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Patellar tendinopathy: pathomechanics and a modern approach to treatment

Cook, Jill, Khan, Karim M. and Purdam, Craig R. 2001, Patellar tendinopathy: pathomechanics and a modern approach to treatment, International sportmed journal, vol. 2, no. 1, pp. 1-11.

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Title Patellar tendinopathy: pathomechanics and a modern approach to treatment
Author(s) Cook, Jill
Khan, Karim M.
Purdam, Craig R.
Journal name International sportmed journal
Volume number 2
Issue number 1
Start page 1
End page 11
Publisher International Federation of Sport Medicine
Place of publication Cape Town, South Africa
Publication date 2001
ISSN 1528-3356
Keyword(s) risk factors
rehabilitation
nonoperative management
Summary Patellar tendinopathy, a common condition in sport, can be recurrent and resistant to treatment, Risk factors include the level of training, biomechanics, and genetic factors. This review discusses several programs based on eccentric exercise and suggests principles for nonoperative treatment including improving shock absorption, load modification, and adaptation of the tendon to sporting stress. The level of pain that patients are asked to tolerate during tendon-exercise programs varies among programs, and it is unclear what level is optimal to stimulate tendon recovery. Rehabilitation presents several challenges: It can take a long time (3-12 months), exercise prescription in an athlete who is continuing to compete is not straightforward, and guidelines for treatment progression are poor, Nonoperative treatment can fail because of inappropriate exercise prescription and poor athlete compliance. If this occurs and surgical intervention is required, the athlete might still have an unpredictable outcome. Solutions to these problems require additional clinical research.
Language eng
Field of Research 110314 Orthopaedics
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2001, FIMS
Persistent URL http://hdl.handle.net/10536/DRO/DU:30004282

Document type: Journal Article
Collections: School of Exercise and Nutrition Sciences
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.