Interventions for Prevention and In-season Management of Patellar Tendinopathy in Athletes
A scoping review
DOI:
https://doi.org/10.51224/SRXIV.119Keywords:
Patellar, Tendinopathy, Resistance training, Rehabilitation, Athlete, Musculoskeletal, SportAbstract
Introduction: Patellar tendinopathy has a significant prevalence in athletes and presents a tremendous burden on athletes and clinicians due to its long-lasting duration, persistent symptoms, and lack of available effective treatments. This scoping review aimed to summarise current evidence on prevention and in-season management interventions for patellar tendinopathy in athletes, evaluating intervention parameters and outcomes.
Methods and analysis: The recommended methodological framework described by the Joanna Briggs Institute was used to structure this review, with reporting in accordance with the PRISMA-ScR. Databases searched included MEDLINE, CINAHL, AMED, EMBase, SPORTDiscus, and the Cochrane library (Controlled trials, Systematic reviews). All primary study designs investigating prevention or in-season management interventions for patellar tendinopathy, while maintaining athletes in sport were considered for inclusion.
Findings: 5987 articles were identified with 29 included in the review. Despite a dearth of studies to date on preventative interventions for athletes with patellar tendinopathy, evidence suggests that resistance training is an effective prophylactic method. There is a significant body of evidence suggesting that resistance training is effective for managing patellar tendinopathy in-season, with evidence greater for eccentric training, followed by heavy slow resistance training and isometric training. Inertial flywheel and blood-flow restricted resistance training may also be effective in-season management strategies. There is currently no evidence to suggest that ESWT offers any additional benefit over resistance training in competing athletes. Patellar strapping and taping may offer short-term pain relief during training and competition. High risk athletes, particularly those participating in jumping sports, should be required to undergo progressive resistance training as a preventative method for patellar tendinopathy. Similarly, athletes diagnosed with patellar tendinopathy should undergo a progressive resistance training intervention while maintaining sports participation, prior to considering sport withdrawal.
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References
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