Trevor Vander Doelen1, Wilma Jelley2. 1. DC University of British Columbia Faculty of Medicine, Department of Rehabilitation Sciences, Canada. Electronic address: dr.vanderdoelen@gmail.com. 2. University of British Columbia Faculty of Medicine, Department of Occupational Sciences & Occupational Therapy, Canada.
Abstract
STUDY DESIGN: Systematic review of randomized controlled trials. OBJECTIVES: To determine the most effective non-surgical treatment interventions for reducing pain and improving function for patients with patellar tendinopathy. METHODS: Studies considered for this systematic review were from peer-reviewed journals published between January 2012 and September 2017. All included studies used a visual analogue scale (VAS) to evaluate the participant's pain. The majority of the included studies also used the Victorian Institute of Sport Assessment Patellar Tendinopathy (VISA-P questionnaire) to assess participant's symptoms and function. RESULTS: Nine randomized controlled trials fit the inclusion criteria and were analyzed. The results of three studies supported the use of isometric exercise to reduce pain immediately. One study found patellar strapping and sports taping to be effective for reduction in pain during sport and immediately after. Eccentric exercise, Dry Needling (DN) (2 studies), injections with Platelet Rich Plasma (PRP), Autologous Blood Injection (ABI), and saline were found to have a more sustained effect on reducing pain and improving knee function. CONCLUSION: Isometric exercise, patellar strapping, sports taping, eccentric exercise, injections with PRP, ABI, and saline and DN demonstrated a short-term pain relieving and functional improvement effect in subjects with patellar tendinopathy. Longer term follow up on interventions involving eccentric exercise, DN, and injections with PRP, ABI and saline showed sustained pain reduction and improvement in knee function. LEVEL OF EVIDENCE: Level 1.
STUDY DESIGN: Systematic review of randomized controlled trials. OBJECTIVES: To determine the most effective non-surgical treatment interventions for reducing pain and improving function for patients with patellar tendinopathy. METHODS: Studies considered for this systematic review were from peer-reviewed journals published between January 2012 and September 2017. All included studies used a visual analogue scale (VAS) to evaluate the participant's pain. The majority of the included studies also used the Victorian Institute of Sport Assessment Patellar Tendinopathy (VISA-P questionnaire) to assess participant's symptoms and function. RESULTS: Nine randomized controlled trials fit the inclusion criteria and were analyzed. The results of three studies supported the use of isometric exercise to reduce pain immediately. One study found patellar strapping and sports taping to be effective for reduction in pain during sport and immediately after. Eccentric exercise, Dry Needling (DN) (2 studies), injections with Platelet Rich Plasma (PRP), Autologous Blood Injection (ABI), and saline were found to have a more sustained effect on reducing pain and improving knee function. CONCLUSION: Isometric exercise, patellar strapping, sports taping, eccentric exercise, injections with PRP, ABI, and saline and DN demonstrated a short-term pain relieving and functional improvement effect in subjects with patellar tendinopathy. Longer term follow up on interventions involving eccentric exercise, DN, and injections with PRP, ABI and saline showed sustained pain reduction and improvement in knee function. LEVEL OF EVIDENCE: Level 1.
Authors: Dimitris Challoumas; Carles Pedret; Mairiosa Biddle; Nigel Yong Boon Ng; Paul Kirwan; Blair Cooper; Patrick Nicholas; Scott Wilson; Chris Clifford; Neal L Millar Journal: BMJ Open Sport Exerc Med Date: 2021-11-29
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