The evolution of eccentric training as treatment for patellar tendinopathy (jumper’s knee): a critical review of exercise programmes

Visnes, Håvard; Bahr, Roald

doi:10.1136/bjsm.2006.032417

Cited by 187 publications

(112 citation statements)

References 25 publications

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“…34 There were no studies identified that directly relate to EE in gluteal tendinopathy. However, studies demonstrate good results with EE in other tendinopathies including patellar tendinopathy 71 and achilles tendinopathy. 72 EE could therefore be considered a potential component of GTPS rehabilitation.…”

Section: Physiotherapy -Eccentric Exercise (Ee)mentioning

confidence: 97%

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The management of greater trochanteric pain syndrome: A systematic literature review

Reid

2016

Journal of Orthopaedics

103

102

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Section: Physiotherapy -Eccentric Exercise (Ee)mentioning

confidence: 97%

“…These exercises have been shown to have good effect in Achilles tendinopathy 72 and patellar tendinopathy. 71 There are no studies specific to EEs for GTPS. EEs may be considered as the most appropriate exercise method for GTPS; studies would be needed to evaluate this.…”

Section: Implications For Practicementioning

confidence: 99%

The management of greater trochanteric pain syndrome: A systematic literature review

Reid

2016

Journal of Orthopaedics

103

102

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“…J Orthop Sports Phys Ther 2011;41(8):581-591, Epub 12 July 2011. doi:10.2519/jospt.2011 Since its publication in 1998, the instrument has been increasingly used to assess changes in the severity of symptoms in athletes with patellar tendinopathy after therapeutic intervention. 7,9,15,18,21,38,40 Important advances in the understanding of tendon pathology and clinical trials conducted by several research groups have made the VISA-P a widely accepted and valuable tool of reference for the assessment of patellar tendinopathy. …”

mentioning

confidence: 99%

Cross-cultural Adaptation of VISA-P Score for Patellar Tendinopathy in Spanish Population

Hernández-Sánchez¹,

Hidalgo²,

Gómez³

2011

Journal of Orthopaedic & Sports Physical Therapy

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P atellar tendinopathy is a common overuse injury in sports, particularly in athletes who participate in sports such as basketball, athletics, and volleyball, with a prevalence in male indoor volleyball players of approximately 50%. 26 In severe cases it may limit or even prevent participation in sports.22 Patellar tendinopathy is a noninflammatory condition. Histologically, patellar tendon biopsies from affected tissue reveal collagen degeneration and fibrotic scarring of the tendon. 19 These tendon T T STUDY DESIGN: Clinical measurement. T T OBJECTIVES:To adapt the VISA-P questionnaire into Spanish and to assess its psychometric properties. T T BACKGROUND:Health status questionnaires and scales to report outcomes are increasingly used in medical research and clinical practice. Validated versions of these tools are necessary to avoid bias during use in different languages and cultures. T T METHODS:We followed international recommendations to perform cross-cultural adaptation. The Spanish VISA-P (VISA-P-Sp) questionnaire and the Short Form (36) Health Survey (SF-36) were administered to 150 individuals: 40 healthy students, 40 professional players in sports requiring jumping, 40 athletes with patellar tendinopathy, and 30 athletes with knee injuries other than patellar tendinopathy. Participants were assessed at baseline and after 1 week. Athletes with tendinopathy also completed questionnaires and other knee measures (the Kujala Scoring Questionnaire and the Cincinnati Knee Rating Scale) after physiotherapy treatment, which consisted of rest, ice, eccentric exercise, electrotherapy, and manual therapy. T T RESULTS:The VISA-P-Sp showed high reliability for both temporal stability (intraclass correlation coefficient [ICC] = 0.994; 95% CI: 0.992, 0.996) and internal consistency (Cronbach α = 0.885).Based on a factor analysis, a 2-factor solution explained 76.1% of the variance. The VISA-P-Sp score in the tendinopathy group was significantly correlated with scores on other knee scales (Kujala score [Spearman rho = 0.897; P<.001] and Cincinnati scale [Spearman rho = 0.782, P<.001]) and with SF-36 physical components score (Spearman rho>0.6, P<.001). The standardized size effect was 1.14, and the standardized response mean was 1.17. T T CONCLUSION:The VISA-P-Sp questionnaire proved to be a valid and reliable instrument, sensitive to clinical changes and comparable to the original English-language version. J Orthop Sports Phys Ther 2011;41(8):581-591, Epub 12 July 2011. doi:10.2519/jospt.2011 Since its publication in 1998, the instrument has been increasingly used to assess changes in the severity of symptoms in athletes with patellar tendinopathy after therapeutic intervention. 7,9,15,18,21,38,40 Important advances in the understanding of tendon pathology and clinical trials conducted by several research groups have made the VISA-P a widely accepted and valuable tool of reference for the assessment of patellar tendinopathy. 22Data obtained with appropriate outcome measures allow an assessment of the clinical evolut...

