The VISA score: An index of severity of symptoms in patients with jumper's knee (patellar tendinosis)

Visentini, P; Khan, Karim M.; Cook, Jill; Kiss, Zoltan S.; Harcourt, Peter; Wark, John D.

doi:10.1016/s1440-2440(98)80005-4

Cited by 396 publications

(425 citation statements)

References 20 publications

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“…Pre-treatment clinical evaluation was performed using the Victoria Institute of Sport Assessment questionnaire for knee (VISA-P) and for the Achilles tendon (VISA-A) [22,23] adapted to the Italian language [24,25]. The VISA-P and VISA-A questionnaires consist of 8 questions, of which 6 deal with pain experienced during a range of everyday activities and 2 questions deal with the ability to perform sports activities.…”

Section: Pre-treatment Clinical and Us Evaluationmentioning

confidence: 99%

Ultrasound-guided injection of platelet-rich plasma in chronic Achilles and patellar tendinopathy

Ferrero

Fabbro

Orlandi

et al. 2012

Journal of Ultrasound

112

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KEYWORDSPlatelet-rich plasma; Achilles tendon; Patellar tendon; Jumper's knee; Achilles tendinopathy.Abstract Purpose: The efficacy of platelet-rich plasma (PRP) in the treatment and healing of chronic tendinopathy through stimulation of cell proliferation and total collagen production has been demonstrated by both in vitro and in vivo studies. The aim of this study is to evaluate the effectiveness of ultrasound (US)-guided autologous PRP injections in patellar and Achilles tendinopathy. Materials and methods: Autologous PRP was injected under US-guidance into the Achilles and patellar tendons (30 Achilles tendons, 28 patellar tendons) in 48 prospectively selected patients (30 males, 18 females, mean age 38 AE 16 years, range 20e61 years). All patients were previously evaluated according to the Victoria Institute of Sport Assessment (VISA) scale, which assessed pain and activity level, and they all underwent US of the tendon before treatment and at follow-up after 20 days and 6 months. Statistical analysis was performed with Chi-square and Wilcoxon tests. Results: 20 days after PRP injection the patients presented a non-significant improvement of clinical symptoms. At the 6-month follow-up VISA score increased from a mean value of 57 e75.5 (p < .01). US evaluation revealed a reduction of hypoechoic areas in 26 tendons (p < .01) associated with a widespread improvement of fibrillar echotexture of the tendon and reduced hypervascularity at power Doppler. Conclusion: PRP injection in patellar and Achilles tendinopathy results in a significant and lasting improvement of clinical symptoms and leads to recovery of the tendon matrix potentially helping to prevent degenerative lesions. US-guidance allows PRP injection into the tendon with great accuracy. Sommario Scopo: Il plasma ricco di piastrine (PRP), provocando un iperafflusso di citochine nel sito di iniezione si è dimostrato efficace, sia in vitro che in studi clinici in vivo, come promotore della rigenerazione tissutale. Lo scopo di questo studio è quello di valutare l'efficacia dell'iniezione ecoguidata di PRP autologo nel trattamento delle tendinopatie croniche del rotuleo e dell'achilleo. Materiali e metodi: Il PRP autologo è stato iniettato sotto guida ecografica in tendini rotulei e achillei (30 tendini di Achille, 28 tendini rotulei) di 48 pazienti selezionati in modo prospettico (30 maschi, 18 femmine, età media 38 AE 16 anni, range 20e61 anni). Tutti i pazienti erano stati precedentemente valutati mediante questionario Victoria Institute of Sport di valutazione (VISA) in cui si analizza il punteggio del dolore e il livello di attività. È stata poi eseguita una valutazione ecografica dei tendini mirata a valutarne l'ecostruttura e vascolarizzazione. La valutazione statistica dei dati ottenuti è stata eseguita mediante i test del Chi-quadrato e di Wilcoxon. Risultati: Venti giorni dopo l'iniezione di PRP è stato rilevato un miglioramento dei sintomi clinici non significativo. Il punteggio VISA è migliorato da una base di 57 a 75,5 a 6 mesi (p < .01). La v...

