Comparing the effects of eccentric training with eccentric training and static stretching exercises in the treatment of patellar tendinopathy. A controlled clinical trial

Clinical Rehabilitation

Volumn 26, Issue 5, 2012, Pages 423-430

  Dimitrios, Stasinopoulos ^a,b,c   Pantelis, Manias ^a   Kalliopi, Stasinopoulou ^a  

^a Private Clinic   (Greece)

^b LEEDS METROPOLITAN UNIVERSITY   (United Kingdom)

^c EUROPEAN UNIVERSITY CYPRUS   (Cyprus)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; ANALGESIA; ANALYSIS OF VARIANCE; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; GREECE; HUMAN; INJURY; KINESIOTHERAPY; MALE; METHODOLOGY; PATELLA LIGAMENT; RANDOMIZATION; STRETCHING EXERCISE; TENDINITIS;

ADOLESCENT; ADULT; ANALYSIS OF VARIANCE; EXERCISE THERAPY; FEMALE; GREECE; HUMANS; MALE; MUSCLE STRETCHING EXERCISES; PAIN MANAGEMENT; PATELLAR LIGAMENT; RANDOM ALLOCATION; TENDINOPATHY; YOUNG ADULT;

EID: 84859850934     PISSN: 02692155     EISSN: 14770873     Source Type: Journal    
DOI: 10.1177/0269215511411114     Document Type: Article

References (35)

