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Published on: March 1, 2024
[Systematic review about eccentric training in chronic patella tendinopathy].
J Lorenzen1, R Krämer, P M Vogt
1Plastische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover. Lorenzen.Johan@mh-hannover.de
Summary
Eccentric training shows promise for patellar tendinopathy, but specific protocols remain unclear due to study limitations. Further research is needed to establish optimal dosage and duration for this popular treatment.
Area of Science:
- Sports Medicine
- Rehabilitation Science
- Orthopedics
Background:
- Eccentric training is a widely adopted intervention for patellar tendinopathy.
- Current literature lacks a consensus on optimal eccentric exercise prescriptions for this condition.
Purpose of the Study:
- To review and present various eccentric exercise protocols for patellar tendinopathy.
- To guide clinicians in selecting appropriate treatments and identify research gaps.
Main Methods:
- Systematic review of prospective randomized controlled trials (RCTs) published after 2000.
- Searched the National Library of Medicine (NLM) database.
- Included 7 articles with 165 patients, focusing on eccentric training interventions.
Main Results:
- Included studies showed encouraging, yet variable, results.
- Most programs were home-based, twice daily for 12 weeks.
- Variations in protocols included exercise type, use of decline boards, pain levels, and progression strategies.
Conclusions:
- Eccentric training appears beneficial for patellar tendinopathy, but evidence quality is variable.
- Specific recommendations for dosage and duration are limited due to study heterogeneity and methodological limitations.
- Further research is required to refine protocols, including the use of decline boards and management of discomfort.
