Treatment of chronic patellar tendinopathy using an exercise program consisting of eccentric training and static stretching exercises combined with high intensity light therapy. A pilot study

Nicolaou, Evangelos; Anorthosis, PT; Stasinopoulos, Dimitrios; Lamnisos, Demetris

doi:10.15406/mojor.2018.10.00405

Cited by 4 publications

(4 citation statements)

References 38 publications

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“…At this wavelength, it has minimal and slow light assimilation to penetrate deep tissue to provide effective treatment. 2,6 HILT is now considered better than low-level laser therapy because HILT can stimulate deeper tissue and penetrate deep tissue more effectively than low-level laser therapy. 2 HILT is particularly effective at increasing the microcirculation, the permeability in blood vessels, the metabolic rate of cells, and oxygen saturation in the patellar tendon.…”

Section: Hight Intensity Laser Therapy (Hilt)mentioning

confidence: 99%

“…20 Moreover, studies have found that eccentric and static stretching exercises combined with HILT can significantly improve the signs and symptoms of chronic PT. 6…”

Section: Hight Intensity Laser Therapy (Hilt)mentioning

confidence: 99%

“…5,8 The characteristics of PT include a localized anterior knee pain at the point where the patellar tendon attaches to the patellar bone and an impaired function. 6,5 Apart from knee pain, PT also impact on the quality of life, so the objective of this review article was to develop a clinical practice recommendation for physical therapists to manage PT for ensuring good daily function. The full etiopathology of PT is unknown, but it is known to be related to a degenerative structural change of the tendon with cell inflammation.…”

Section: Introductionmentioning

confidence: 99%

“…The full etiopathology of PT is unknown, but it is known to be related to a degenerative structural change of the tendon with cell inflammation. 3,6,8 The risk factors for tendon issues to develop into PT include intrinsic factors (such as age, body mass index, leg length difference, hamstring group muscle flexibility, quadriceps group muscle flexibility and strength, hip extensor group muscle strength, patellar mobility, arch height of the ankle, ankle mobility) and extrinsic factors (sports training program, type of sport, physical activity). However, these risk factors have limited evidence to support them, so future research is needed on the risk factors.…”

Section: Introductionmentioning

confidence: 99%

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A Narrative Review Current Physical Therapy Management for Patellar Tendinopathy

Dungkong

2024

Siriraj Med J

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Patellar tendinopathy, or jumper’s knee, is a common chronic musculoskeletal disease in the tendon that occurs in lower-extremities injuries. It is common in athletes, particularly sports that integrate frequent jumping and landing, such as volleyball (45%), basketball (32%), and distance running (14%), Patellar tendinopathy is usually difficult for such athletes to manage during the active sports season. This review article is recommended for physical therapists for the conservative treatment in competition season and post-operative rehabilitation of patellar tendon injuries. This review article discusses a new intervention for physiotherapy treatment for Patellar tendinopathy that can support a significant improvement in performance in sport and functional daily activity. The ultimate aim is to develop a clinical practice recommendation for physical therapists for the conservative treatment and post-operative rehabilitation of patellar tendon injuries. This review article found that physical therapy is popularly used to treat Patellar tendinopathy and effective interventions consist of exercise, extracorporeal shockwave therapy, high-energy laser therapy, elastic therapeutic taping, and education for prevention of issues. The post-operative rehabilitation protocol for patella tendon injuries aims to decrease pain, improve the range of motion, and ensure early ambulation and a quick return to sport, though in a time period that is decided on a case-by-case basis depending on the person and the sport. Post-operative rehabilitation is highly important for ensuring a safe return to sport and good quality of life.

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Section: Hight Intensity Laser Therapy (Hilt)mentioning

confidence: 99%

“…20 Moreover, studies have found that eccentric and static stretching exercises combined with HILT can significantly improve the signs and symptoms of chronic PT. 6…”

Section: Hight Intensity Laser Therapy (Hilt)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Narrative Review Current Physical Therapy Management for Patellar Tendinopathy

Dungkong

2024

Siriraj Med J

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Effectiveness of high-intensity laser therapy on pain in tendinopathy

BERČIČ,

BRACIC

2024

J. Heal. Rehab. Sci.

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Introduction: High-intensity laser therapies (HILT) have gained significant attention in therapeutic pain treat-ment. The aim of this systematic review was to determine the effectiveness of HILT therapies in the management of different types of tendinopathy-related pain, and the long-term benefits associated with treatment process.Methodology: A systematic literature review of prospective randomized controlled trials from electronic data-bases: Google Scholar, Pub Med, Embase, Science Direct, and ProQuest, using relevant key words, was per-formed. Randomized trials that included HILT, patients with tendinopathy, pain management, and at least one single clinically pertinent attribute were selected. Standard PRISMA protocols were followed when completing the assessment.Results: The physical, demographic, and theoretical insights from various studies suggest that HILT is a highly promising approach for managing pain in patients with tendinopathy. The most common body parts for treating tendinopathy using this method were the shoulder, elbow, ankle, and knee. Various attributes and parameters, such as Hand function evaluated by Quick Disabilities of Arm, Shoulder and Hand Questionnaire (QDASH) and Hand-grip Strength; pain assessed by the visual analogue score (VAS) during rest or activity, 36-item short-form health survey (SF-36) for physical and mental health, and the shoulder pain and Disability Index (SPADI) for shoulder and elbow assessment, were frequently significant across studies.Conclusion: HILT could be recommended as a treatment of choice for reducing pain and improving function in patients with tendinopathy, with potential benefits when combined with other physical therapy treatments. Further studies are needed to clarify optimal treatment protocols and long- term outcomes.

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Laser Therapy in the Comprehensive Program of Physical Rehabilitation of Athletes with Chronic Patellar Tendinopathy

et al. 2022

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Aim: Determining the effectiveness of the developed comprehensive physical rehabilitation program for athletes with chronic patellar tendinopathy. Materials and Methods: Participants were randomly divided into the main and control groups consisting of 11 people each. The complex rehabilitation program in the main group combined laser therapy and different types of therapeutic exercises, in the control group the laser therapy was excluded. The effectiveness of the intervention was evaluated by the intensity of pain in the patella (Visual Analog Scale) and the functional ability of the knee (VISA-P scale). Results: At the end of the intervention, a significant reduction in pain was observed in both groups. The average scores on the VAS scale were reduced to 2.0 points in the main group and to 3.5 in the control one. The share of patients, whose pain was eased, was 27.27 per cent in the main group, in the control group such people were not detected. After two months of intervention according to the results of the VISA-P scale in both study groups, there was an improvement in the functional capacity of the knee joint. Thus, the average number of points increased by 30.5 points in the main group, and by 12.0 in the control one. Conclusions: The use of high-frequency laser therapy in a comprehensive program of physical rehabilitation of patients with patellar tendinopathy shows better results for reducing pain and improving the functioning of the knee joint than without it. We believe that high-frequency laser therapy can be used as an important adjunct to various types of therapeutic exercises in the comprehensive rehabilitation of patients with patellar tendinopathy.

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Treatment of chronic patellar tendinopathy using an exercise program consisting of eccentric training and static stretching exercises combined with high intensity light therapy. A pilot study

Cited by 4 publications

References 38 publications

A Narrative Review Current Physical Therapy Management for Patellar Tendinopathy

A Narrative Review Current Physical Therapy Management for Patellar Tendinopathy

Effectiveness of high-intensity laser therapy on pain in tendinopathy

Laser Therapy in the Comprehensive Program of Physical Rehabilitation of Athletes with Chronic Patellar Tendinopathy

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