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Patellar tendinopathy is one of the most common injuries in jumping athletes. Changes in mechanical and physiological properties of tendon are the two proposed forms of pathogenesis. The efficacy of eccentric exercise when applied alone and combined with extrocoporeal shockwave therapy had been reported; however, the underlying treatment mechanisms of pain and dysfunction are not clear. This project aimed to explore the mechanical, physiological and therapeutic effects of eccentric exercise when applied as a single treatment and as an adjunct to extracorporeal shockwave therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Combined | Experimental | 12 weeks eccentric exercise combined with 6 sessions of extracorporeal shockwave therapy in the initial 6 weeks |
|
| Exercise | Sham Comparator | 12 weeks eccentric exercise combined with 6 sessions of sham extracorporeal shockwave therapy in the initial 6 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Eccentric exercise | Behavioral | Knee eccentric exercise with sham or focused extrocorporeal shockwave therapy for 12 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Tendon stress in pascals at baseline | Tendon stress measured by ultrasonography and dynamometry | Before intervention |
| Change of tendon stress in pascals at 12 weeks | Tendon stress measured by ultrasonography and dynamometry | 12 weeks |
| Change of tendon stress in pascals at 16 weeks | Tendon stress measured by ultrasonography and dynamometry | 16 weeks |
| Tendon vascularity index as percentage at baseline | Tendon vascularity measured by power doppler ultrasonography | Before intervention |
| Change of tendon vascularity index as percentage at 12 weeks | Tendon vascularity measured by power doppler ultrasonography | 12 weeks |
| Change of tendon vascularity index as percentage at 16 weeks | Tendon vascularity measured by power doppler ultrasonography | 16 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Tendon related pain on visual analogy scale at baseline | Maximal intensity of self-perceived pain in the past 7 days, pain during single-leg declined-squat test | Before intervention |
| Change of tendon related pain on visual analogy scale at 12 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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Maximal intensity of self-perceived pain in the past 7 days, pain during single-leg declined-squat test
| 12 weeks |
| Change of tendon related pain on visual analogy scale at 16 weeks | Maximal intensity of self-perceived pain in the past 7 days, pain during single-leg declined-squat test | 16 weeks |
| Tendon related dysfunction by questionnaire at baseline | Victorian Institute of Sport Assessment Questionnaire - Patellar Tendon | Before intervention |
| Change of tendon related dysfunction by questionnaire at 12 weeks | Victorian Institute of Sport Assessment Questionnaire - Patellar Tendon | 12 weeks |
| Change of tendon related dysfunction by questionnaire at 16 weeks | Victorian Institute of Sport Assessment Questionnaire - Patellar Tendon | 16 weeks |