1. Kountouris A, Cook J. Rehabilitation of Achilles and patellar tendinopathies. Best practice and research clinical rheumatology. 2007 ; 21: 295-316 (Pubitemid 46746636)
2. Peers E, Lysens J. Patellar tendinopathy in athletes. Current diagnostic and therapeutic recommendations. Sports Medicine. 2005 ; 35: 71-87
3. Khan K, Cook J, Taunton J, Bonar F. Overuse tendinosis, not tendonitis. The Physician Sportsmed. 2000 ; 28: 31-46
4. Ferretti A. The epidemiology of jumper's knee. Sports Med. 1986 ; 3: 289-295
5. Stanish D, Curwin S, Mandell S Tendinitis: Its etiology and treatment. 2 nd ed. Oxford: Oxford University Press, 2000. Oxford: Oxford University Press ; 2000:
6. Molnar T, Fox J. Overuse injuries of the knee in basketball. Clin Sports Med. 1993 ; 12: 349-362
7. Blazina ME, Kerlan RK, Jobe F, Carter VS, Carlson GJ. Jumper's knee. Orthop Clin North Am. 1973 ; 4: 665-678
8. Cook J, Karim M, Purdam C. Conservative treatment of patellar tendinopathy. Phys Ther Sport. 2001 ; 2: 54-65 (Pubitemid 32390435)
9. Khan K, Maffulli N, Coleman D, Cook J. Patellar tendinopathy: Some aspects of basic science and clinical management. Br J Sports Med. 1998 ; 32: 346-355 (Pubitemid 28534887)
10. Purdam CR, Johnsson P, Alfredson H, et al. A pilot study of the eccentric decline squat in the management of painful chronic patellar tendinopathy. Br J Sports Med. 2004 ; 38: 395-397 (Pubitemid 39044015)
11. Jonsson P, Alfredson H. Superior results with eccentric compared to concentric quadriceps training in patients with jumper's knee: A prospective randomised study. Br J Sports Med. 2005 ; 39: 847-850 (Pubitemid 41564925)
12. Young MA, Cook JL, Purdam CR, et al. Eccentric decline squat protocol offers superior results at 12 months compared with traditional eccentric protocol for patellar tendinopathy in volleyball players. Br J Sports Med. 2005 ; 39: 102-105 (Pubitemid 40179549)
13. Bahr R, Fossan B, Loken S, et al. Surgical treatment compared with eccentric Training for patellar tendinopathy (jumper's knee). A randomized, controlled trial. J Bone Joint Surg Am. 2006 ; 88: 1689-1698 (Pubitemid 44200205)
14. Alfredson H, Pietila T, Johnson P, et al. Heavy load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. Am J Sports Med. 1998 ; 26: 360-366 (Pubitemid 28248723)
15. Mafi N, Lorentzon R, Alfredson H. Superior short-term results with eccentric calf muscle training compared to concentric training in a randomized prospective multicenter study on patients with chronic Achilles tendinosis. Knee Surg Sports Traumatol Arthrosc. 2001 ; 9: 42-47 (Pubitemid 33684587)
16. Niesen-Vertommen SL, Taunton JE, Clement DB, et al. The effect of eccentric versus concentric exercise in the management of Achilles tendonitis. Clin J Sports Med. 1992 ; 2: 109-113
17. Ohberg L, Lorentzon R, Alfredson H. Eccentric training in patients with Achilles tendinosis: Normalized tendon structure and decreased thickness at follow up. Br J Sports Med. 2004 ; 38: 8-11 (Pubitemid 38183592)
18. Roos EM, Engstrom M, Lagerquist A, et al. Clinical improvement after 6 weeks of eccentric exercises in patients with mid-portion Achilles tendinopathy: A randomised trial with 1-year follow-up. Scand J Med Sci Sports. 2004 ; 14: 286-295 (Pubitemid 39360653)
19. Silbernager KG, Thomee R, Thomee P, et al. Eccentric overload training with chronic Achilles tendon pain: A randomized controlled study with reliability testing of the evaluation methods. Scand J Med Sci Sports. 2001 ; 11: 197-206 (Pubitemid 33643506)
20. Stasinopoulos D, Stasinopoulos I. Comparison of effects of exercise programme, pulsed ultrasound and transverse friction in the treatment of chronic patellar tendinopathy. Clin Rehabil. 2004 ; 18: 347-352 (Pubitemid 38697066)
21. Manias P, Stasinopoulos D. A controlled clinical pilot trial to study the effectiveness of ice as a supplement to the exercise programme for the management of lateral elbow tendinopathy. Br J Sports Med. 2006 ; 40: 81-85 (Pubitemid 43028603)
22. Stasinopoulos D, Stasinopoulos I. Comparison of effects of Cyriax physiotherapy, a supervised exercise and polarized polychromatic non-coherent light (Bioptron light) for the treatment of lateral epicondylitis. Clin Rehab. 2006 ; 20: 12-23 (Pubitemid 43246328)
23. Stasinopoulos D, Johnson MI. Treatment/management for tendinopathy. Rapid response to Khan et al (2002) article Time to abandon the 'tendinitis' myth. BMJ. 2004 ;:
24. Johannsen F, Gam A, Hauschild B, et al. Rebox: An adjunct in physical medicine?. Arch Phys Med Rehabil. 1993 ; 74: 438-440 (Pubitemid 23115363)
25. Vicenzino B, Collins , Wright A. The initials effects of a cervical spine manipulative physiotherapy treatment on the pain and dysfunction of lateral epicondylalgia. Pain. 1996 ; 68: 69-74 (Pubitemid 126407757)
26. Visentini PJ, Khan K, Cook J, et al. The Visa score: Anindex of severity of symptoms in patients with jumper's knee (patellar tendinosis). Victorian institute of sport tendon study group. J Sci Med Sport. 1998 ; 1: 22-28
27. Cannell L, Taunton J, Clement D, et al. A randomized clinical trial of the efficacy of drop squats or leg extension/leg curls to treat clinically diagnosed jumper's knee in athletes: A pilot study. Br J Sports Med. 2001 ; 35: 60-64 (Pubitemid 32565053)
28. Jensen K, Di Fabio R. Evaluation of eccentric exercise in treatment of patellar tendinitis. Phys Ther. 1989 ; 69: 211-216 (Pubitemid 19076415)
29. Kraushaar B, Nirschl R. Current concepts review: Tendinosis of the elbow (tennis elbow). Clinical features and findings of histological immunohistochemical and electron microscopy studies. J Bone Joint Surg. 1999 ; 81: 259-285
30. Visnes H, Cook J, Bahr R. No effect of eccentric training on Jumper's knee in volleyball players during the competitive season. A randomized clinical trial. Clin J Sports Med. 2005 ; 15: 227-234
31. Hawary R, Stanish W, Curwin S. Rehabilitation of tendon injuries in sport. Sports Med. 1997 ; 24: 347-358 (Pubitemid 27490265)
32. Khan KM, Cook JL, Kannus P, et al. Time to abandon the 'tendonitis' myth. BMJ. 2002 ; 324: 626-632
33. Ohberg L, Lorentzon R, Alfredson H. Neovascularisation in Achilles tendons with painful tendinosis but not in normal tendons: An ultrasonographic investigation. Knee Surg Sports Traumatol Arthrosc. 2001 ; 9: 233-938
34. Vilarta R, Vidal BDC. Anisotropic and biomechanical properties of tendons modified by exercise and denervation: Aggregation and macromolecular order in collagen bundles. Matrix. 1989 ; 9: 55-61
35. Pienimaki T, Tarvainen T, Siira P, et al. Progressive strengthening and stretching exercises and ultrasound for chronic lateral epicondylitis. Physiotherapy. 1996 ; 82: 522-530 (Pubitemid 26313014)