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This randomized controlled trial investigated the acute effects of different physiotherapy interventions applied to the patellar tendon. Participants were randomly assigned to one of four groups: deep friction massage, thermal agent application, quadriceps resistance exercise, or a control group. Each intervention was delivered in a single session. Outcomes of the study included changes in skin temperature, muscle strength, flexibility, and pulse rate. All measurements were taken immediately before the intervention and again immediately after, 15 minutes after, and 60 minutes after the intervention. The study was conducted with healthy adult volunteers. The results of this study are expected to contribute to a better understanding of how different physiotherapy modalities acutely influence the patellar tendon region.
This study examined the immediate physiological responses of the patellar tendon region following different physiotherapy interventions. Participants were allocated into four groups: (1) deep friction massage applied directly to the patellar tendon, (2) a locally applied superficial thermal agent, (3) a structured quadriceps resistance exercise protocol, and (4) a no-intervention control group. Each intervention was administered as a single session under standardized laboratory conditions.
Outcome measures included skin temperature assessed with thermal imaging, quadriceps muscle strength measured with a handheld dynamometer, flexibility assessed by standardized clinical procedures, and pulse rate. All measurements were collected at four time points: immediately before the intervention, immediately after, 15 minutes after, and 60 minutes after the intervention.
The study was conducted with healthy adult volunteers to evaluate the acute physiological effects of commonly used physiotherapy modalities on the patellar tendon region. The findings are intended to inform clinical decision-making by clarifying how different physiotherapy techniques influence tendon-related parameters within the first hour following treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Deep Friction Massage | Experimental | A single session of deep friction massage applied directly to the patellar tendon |
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| Thermal Agent Application | Experimental | A locally applied superficial thermal agent delivered as a single session. |
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| Quadriceps Exercise | Experimental | A single session of standardized quadriceps resistance exercise protocol. |
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| Control | No Intervention | No treatment administered; participants remained at rest during the session. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Deep Friction Massage | Other | A single session of deep friction massage applied directly to the patellar tendon. |
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| Measure | Description | Time Frame |
|---|---|---|
| Skin Temperature Change | Skin temperature of the patellar tendon region measured using infrared thermography at four time points to analyze acute thermal response. | Baseline, immediately after intervention, 15 minutes after, 60 minutes after |
| Quadirceps Muscle Strength | Isometric quadriceps muscle strength measured with a handheld dynamometer at four time points to assess acute changes following intervention. | Baseline, immediately after intervention, 15 minutes after, 60 minutes after |
| Hamstring and Quadriceps Flexibility | Flexibility of the quadriceps and hamstring assessed using a standardized stretching test at four time points to assess evaluate changes. | Baseline, immediately after intervention, 15 minutes after, 60 minutes after |
| Dorsalis Pedis Pulse Rate | Pulse rate measured by palpation at four time points (baseline, immediately after intervention, 15 minutes, and 60 minutes) to evaluate acute cardiovascular response to the intervention. | Baseline, immediately after intervention, 15 minutes after, 60 minutes after |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dokuz Eylül University, İzmir | Izmir | balçova | 35330 | Turkey (Türkiye) |
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Participants were assigned to one of four parallel groups, each receiving a single physiotherapy intervention or no intervention. The study used a randomized parallel design to compare acute responses among the four groups.
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| Thermal Agent Application | Other | A single application of a thermal agent (hot pack) applied to the patellar tendon region. |
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| Quadriceps Exercise | Other | A single session of quadriceps resistance exercise targeting knee extensor muscles. |
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