Effectiveness of Two Exercise Protocols in the Treatment of Patients With Patellar Tendinopathy: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 12
- 试验地点
- 2
- 主要终点
- Pain intensity during rest
研究概览
简要总结
Patellar tendinopathy is characterized by anterior pain in the knee, due to the great demand imposed on the extensor mechanism of the knee. Evidence shows that the most appropriate treatment for this condition is the conservative treatment, through strengthening with eccentric exercises. However, a recent editorial proposes a new treatment protocol based on concentric and eccentric exercises, with the initial prescription of isometric exercises. The hypothesis of this study is that the protocol is as good as the eccentric exercises, generating less pain.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients with chronic unilateral patellar tendinopathy confirmed by the reproduction of the pain during the palpation test in the region of the lower pole of the patella
- •presence of pain for three months or more
- •both genders
- •body mass index less than 30 kg/m²
- •age between 18 and 40 years
- •practice of physical activity on a regular basis
- •pain intensity ≥ 3 points on the pain numerical rating scale in the anterior region of the knee, specifically in the region of the lower pole of the patella when performing squatting, jumping or activities with change of direction
- •score < 80 points on the Victorian Institute of Sport Assessment-Patella (VISA-P)
- •blazine functional scale between 1 and 3
排除标准
- •patients who have previous pain in the knee that does not correspond to patellar tendinopathy
- •previous rupture of the patellar tendon (blazin functional scale at level 4)
- •previous surgery or infiltration of the patellar tendon in the last six months
- •inflammatory diseases
- •diabetes mellitus
- •lower limbs injuries
- •other chronic pain conditions that prevent exercise, such as severe hip and knee osteoarthrosis and joint fractures.
结局指标
主要结局
Pain intensity during rest
时间窗: 8 weeks after randomization
This outcome will be evaluated by an 11-point scale ranging from 0 to 10, in which 0 represents "no pain" and 10 represents "pain as bad as it could be." The participant will classify his average pain in the last 7 days.
Functional capacity
时间窗: 8 weeks after randomization
VISA-P questionnaire assesses the symptoms and disability of patients with patellar tendinopathy. It is a questionnaire with eight questions, six of them on a Likert scale, ranging from 0 to 10 points, where 0 represents the maximum severity of the disease and 10 represents no pain or limitation. Question 7 has four possible answers (0, 4, 7 and 10 points). Question 8 has a subdivision (8A, 8B and 8C), in which only one can be answered, depending on the perception of pain during sport activities, varying up to 30 points. The total score of the questionnaire varies between 0 and 100 points, with 100 points corresponding to the absence of pain or disability.
次要结局
- Muscular strength(8 weeks after randomization)
- Pain intensity during rest(12 weeks and 6 months after randomization)
- Triple hop test(8 weeks after randomization)
- Pressure pain threshold(8 weeks after randomization)
- Pain intensity during squat(8 weeks after randomization)
- Functional capacity(12 weeks and 6 months after randomization)
- Pain intensity(Eigth weeks, before and after each intervention session)
研究者
Cristina Maria Nunes Cabral
Professor
Universidade Cidade de Sao Paulo