TY - JOUR T1 - SportsMedUpdate JF - British Journal of Sports Medicine JO - Br J Sports Med SP - 77 LP - 78 DO - 10.1136/bjsm.2010.082057 VL - 45 IS - 1 AU - Martin P Schwellnus Y1 - 2011/01/01 UR - http://bjsm.bmj.com/content/45/1/77.abstract N2 - Kongsgaard M, Kovanen V, Aagaard P, et al. Corticosteroid injections, eccentric decline squat training and heavy slow resistance training in patellar tendinopathy. Scand J Med Sci Sports 2009;19:790–802.OpenUrlCrossRefPubMedWeb of Science Background There are a number of treatment modalities for patellar tendinopathy, including corticosteroids, eccentric training and heavy slow resistance training Research question/s What are the clinical, structural and functional effects of three treatment modalities (peritendinous corticosteroid injections (CORT), eccentric decline squat training (ECC) and heavy slow resistance training (HSR)) in patients with patellar tendinopathy? Methodology Subjects 37 patients with patellar tendinopathy (males) Experimental procedure All the subjects were assessed (including (1) function and symptoms—VISA-p questionnaire, (2) tendon pain during activity (VAS), (3) treatment satisfaction, (4) ultrasonography—tendon swelling and vascularisation and (5) tendon mechanical properties and collagen crosslink). Thereafter, subjects were randomised to one of three treatment modalities (CORT, ECC, HSR) for 12 weeks. Repeat measures were done at 12 weeks and at a 6-month follow-up Measures of outcome VISA—p score, pain (VAS), swelling (%), mechanical properties, collagen crosslink, treatment satisfaction Main finding/s Mechanical properties Mechanical properties were not affected by treatment Collagen crosslink An elevated collagen network turnover was demonstrated in the HSR group … ER -