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

Abstract

Eccentric training and static stretching exercises is superior to eccentric training alone to reduce pain and improve function in patients with patellar tendinopathy at the end of the treatment and at follow-up.

Tendinopathy: A Review of the Pathophysiology and Evidence for Treatment

“…10 In the case of patellar tendinopathy, there is some evidence to suggest that eccentric exercises plus static stretching are associated with greater improvement in patient symptoms than performing only eccentric exercises. 12 It is important to also consider strengthening other parts of the kinetic chain, such as hip abductor strengthening in a patient with patellar and Achilles tendinopathy.…”

Patellar Tendinopathy May not Be the Proper Term for Patients With Clinical Diagnosis of Patellar Tendon Disorder

“…Patellar tendinopathy is characterized by the absence of inflammatory cells and prostaglandins and an increased presence of fibroblasts and disorganized collagen (1). Therefore, this condition is not inflammatory as physicians had thought but is a degenerative condition.…”

“…Therefore, this condition is not inflammatory as physicians had thought but is a degenerative condition. Extrinsic factors such as inappropriate footwear, sport technique, training errors, and intrinsic factors such as muscle weakness and/or inflexibility, and misalignment are the main factors that lead to patellar tendinopathy (1-3). Functional activities such as squat or hop can cause pain in this condition (2, 3).…”

“…Functional activities such as squat or hop can cause pain in this condition (2, 3). The ideal term for clinical diagnosis is patellar tendinopathy because this term refers to the painful tendon without implying the pathology (1). Jumper’s knee was the first diagnostic term used for this condition.…”

“…Patellar tendonitis is also an incorrect term for clinical diagnosis because the condition is not inflammatory but is degenerative as mentioned. The best diagnostic term may be the term patellar tendinosis because this term refers to the pathology of the tendon (1-3). The most common site of pain in patellar tendinopathy is the inferior pole of the patella.…”