Interventions used for Rehabilitation and Prevention of Patellar Tendinopathy in athletes: a survey of Brazilian Sports Physical Therapists

Highlights

 

Education, joint stabilization, and myofascial release were most used for patellar tendinopathy rehabilitation.

Quadriceps eccentrics, education, joint stabilization and lumbo-pelvic stabilization and hamstrings stretching were frequently used for patellar tendinopathy prevention.

Brazilian physical therapists consider pain, function and functional test results to discharge an athlete.

Our results revealed an inconsistency between interventions used in clinical practice and interventions recommended by the best available evidence.

 

Abstract

Objectives

(1) To identify the type and frequency of interventions used by Brazilian physical therapists to treat and prevent the occurrence of patellar tendinopathy in athletes and the criteria used to return to sport; (2) to compare the interventions used to the grade of recommendation of current evidence.

Methods

Design: cross-sectional study. Setting: online survey throughout sports physical therapy association. Participants: Physical therapists who were invited to complete a structured questionnaire. Main Outcome Measures: Interventions more frequently used for treating and preventing PT in athletes and the criteria used to define return to sport.

Results

One-hundred and twenty-one physical therapists participated in this study. Quadriceps eccentric strengthening (75.2%), education (61.2%) and lower limb joint/lumbo-pelvic stabilization/hamstrings stretching (59.5%) were more frequently cited for prevention purposes, while lower limb joint stabilization (81.8%), education (80.2%) and myofascial release (78.5%) were more frequently reported for treatment. The majority of the physical therapists based their decision of athlete discharge on a combination of pain intensity, function and functional test results (44.6%).

Conclusion

There was inconsistency between interventions used in clinical practice and interventions recommended by the best available evidence.

Keywords

Prevention
Rehabilitation
Sports
Tendon injury

Autor / Fonte:Luciana De Michelis Mendonça, Natália Franco Netto Bittencourt, Laís Emanuelle Meira Alves, Renan Alves Resende, Fábio Viadanna Serrão Brazilian Journal of Physical Therapy 2018 December 19
Link: https://www.sciencedirect.com/science/article/pii/S1413355518302247