A Narrative Review Current Physical Therapy Management for Patellar Tendinopathy
DOI:
https://doi.org/10.33192/smj.v76i3.266586Keywords:
Patellar tendinopathy, exercise, extracorporeal shockwave therapy, high laser therapy, elastic therapeutic tapping and rehabilitation post-operative for patellar tendon protocolAbstract
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.
References
Breda SJ, de Vos RJ, Krestin GP, Oei EHG. Decreasing patellar tendon stiffness during exercise therapy for patellar tendinopathy is associated with better outcome. J Sci Med Sport. 2022;25(5):372-8.
Dimitrios S. The effective of High intensity laser therapy (HILT) in the treatment of Achilles and patellar tendinopathy: a systematic review. Ortho & Rheu Open Access J. 2021;18(1):555980.
Breda SJ, Oei EHG, Zwerver J, Visser E, Waarsing E, Krestin GP, et al. Effectiveness of progressive tendon-loading exercise therapy in patients with patellar tendinopathy: a randomised clinical trial. Br J Sports Med. 2021;55(9):501-9.
Vang C, Niznik A. The Effectiveness of Isometric Contractions Compared with Isotonic Contractions in Reducing Pain for In-Season Athletes with Patellar Tendinopathy. J Sport Rehabil. 2020;30(3):512-5.
Lazaro RM, Souza RB, Luke AC. Patellar mobility and lower limb kinematics during functional activities in individuals with and without patellar tendinopathy. Knee. 2021;30:241-28.
Nicolaou E, Dimitrios S, Lamnisos D. 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 studies. MOJ Orthop Rheumatol. 2018;10(2):157-61.
Dan M, Parr W, Broe D, Cross M, Walsh WR. Biomechanics of the knee extensor mechanism and its relationship to patella tendinopathy: A review. J Orthop Res. 2018;36(12):3105-12.
Muaidi QI. Rehabilitation of patellar tendinopathy. J Musculoskelet Neuronal Interact. 2020; 20(4): 535-40.
Cuddeford T, Brumitt J. In-season rehabilitation program using blood flow restriction therapy for two decathletes with patellar tendinopathy: A case report. Int J Sports Phys Ther. 2020;15(6):1184-95.
Escuder AE, Casana J, Cuesta-Vargas AI. Load progression criteria in exercise programs in lower limb tendinopathy: a systematic review. BMJ Open. 2020;10(11):e041433.
López-Royo MP, Gomez-Trullen EM, Ortiz-Lucas M, Galan-Diaz RM, Bataller-Cervero AV, Al-Boloushi Z, et al. Comparative study of treatment interventions for patellar tendinopathy: a protocol for a randomised controlled trial. BMJ Open 2020;10(2):e034304.
Michelis Mendonca LD, Netto Bittencourt NF, Meira Alves LE, Resende RA, Serrao FV. Interventions used for rehabilitation and prevention of patella tendinopathy in athletes: a survey of Brazilian sports physical therapists. Braz J Phys Ther. 2020;24(1):46-53.
Eurcherdkul P, Veerapong T, Sukpanpradid P, Chira-Adisai W. Efficacy of high intensity laser therapy in patellofemoral pain syndrome: A Double-blinded Randomized Controlled Trial. ASEAN J Rehabil Med. 2023; 33(2):75-80.
Leal C, Ramon S, Furia J, Fernandez A, Romero L, Hernandez-Sierra L. Current concepts of shockwave therapy in chronic patellar tendinopathy. Int J Surg. 2015;24(Pt B):160-4.
Sprague A, Smith AH, Knox P, Pohing RT, Silbernagel KG. Modifiable risk factors for patellar tendinopathy in athletes: a systematic review and meta-analysis. Br J Sports Med. 2018;52:1575-85.
Leeuwen MTV, Zwerver J, Akker-Scheek IVD. Extracorporeal shockwave therapy for patellar tendinopathy: a review of the literature. Br J Sports Med. 2009;43(3):163-8.
Schwartz A, Watson JN, Hutchinson MR. Patellar tendinopathy. Sport Health. 2015;7(5):415-20.
Rudavsky A, Cook J. Physiotherapy management of patellar tendinopathy (jumper’s knee). J Physiother. 2014;60(3):122-9.
Sisk D, Fredericson M. Taping, bracing and injection treatment for patellofemoral pain and patellar tendinopathy. Curr Rev Musculoskelet Med. 2020;13(4):537-44.
Brandl A, Egner C, Reisser U, Lingenfelder C, Schleip R. Influence of high-energy laser therapy to the patellar tendon on its ligamentous microcirculation: An experimental intervention study. PLoS One. 2023;18(3): e0275883.
Dar G, Mei-Dan E. Immediate effect of infrapatellar strap on pain and jump height in patellar tendinopathy among young athletes. Prosthet Orthot Int. 2019;43(1):21-7.
Stania M, Król T, Marszatek W, Michalska J, Król P. Treatment of Jumper’s Knee with Extracorporeal Shockwave Therapy: A Systematic Review and Meta-Analysis. J Hum Kinet. 2022;84:124-34.
Liao1 CD, Xie GM, Tsauo JY, Chen HC, Liou TH. Efficacy of extracorporeal shock wave therapy for knee tendinopathies and other soft tissue disorders: a meta-analysis of randomized controlled trials. BMC Musculoskelet Disord. 2018;19(1):278.
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