilizing the diagnostic ultrasound. Study Design: A repeated measures 2 x 4 within factorial study design with repeated measures on both factors was used to determine the differences in patellar tendon thickness within and between groups. Methods: Forty-seven healthy subjects were screened for any lower extremity deficits or orthopaedic pathology. Forty-four (N=44) subjects completed all four protocols; the attrition was due to injuries to the lower extremity, occurring unrelated to the study. A baseline measurement of the anterior inferior patellar tendon was performed with the diagnostic ultrasound prior to each participant completing one of the four interventions per week over a four-week period. Interventions completed by each participant included static stretching, concentric, eccentric, and combined concentric and eccentric exercises. Immediately following each intervention, a post-intervention inferior patellar tendon measurement was recorded using the diagnostic ultrasound. Results: Significant differences in anterior to posterior tendon thickness of the inferior patellar tendon were observed between pre (4.983±0.041mm) and post (5.198±0.055mm) measurements (p<0.0005) for the main effect of time. However, no differences in tendon thickness were noted comparing each intervention to one another (p=0.351). Conclusion: Differences in tendon thickness were noted acutely for pre-to post measurements across all interventions. Further research is needed to determine if differences in tendon thickness exist with a longer duration of exercise over time and with different types of intervention.

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“… 12 , 13 , 14 , 15 Functional rehabilitation consists of analgesic and anti-inflammatory measures in association with mechanical therapy consisting of eccentric strengthening and specific stretching. 16 , 17 , 18 …”

Section: Introductionmentioning

confidence: 99%

Patellar tendinopathy: late-stage results from surgical treatment

Cenni¹,

Silva

Nascimento³

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo evaluate the late-stage results from surgical treatment of patellar tendinopathy (PT), using the Visa score (Victorian Institute of Sport Tendon Study Group) and the Verheyden method.MethodsThis was a retrospective study in which the postoperative results from 12 patients (14 knees) who were operated between July 2002 and February 2011 were evaluated. The patients included in the study presented patellar tendinopathy that was refractory to conservative treatment, without any other concomitant lesions. Patients who were not properly followed up during the postoperative period were excluded.ResultsUsing the Verheyden method, nine patients were considered to have very good results, two had good results and one had poor results. In relation to Visa, the mean was 92.4 points and only two patients had scores less than 70 points (66 and 55 points).ConclusionWhen surgical treatment for patellar tendinopathy is correctly indicated, it has good long-term results.

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Rehabilitation Protocol for Patellar Tendinopathy Applied Among 16- to 19-Year Old Volleyball Players

Cited by 28 publications

References 51 publications

Therapeutic interventions in children and adolescents with patellar tendon related pain: a systematic review

Therapeutic interventions in children and adolescents with patellar tendon related pain: a systematic review

Comparison of Functional Activities on Structural Changes of the Inferior Patellar Pole

Patellar tendinopathy: late-stage results from surgical treatment

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