Baseline characteristics of the progressive tendon-loading exercise (PTLE) and eccentric exercise therapy (EET) groups*
Characteristics | PTLE group (n=38) | EET group (n=38) |
Age, mean (SD), years | 24 (3.5) | 24 (4.2) |
Sex, male | 31 (82) | 27 (71) |
BMI, mean (SD) | 23.8 (2.5) | 24.1 (3.2) |
Symptom duration, median (IQR), weeks | 119 (64-273) | 78 (40-169) |
VISA-P score, mean (SD) | 55 (13.1) | 56 (13.2) |
CSAS, prior to onset of PT | ||
Level I (4–7 days/week) | ||
100 | 10 (26) | 7 (18) |
95 | 0 (0) | 0 (0) |
90 | 0 (0) | 0 (0) |
Level II (1–3 days/week) | ||
85 | 23 (61) | 27 (71) |
80 | 5 (13) | 4 (11) |
Sports participation in desired sport at the time of study commencement, n (%) | ||
Equal | 10 (26) | 9 (24) |
Reduced | 14 (37) | 15 (40) |
Ceased | 14 (37) | 14 (37) |
Affected side | ||
Unilateral, left/right, n (%) | 10 (53) / 9 (47) | 16 (64) / 9 (36) |
Bilateral, n (%) | 19 (50) | 13 (34) |
Interventions at the time of study commencement, n (%) | ||
None | 8 (21) | 5 (13) |
Patellar strap | 14 (37) | 18 (47) |
Foot orthoses | 14 (37) | 9 (24) |
Medical taping | 8 (21) | 6 (16) |
Knee sleeve | 5 (13) | 2 (5) |
Ankle brace | 2 (5) | 5 (13) |
Paracetamol pain killers | 3 (8) | 3 (8) |
NSAIDs pain killers | 2 (5) | 3 (8) |
Knee brace | 2 (5) | 1 (3) |
Cooling | 2 (5) | 1 (3) |
Warming | 2 (5) | 1 (3) |
Therapy prior to the time of study commencement, n (%) | ||
None | 6 (16) | 6 (16) |
Physical therapy | 28 (74) | 28 (74) |
Eccentric exercises | 6 (16) | 5 (13) |
Shock-wave therapy | 6 (16) | 4 (11) |
Percutaneous needle electrolysis | 2 (5) | 5 (13) |
Dry needling | 4 (11) | 2 (5) |
Rest | 2 (5) | 3 (8) |
Corticosteroid injections | 1 (3) | 2 (5) |
NSAIDs | 1 (3) | 1 (3) |
PRP-injections | 0 (0) | 1 (3) |
Histamine iontophoresis | 1 (3) | 0 (0) |
Referral | ||
Sports physician | 11 (29) | 9 (24) |
Physiotherapist | 16 (42) | 21 (55) |
General practitioner | 0 (0) | 3 (8) |
Orthopaedic surgeon | 1 (3) | 2 (5) |
Self-referral | 10 (26) | 3 (8) |
US assessment | ||
Patellar tendon thickness, mm ±SD | 8.2±2.7 | 8.6±2.0 |
Intratendinous Doppler flow, n (%) | 33 (87) | 36 (95) |
Hypoechoic regions, n (%) | 38 (100) | 38 (100) |
Tendon calcifications, n (%) | 9 (24) | 11 (29) |
Patellar erosions, n (%) | 17 (45) | 7 (18) |
*Data are presented as No. (%) unless otherwise specified.
PRP; platelet-rich plasma; BMI, body mass index; CSAS, Cincinnati Sports Activity Scale; NSAIDs, non-steroidal anti-inflammatory drugs; PT, patellar tendinopathy; US, ultrasound; ; VISA-P, Victorian Institute of Sports Assessment questionnaire for patellar tendons.