Effectiveness of progressive tendon-loading exercise therapy in patients with patellar tendinopathy: a randomised clinical trial

Review written by Tom Goom info

Key Points

  1. Eccentric exercise therapy was compared to progressive tendon loading exercises (PTLE) in 76 athletes with patellar tendinopathy.
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BACKGROUND & OBJECTIVE

Progressive loading that incorporates isometric, isotonic and plyometric exercise for different stages of rehab has been recommended in tendinopathy (1,2). However, few studies have followed this approach to demonstrate superiority over common loading strategies such as eccentrics or heavy slow resistance training. This trial sought to compare the effectiveness of ‘Progressive Tendon-Loading Exercises’ (PTLE) with eccentric loading in athletes with patellar tendinopathy.

Progressive loading that incorporates isometric, isotonic and plyometric exercise for different stages of rehab has been recommended in tendinopathy.
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These results indicate the realistic timeframes we should consider even with comprehensive management of long-standing patellar tendinopathy.

METHODS

76 athletes with patellar tendinopathy were recruited for this randomized clinical trial. They tended to be chronic cases with a mean duration of 2 years and over 80% had failed conservative management.

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