Non-surgical treatment of patellar tendinopathy: A systematic review of randomized controlled trials |
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| Affiliation: | 1. DC University of British Columbia Faculty of Medicine, Department of Rehabilitation Sciences, Canada;2. University of British Columbia Faculty of Medicine, Department of Occupational Sciences & Occupational Therapy, Canada;1. Faculty of Sports Science, Ningbo University, China;2. School of Science and Sport, University of the West of Scotland, UK;3. School of Engineering, Liverpool John Moores University, UK;4. Rehabilitation Center, Ningbo Ninth Hospital, China;1. University of Newcastle, School of Environmental and Life Sciences, Ourimbah, NSW, Australia;2. University of Newcastle, Priority Research Centre for Physical Activity and Nutrition, Callaghan, NSW, Australia;3. Athlete Availability, Australian Institute of Sport, Bruce, ACT, Australia;4. University of Canberra Research into Sport and Exercise (UCRISE), University of Canberra, Bruce, ACT, Australia;5. Australian Centre for Research into Injury in Sport and its Prevention, Federation University Australia, Ballarat, VIC, Australia;6. La Trobe University Sport and Exercise Medicine Research Centre, La Trobe University, Bundoora, VIC, Australia;1. Department of Physical Therapy, Federal University of São Carlos, São Carlos, Brazil;2. Department of Medicine, Federal University of São Carlos, São Carlos, Brazil;1. La Trobe Sport and Exercise Medicine Research Centre, College of Science, Health and Engineering, La Trobe University, Australia;2. School of Environmental and Life Sciences, University of Newcastle, Newcastle, Australia;3. Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW, Australia |
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| Abstract: | Study designSystematic review of randomized controlled trials.ObjectivesTo determine the most effective non-surgical treatment interventions for reducing pain and improving function for patients with patellar tendinopathy.MethodsStudies 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.ResultsNine 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.ConclusionIsometric 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 evidenceLevel 1. |
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| Keywords: | Patellar tendinopathy Isometric exercise Platelet rich plasma injections Shockwave therapy Patellar strapping Dry needling |
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