The effects of soft-tissue techniques and exercise in the treatment of patellar tendinopathy—systematic review and meta-analysis
Background: Patellar tendinopathy is a degenerative clinical disorder that causes load-related pain in the lower pole of the patella or patellar tendon. It predominantly affects young male athletes engaged in sports involving repetitive tendon loading, particularly explosive jumping. The combination...
| Autores: | , , , , , , |
|---|---|
| Tipo de documento: | artigo |
| Data de publicação: | 2024 |
| País: | España |
| Recursos: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositório: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:20.500.12328/4189 |
| Acesso em linha: | http://hdl.handle.net/20.500.12328/4189 https://dx.doi.org/10.3390/healthcare12040427 |
| Access Level: | Acceso aberto |
| Palavra-chave: | Teràpia dels teixits tous Tendinopatia rotuliana Teràpia d'exercici Terapia de tejidos blandos Tendinopatía rotuliana Terapia de ejercicio Soft-tissue therapy Patellar tendinopathy Exercise therapy 61 |
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The effects of soft-tissue techniques and exercise in the treatment of patellar tendinopathy—systematic review and meta-analysisRagone, FedericoPérez-Guillén, SilviaCarrasco-Uribarren, AndoniCabanillas-Barea, SaraCeballos, LuisRodríguez-Rubio, Pere RamónCabanas-Valdés, RosaTeràpia dels teixits tousTendinopatia rotulianaTeràpia d'exerciciTerapia de tejidos blandosTendinopatía rotulianaTerapia de ejercicioSoft-tissue therapyPatellar tendinopathyExercise therapy61Background: Patellar tendinopathy is a degenerative clinical disorder that causes load-related pain in the lower pole of the patella or patellar tendon. It predominantly affects young male athletes engaged in sports involving repetitive tendon loading, particularly explosive jumping. The combination of manual techniques with therapeutic exercise is hypothesized to provide greater benefits than exercise alone. Objective: The aim of this study is to analyze the scientific evidence regarding the effects of soft-tissue techniques combined with therapeutic exercise versus therapeutic exercise alone on pain intensity and function in individuals with patellar tendinopathy. Methods: A systematic review with meta-analysis was conducted following the PRISMA guidelines. PubMed, Lilacs, IBECS, CENTRAL, WOS, SciELO, Academic Search, CINAHL, SportDiscus, PEDro, and Google Scholar databases were consulted. Randomized controlled trials and quasi-randomized trials focusing on the effects of soft-tissue techniques combined with therapeutic exercise (experimental group) versus therapeutic exercise alone (control group) on pain and function in individuals aged 16 years and older with patellar tendinopathy were selected. The Cochrane tool for risk-of-bias assessment and the PEDro scale for methodological quality were used. Results and Discussion: A total of six studies (n = 309; age range = 16–40 years), considered to have a low risk of bias and moderate-to-high methodological quality, were included. The results showed improvements in function in the experimental group (mean of 60% on the Visa-P scale) and pain in the experimental group (mean decrease of 2 points in the VAS scale). There were improvements in 50% of the studies when comparing variables between the experimental and control groups. Conclusions: The combination of manual techniques, such as dry needling, percutaneous electrolysis, transverse friction massage, and stretching, along with a squat on a 25° inclined plane, appears to be effective in the treatment of patellar tendinopathy. Static stretching of the quadriceps before and after the squat five times per week, along with dry needling or percutaneous electrolysis sessions twice a week for 8 weeks, is recommended. However, future studies analyzing groups with passive techniques versus therapeutic exercise are needed to standardize the treatment and establish the optimal dose.info:eu-repo/semantics/publishedVersionMDPI2024info:eu-repo/semantics/article12http://hdl.handle.net/20.500.12328/4189https://dx.doi.org/10.3390/healthcare12040427reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésHealthcare12;4© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:20.500.12328/41892026-05-29T05:05:01Z |
| dc.title.none.fl_str_mv |
The effects of soft-tissue techniques and exercise in the treatment of patellar tendinopathy—systematic review and meta-analysis |
| title |
The effects of soft-tissue techniques and exercise in the treatment of patellar tendinopathy—systematic review and meta-analysis |
| spellingShingle |
The effects of soft-tissue techniques and exercise in the treatment of patellar tendinopathy—systematic review and meta-analysis Ragone, Federico Teràpia dels teixits tous Tendinopatia rotuliana Teràpia d'exercici Terapia de tejidos blandos Tendinopatía rotuliana Terapia de ejercicio Soft-tissue therapy Patellar tendinopathy Exercise therapy 61 |
| title_short |
