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ECCENTRIC EXERCISES COMBINED WITH ELECTRICAL STIMULATION IN THE TREATMENT OF JUMPER'S KNEE: A STUDY ON SIX HIGH LEVEL JUMPING ATHLETES
  1. A Basas García1,
  2. A Lorenzo2,
  3. M A Gómez-Ruano2,
  4. T Fernández Jaén3,
  5. G Álvarez Rey4
  1. 1Head of physical therapy department. Real Federación Española de Atletismo
  2. 2Lecturer at Sport Sciences in the Faculty of Physical Activity and Sport Sciences, Polytechnic University of Madrid (Spain).PhD
  3. 3CEMTRO Clinic Service of medicine and sports Traumatology. Madrid, Spain. Catholic University, Murcia, Spain
  4. 4AMS Exercise medicine center. Málaga, Spain

    Abstract

    Introduction Treatment of patellar tendinopathy (PT)/Jumper's knee (JK) is known to be difficult, and there is no treatment of choice. This work analyses the development of a protocol using eccentric exercises and electrical stimulation, both using maximum tendon loading, to treat elite athletes suffering from Jumper's knee.

    Methods Six high level jumping athletes with chronic painful PT/JK completed a 6-month treatment/training programme using eccentric exercises and electrical stimulation. The protocol was done12 weeks in the winter pre-season and 10 weeks in the summer pre-season, for all together 36 months. Pain during patellar tendon loading activity was evaluated on a VAS, before the first session and then every 6 months.

    Results The VAS average fell significantly when the initial measurement is compared with those at 18, 24 and 48 months (p<0.01). There were no significant differences between the other comparisons, although they always improved when the protocol was followed and worsened following interruption of the latter (p>0.05).

    Discussion In a small group of high level jumping athletes with chronic painful PT/JK, eccentric exercises combined with electrical stimulation showed promising clinical results with significant pain reduction during tendon loading activity.

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