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“…[2] Evidence generally supports the use of CS injections, [1,3] because injected CSs decrease swelling and pain, permitting improved range of motion and thereby facilitating rehabilitation. [4][5][6][7] We chose CS injections frequently for all regions except MTP. Triamcinolone is the preferred CS in the literature, and comparisons between types of CS indicate that triamcinolone hexacetonide is superior to betamethasone.…”

Section: Discussionmentioning

confidence: 99%

Short-term efficacy of joint and soft tissue injections for musculoskeletal pain: An interventional cohort study

Sucuoğlu

Özbayrak

Uludağ

et al. 2016

Agri

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SummaryObjectives: Musculoskeletal injections (MIs) are frequently used in conservative treatment-resistant cases. Joint or soft tissue (ST) corticosteroid (CS) or local anesthetic (LA) injections can be used to relieve musculoskeletal pain. Assessed in the present study was the short-term efficacy of MIs for pain relief, as was the relative efficacy of injections in various joint and ST sites. Methods: An interventional prospective cohort design was employed in the present study. Joint or ST injections for musculoskeletal pathologies were performed in patients over 18 years of age who were resistant to conservative treatment methods. Pain during rest and activity were evaluated using visual analog scale (VAS) by different clinicians prior to treatment and 3 weeks after. At the end of the study, efficacy at 7 injection sites (myofascial trigger points, shoulder, knee, lateral epicondyle, plantar fascia, lumbar, and coccyx regions) was analyzed. Results: Injections were administered to 225 of the 250 patients included. A total of 128 patients, of whom 94 were female, completed the study. Resting VAS values before and after treatment were 4.35±1.49 and 1.63±1.74, respectively. Activity VAS values before and after treatment were 8.41±1.33 and 4.04±2.37, respectively. Changes in resting and activity VAS values were significant (p<0.005). Significant reductions in pain were observed at all injection sites following treatment. Conclusion: Significant improvement in pain scores was observed 3 weeks after injections among all injection sites. LA or CS injections can be used safely and efficiently for pain relief over short time periods.Keywords: Injection; joint; soft tissue; pain; rehabilitation. ÖzetAmaç: Muskuloskeletal enjeksiyonlar konservatif tedaviye dirençli olgularda sıklıkla kullanılmaktadır. Eklem veya yumuşak doku (YD), kortikosteroid (KS) veya lokal anestezik (LA) enjeksiyonları kas-iskelet ağrısını gidermek için kullanılabilir. Bu çalış-mada, Mİ'ların farklı eklem ve YD bölgelerinde ağrı tedavisi üzerine kısa dönem etkinliği değerlendirildi. Gereç ve Yöntem: Bu çalışma, girişimsel prospektif kohort olarak tasarlandı. Konservatif tedavi yöntemlerine dirençli 18 yaş üzeri hastalara, kas iskelet patolojilerine göre eklem ve YD enjeksiyonları yapılmıştır. Hastaların, istirahat ve aktivite sırasındaki ağrıları başka bir doktor tarafından visual analog skalası (VAS) ile tedavi öncesi, tedavi sonrası 3. haftada değerlendirildi. Çalış-manın sonunda, yedi enjeksiyon bölgesine göre (miyofasyal tetik noktalar, omuz, diz, lateral epikondil, plantar fasya, lomber ve kuyruk sokumu) analiz yapıldı. Bulgular: Enjeksiyon çalışmaya dahil edilen 250 hastanın 225'ine uygulandı. 94'ü kadın, toplam 128 hasta çalışmayı tamamladı. Tedavi öncesi ve sonrası istirahat VAS değerleri sırasıyla 4.35±1,49 ve 1,74±1,63 idi. Tedavi öncesi ve sonrası aktivite VAS değerleri sırasıyla 8.41±1.33 ve 4.04±2,37 idi. İstirahat ve aktivite VAS değerlerinde değişiklikler anlamlıydı (p<0.05). Ayrıca ağrıdaki düzelme tedavi sonrası tüm enjeksiyon böl...

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The evolution of eccentric training as treatment for patellar tendinopathy (jumper’s knee): a critical review of exercise programmes

Cited by 187 publications

References 25 publications

The management of greater trochanteric pain syndrome: A systematic literature review

The management of greater trochanteric pain syndrome: A systematic literature review

Cross-cultural Adaptation of VISA-P Score for Patellar Tendinopathy in Spanish Population

Short-term efficacy of joint and soft tissue injections for musculoskeletal pain: An interventional cohort study

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