Document Detail


Eccentric Exercise Protocols for Patella Tendinopathy: Should we Really be Withdrawing Athletes from Sport? A Systematic Review.
MedLine Citation:
PMID:  23248727     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
The 2007 review by Visnes and Bahr concluded that athletes with patella tendinopathy should be withdrawn from sport whilst engaging in eccentric exercise (EE) rehabilitation programs. However, deprivation of sport is associated with a number of negative psychological and physiological effects. Withdrawal from sport is therefore a decision that warrants due consideration of the risk/benefit ratio. The aim of this study was to determine whether sufficient evidence exists to warrant withdrawal of athletes from sport during an eccentric exercise rehabilitation program. A systematic review of the literature was performed to identify relevant randomised trials. Data was extracted to determine whether athletes were withdrawn from sport, what evidence was presented to support the chosen strategy and whether this affected the clinical outcome. Seven studies were included. None of these reported high quality evidence to support withdrawal. In addition, three studies were identified in which athletes were not withdrawn from sport and still benefited from EE. This review has demonstrated that there is no high quality evidence to support a strategy of withdrawal from sport in the management of patella tendinopathy.
Authors:
Adnan Saithna; Rajiv Gogna; Njalalle Baraza; Chetan Modi; Simon Spencer
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Publication Detail:
Type:  Journal Article     Date:  2012-11-30
Journal Detail:
Title:  The open orthopaedics journal     Volume:  6     ISSN:  1874-3250     ISO Abbreviation:  Open Orthop J     Publication Date:  2012  
Date Detail:
Created Date:  2012-12-18     Completed Date:  2012-12-19     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101480491     Medline TA:  Open Orthop J     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  553-7     Citation Subset:  -    
Affiliation:
Trauma and Orthopaedic Surgery, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Walsgrave, Coventry, CV2 2DX, UK.
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