The effects of soft-tissue techniques and exercise in the treatment of patellar tendinopathy—systematic review and meta-analysis |
| title_full |
The effects of soft-tissue techniques and exercise in the treatment of patellar tendinopathy—systematic review and meta-analysis |
| title_fullStr |
The effects of soft-tissue techniques and exercise in the treatment of patellar tendinopathy—systematic review and meta-analysis |
| title_full_unstemmed |
The effects of soft-tissue techniques and exercise in the treatment of patellar tendinopathy—systematic review and meta-analysis |
| title_sort |
The effects of soft-tissue techniques and exercise in the treatment of patellar tendinopathy—systematic review and meta-analysis |
| dc.creator.none.fl_str_mv |
Ragone, Federico Pérez-Guillén, Silvia Carrasco-Uribarren, Andoni Cabanillas-Barea, Sara Ceballos, Luis Rodríguez-Rubio, Pere Ramón Cabanas-Valdés, Rosa |
| author |
Ragone, Federico |
| author_facet |
Ragone, Federico Pérez-Guillén, Silvia Carrasco-Uribarren, Andoni Cabanillas-Barea, Sara Ceballos, Luis Rodríguez-Rubio, Pere Ramón Cabanas-Valdés, Rosa |
| author_role |
author |
| author2 |
Pérez-Guillén, Silvia Carrasco-Uribarren, Andoni Cabanillas-Barea, Sara Ceballos, Luis Rodríguez-Rubio, Pere Ramón Cabanas-Valdés, Rosa |
| author2_role |
author author author author author author |
| dc.subject.none.fl_str_mv |
Teràpia dels teixits tous Tendinopatia rotuliana Teràpia d'exercici Terapia de tejidos blandos Tendinopatía rotuliana Terapia de ejercicio Soft-tissue therapy Patellar tendinopathy Exercise therapy 61 |
| topic |
Teràpia dels teixits tous Tendinopatia rotuliana Teràpia d'exercici Terapia de tejidos blandos Tendinopatía rotuliana Terapia de ejercicio Soft-tissue therapy Patellar tendinopathy Exercise therapy 61 |
| description |
Background: Patellar tendinopathy is a degenerative clinical disorder that causes load-related pain in the lower pole of the patella or patellar tendon. It predominantly affects young male athletes engaged in sports involving repetitive tendon loading, particularly explosive jumping. The combination of manual techniques with therapeutic exercise is hypothesized to provide greater benefits than exercise alone. Objective: The aim of this study is to analyze the scientific evidence regarding the effects of soft-tissue techniques combined with therapeutic exercise versus therapeutic exercise alone on pain intensity and function in individuals with patellar tendinopathy. Methods: A systematic review with meta-analysis was conducted following the PRISMA guidelines. PubMed, Lilacs, IBECS, CENTRAL, WOS, SciELO, Academic Search, CINAHL, SportDiscus, PEDro, and Google Scholar databases were consulted. Randomized controlled trials and quasi-randomized trials focusing on the effects of soft-tissue techniques combined with therapeutic exercise (experimental group) versus therapeutic exercise alone (control group) on pain and function in individuals aged 16 years and older with patellar tendinopathy were selected. The Cochrane tool for risk-of-bias assessment and the PEDro scale for methodological quality were used. Results and Discussion: A total of six studies (n = 309; age range = 16–40 years), considered to have a low risk of bias and moderate-to-high methodological quality, were included. The results showed improvements in function in the experimental group (mean of 60% on the Visa-P scale) and pain in the experimental group (mean decrease of 2 points in the VAS scale). There were improvements in 50% of the studies when comparing variables between the experimental and control groups. Conclusions: The combination of manual techniques, such as dry needling, percutaneous electrolysis, transverse friction massage, and stretching, along with a squat on a 25° inclined plane, appears to be effective in the treatment of patellar tendinopathy. Static stretching of the quadriceps before and after the squat five times per week, along with dry needling or percutaneous electrolysis sessions twice a week for 8 weeks, is recommended. However, future studies analyzing groups with passive techniques versus therapeutic exercise are needed to standardize the treatment and establish the optimal dose. |
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2024 |
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2024 |
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info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/20.500.12328/4189 https://dx.doi.org/10.3390/healthcare12040427 |
| url |
http://hdl.handle.net/20.500.12328/4189 https://dx.doi.org/10.3390/healthcare12040427 |
| dc.language.none.fl_str_mv |
Inglés |
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Inglés |
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Healthcare 12;4 |
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http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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12 |
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MDPI |
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MDPI |
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