PATELLAR Tendinopathy – Evidence Based Exercise [Literature Review]

By dpope2020

August 30, 2024

dan pope, fitness pain free, how to treat patellar tendinopathy, jumper's knee, jumpers knee exercises, knee pain, patella tendonitis, patellar tendinitis, patellar tendinopathy clinical examination, patellar tendinopathy exercises, patellar tendinopathy test, patellar tendinopathy treatment, patellar tendonitis, patellar tendonitis exercises, patellar tendonitis rehab, patellar tendonitis treatment, physical therapy, physiotherapy

PATELLAR Tendinopathy - Evidence Based Exercise [Literature Review]

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In today's video we go over PATELLAR Tendinopathy - Evidence Based Exercise [Literature Review]: FPF Show Episode 144

  • 0:00 Introduction
  • 1:57 The critical importance of patient education
  • 3:12 How much pain is acceptable for patients during exercise and sport activity?
  • 4:39 Is one form of exercise (isometrics, isotonics, heavy slow loads, eccentric, progressive tendon loading) better then another?
  • 8:30 Are heavy loads more effective then moderate loads?
  • 10:35 Why are isometrics so popular for tendinopathy?
  • 22:38 Is blood flow restriction (BFR) training helpful for patellar tendinopathy?
  • 27:33 If we combine different types of exercise does this lead to superior outcomes? [Progressive tendon loading]
  • 37:39 Evidence based progressions and regressions for exercises for patellar tendinopathy
  • 41:54 Should we alter jumping mechanics in patients with patellar tendinopathy?
  • 47:00 Load management strategies for patients with patellar tendinopathy
  • 48:29 What additional treatments are available when exercise therapy fails? [PRP, Stem cells, laser, shockwave, strapping, surgery]

Is it good when it feels like a blow torch is on my knee cap?

- Dan Pope DPT,OCS,CSCS

Show Notes / Relevant Articles:

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

  1. King D, Yakubek G, Chughtai M, Khlopas A, Saluan P, Mont MA, Genin J. Quadriceps tendinopathy: a review-part 1: epidemiology and diagnosis. Ann Transl Med. 2019 Feb;7(4):71. doi: 10.21037/atm.2019.01.58. PMID: 30963066; PMCID: PMC6409230.

  2. Docking SI, Cook J. How do tendons adapt? Going beyond tissue responses to understand positive adaptation and pathology development: A narrative review. J Musculoskelet Neuronal Interact. 2019 Sep 1;19(3):300-310. PMID: 31475937; PMCID: PMC6737558.

  3. Mani-Babu S, Morrissey D, Waugh C, Screen H, Barton C. The effectiveness of extracorporeal shock wave therapy in lower limb tendinopathy: a systematic review. Am J Sports Med. 2015 Mar;43(3):752-61. doi: 10.1177/0363546514531911. Epub 2014 May 9. PMID: 24817008.

  4. Breda SJ, Oei EHG, Zwerver J, et alEffectiveness of progressive tendon-loading exercise therapy in patients with patellar tendinopathy: a randomised clinical trialBritish Journal of Sports Medicine 2021;55:501-509.

  5. Agergaard AS, Svensson RB, Malmgaard-Clausen NM, Couppé C, Hjortshoej MH, Doessing S, Kjaer M, Magnusson SP. Clinical Outcomes, Structure, and Function Improve With Both Heavy and Moderate Loads in the Treatment of Patellar Tendinopathy: A Randomized Clinical Trial. Am J Sports Med. 2021 Mar;49(4):982-993. doi: 10.1177/0363546520988741. Epub 2021 Feb 22. PMID: 33616456.

  6. van Ark M, Cook JL, Docking SI, Zwerver J, Gaida JE, van den Akker-Scheek I, Rio E. Do isometric and isotonic exercise programs reduce pain in athletes with patellar tendinopathy in-season? A randomised clinical trial. J Sci Med Sport. 2016 Sep;19(9):702-6. doi: 10.1016/j.jsams.2015.11.006. Epub 2015 Dec 7. PMID: 26707957

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  19. Challoumas D, Kirwan PD, Borysov D, et alTopical glyceryl trinitrate for the treatment of tendinopathies: a systematic reviewBritish Journal of Sports Medicine 2019;53:251-262.

  20. Marigi EM, Buckley P, Razi F, Abbas MJ, Jildeh TR, Camp CL, Krych AJ, Okoroha KR. Patellar Tendinopathy: Critical Analysis Review of Current Nonoperative Treatments. JBJS Rev. 2022 Mar 8;10(3). doi: 10.2106/JBJS.RVW.21.00168. PMID: 35358114.