RT info:eu-repo/semantics/article
T1 The effects of soft-tissue techniques and exercise in the treatment of patellar tendinopathy—systematic review and meta-analysis
A1 Ragone, Federico
A1 Pérez Guillén, Silvia
A1 Carrasco Uribarren, Andoni
A1 Cabanillas Barea, Sara
A1 Ceballos Laita, Luis
A1 Rodríguez Rubio, Pere Ramón
A1 Cabanas Valdés, Rosa
K1 Tendons - Wounds and injuries
K1 Tendones - Lesiones y heridas
K1 Tendinitis
K1 Knee - Wounds and injuries
K1 Rótula - Lesiones y heridas
K1 Physical therapy
K1 Ejercicio físico
K1 Exercise therapy
K1 Rehabilitation medicine
K1 Meta-análisis
K1 Medicine
K1 Physiotherapy
K1 Public health
K1 32 Ciencias Médicas
K1 3213.11 Fisioterapia
K1 3204.04 Rehabilitación (Médica)
K1 3212 Salud Publica
AB 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.
PB MDPI
SN 2227-9032
YR 2024
FD 2024
LK https://uvadoc.uva.es/handle/10324/69743
UL https://uvadoc.uva.es/handle/10324/69743
LA eng
NO Healthcare, 2024, Vol. 12, Nº. 4, 427
NO Producción Científica
DS UVaDOC
RD 27-dic-2024