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Section: Pre-treatment Clinical and Us Evaluationmentioning

confidence: 99%

Ultrasound-guided injection of platelet-rich plasma in chronic Achilles and patellar tendinopathy

Ferrero

Fabbro

Orlandi

et al. 2012

Journal of Ultrasound

112

View full text Add to dashboard Cite

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“…Esse teste exerce carga maior no tendão patelar do que com o teste em solo plano (28) (figura 2). Um método objetivo para quantificar os sintomas da tendinopatia patelar é o questionário VISA (Victorian Institute of Sport Assessment), como descrito por Visentini et al (30) . Esse método avalia sintomas, testes funcionais e habilidade para praticar esportes, em que o melhor desempenho representa nota 10 e o pior, nota 0 (30) .…”

Section: Avaliação Clínicaunclassified

“…Dessa maneira, alguns pacientes com diferenças marcantes de sintomatologia são classificados no mesmo grau e, muitas vezes, estes têm diferentes prognósticos e possivelmente devem receber diferentes tratamentos. A escala VISA oferece um espectro maior para classificar a tendinopatia patelar e pode definir melhor o prognóstico e tratamento (30) .…”

Section: Avaliação Clínicaunclassified

Tendinopatia patelar

Cohen¹,

Ferretti²,

Marcondes³

et al. 2008

Rev. bras. ortop.

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RESUMOA tendinopatia do patelar ou jumper's knee (joelho do saltador) é uma afecção que acomete freqüen-temente atletas praticantes de atividades de salto ou aquelas que exigem força de impacto repetitivo. Histologicamente, a sobrecarga excessiva no tendão pode provocar alterações na matriz extracelular, resultando em pequenas lesões que, cronicamente, poderão levar a um quadro de tendinose, principalmente na região do pólo inferior da patela. A dor na região anterior do joelho é o primeiro sintoma relatado pelo paciente portador dessa afecção. Seu início é insidioso e gradual, principalmente após atividade física, mas, com a progressão da doença, pode tornar-se freqüente durante ou já no início da

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“…In 2001, Robinson and co-workers (2001) developed a questionnaire as an index of the clinical severity of Achilles tendinopathy; the Victorian Institute of Sports Assessment -Achilles questionnaire (VISA-A). This questionnaire is based on a similar questionnaire for patellar tendinopathy, which has been evaluated for reliability and validity and used in research studies of patellar tendinopathy (Visentini et al, 1998, Frohm et al, 2004, Visnes et al, 2005. The VISA-A questionnaire is an easily self-administered questionnaire that evaluates symptoms and their effect on physical activity.…”

Section: Outcome Scores -Questionnairementioning

confidence: 99%

Iontophoresis with or without dexamethazone in the treatment of acute Achilles tendon pain

Neeter

Thomeé

Silbernagel

et al. 2003

Scandinavian Med Sci Sports

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The purpose of this double‐blind study was to evaluate the effects of iontophoresis with dexamethazone to iontophoresis with saline solution on patients who had acute (less than 3 months) pain from the Achilles tendon, in terms of range of motion, muscular endurance, pain and symptoms. Twenty‐five patients (15 men and 10 women), aged between 18 and 76 years (mean = 38), were evaluated before and after 2 weeks of treatment with iontophoresis, as well as after 6 weeks, 3 and 6 months and 1 year. Two groups were treated for 2 weeks with iontophoresis for each treatment. Three ml of dexamethazone were used for the experiment group (n = 14) and 3 ml of saline solution for the control group (n = 11). Both groups then followed the same rehabilitation programme for 10 weeks. Good reliability was found for the toe‐raise and range of motion tests. Poor reliability was, however, found for the pain on palpation test, which was therefore excluded. No difference was found between or within groups for the toe‐raise test. Several significant improvements were seen in the experiment group but not in the control group, in the range of motion test, pain during and after physical activity, pain during walking and walking up and down stairs, morning stiffness and tendon swelling. Even though the small sample size limits the possibilities to draw definite conclusions, we conclude from the present study, using a double‐blind, randomised approach and a 1‐year follow‐up period, that positive effects from using iontophoresis with dexamethazone were found in the treatment of patients with acute Achilles tendon pain.

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The VISA score: An index of severity of symptoms in patients with jumper's knee (patellar tendinosis)

Cited by 396 publications

References 20 publications

Ultrasound-guided injection of platelet-rich plasma in chronic Achilles and patellar tendinopathy

Ultrasound-guided injection of platelet-rich plasma in chronic Achilles and patellar tendinopathy

Tendinopatia patelar

Iontophoresis with or without dexamethazone in the treatment of acute Achilles tendon pain

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