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Vol. 24. Issue 1.
Pages 46-53 (01 January 2020)
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Vol. 24. Issue 1.
Pages 46-53 (01 January 2020)
Original Research
DOI: 10.1016/j.bjpt.2018.12.001
Interventions used for Rehabilitation and Prevention of Patellar Tendinopathy in athletes: a survey of Brazilian Sports Physical Therapists
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Luciana De Michelis Mendonçaa,b,
Corresponding author
lucianademichelis@yahoo.com.br

Corresponding author at: Physical Therapy Department, School of Biological and Health Sciences (FCBS), Universidade Federal dos Vales do Jequitinhonha e do Mucuri, Rodovia MGT 367 – Km 583, No. 5000, Alto da Jacuba, CEP: 39100-000, Diamantina, MG, Brazil.
, Natália Franco Netto Bittencourtc, Laís Emanuelle Meira Alvesa, Renan Alves Resendeb,d, Fábio Viadanna Serrãoe,f
a Physical Therapy Department, School of Biological and Health Sciences (FCBS), Universidade Federal dos Vales do Jequitinhonha e do Mucuri (UFVJM), Diamantina, MG, Brazil
b Postgraduate Program of Rehabilitation and Functional Performance (PPGReab), Universidade Federal dos Vales do Jequitinhonha e do Mucuri (UFVJM), Diamantina, MG, Brazil
c Centro Universitário UNI-BH e Minas Tenis Clube, Belo Horizonte, MG, Brazil
d Physical Therapy Department, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
e Physical Therapy Department, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil
f Postgraduate Program of Physical Therapy, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil
Highlights

  • Education, joint stabilization, and myofascial release were most used for patellar tendinopathy rehabilitation.

  • Quadriceps eccentrics, education, joint stabilization and lumbo-pelvic stabilization and hamstrings stretching were frequently used for patellar tendinopathy prevention.

  • Brazilian physical therapists consider pain, function and functional test results to discharge an athlete.

  • Our results revealed an inconsistency between interventions used in clinical practice and interventions recommended by the best available evidence.

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Figures (1)
Tables (3)
Table 1. Descriptive data and clinical practice characteristics of the participants.
Table 2. Frequency (n (%)) of interventions targeting rehabilitation and prevention and grade of recommendation.
Table 3. Return to sport criteria (n=121).
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Abstract
Objectives

(1) To identify the type and frequency of interventions used by Brazilian physical therapists to treat and prevent the occurrence of patellar tendinopathy in athletes and the criteria used to return to sport; (2) to compare the interventions used to the grade of recommendation of current evidence.

Methods

Design: cross-sectional study. Setting: online survey throughout sports physical therapy association. Participants: Physical therapists who were invited to complete a structured questionnaire. Main Outcome Measures: Interventions more frequently used for treating and preventing PT in athletes and the criteria used to define return to sport.

Results

One-hundred and twenty-one physical therapists participated in this study. Quadriceps eccentric strengthening (75.2%), education (61.2%) and lower limb joint/lumbo-pelvic stabilization/hamstrings stretching (59.5%) were more frequently cited for prevention purposes, while lower limb joint stabilization (81.8%), education (80.2%) and myofascial release (78.5%) were more frequently reported for treatment. The majority of the physical therapists based their decision of athlete discharge on a combination of pain intensity, function and functional test results (44.6%).

Conclusion

There was inconsistency between interventions used in clinical practice and interventions recommended by the best available evidence.

Keywords:
Prevention
Rehabilitation
Sports
Tendon injury

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