Spanish Consensus Statement: Clinical Management and Treatment of Tendinopathies in Sport

Abstract

On October 15, 2016, experts met at Clínica CEMTRO in Madrid, Spain, under the patronage of the Spanish Society for Sports Traumatology (SETRADE), the Spanish Society of Sports Medicine (SEMED), the Spanish Association of Medical Services for Football Clubs (AEMEF), the Spanish Association of Medical Services for Basketball Clubs (AEMB), F.C. Barcelona, and Clínica CEMTRO. The purpose was to consider the most appropriate clinical management and treatment of tendinopathies in sports, based on proven scientific data described in the medical literature as well as on each expert’s experience. Prior to the meeting, each expert received a questionnaire regarding clinical management and treatment of tendinopathies in sports. The present consensus document summarizes the answers to the questionnaire and the resulting discussion and consensus regarding current concepts on tendinopathies in sports.

Effectiveness of an On-Field Rehabilitation framework for return to sports in injured male professional football players: a single-blinded, prospective, randomised controlled trial

“…Another strength is that injury diagnosis and RTT were controlled by a single physician (AK) based on evidence-based clinical examination and additional diagnostic imaging. Clinical examination of the players relied on literature references 52–56. The physician was not involved in the intervention application and outcome assessment.…”

“…Both groups had to meet specific criteria for participants to be cleared for RTT. These criteria included: (a) clinical evaluation conducted by the sports physician (AK) following established protocols,52–56 (b) injury-specific criteria outlined in online supplemental tables 3 and 4, (c) IAGT as on-field agility test and (d) game load, which refers to the physical demands of the game and specific GPS metrics. For the experimental group, physical variables and GPS metrics had to reach or exceed 80% of the game load, while the control group had to reach or exceed 70% of the game load.…”

“…Both groups had to meet specific criteria for participants to be cleared for RTT. These criteria included: (a) clinical evaluation conducted by the sports physician (AK) following established protocols, [52][53][54][55][56] (b) injury-specific criteria outlined in online supplemental…”

“…Clinical examination of the players relied on literature references. [52][53][54][55][56] The physician was not involved in the intervention application and outcome assessment. Moreover, one senior physiotherapist per group applied the off-field and OFR rehabilitation from the first day of rehabilitation until the day that the players returned to participation in team training.…”