Optimale Belastung während der Rehabilitation nach einer Patellatendinopathie: eine Fallstudie

Zusammenfassung

Wenn das Knie schmerzt, ist das nicht nur lästig. Es kann auch sehr schnell mit der Leistung bergab gehen. Um eine lange Verletzungspause zu vermeiden und schnell wieder auf das altes Niveau zurückzukehren, ist neben einer fundierten Untersuchung auch eine optimale Therapieplanung wichtig.

• Literatur

• 1 Zwerver J, Bredeweg SW, van den Akker-Scheek I. Prevalence of jumper’s knee among nonelite athletes from different sports: A cross-sectional survey. Am J Sports Med 2011; 39 (09) 1984-1988 doi:10.1177/0363546511413370
• 2 Barber Foss KD, Myer GD, Chen SS. et al. Expected prevalence from the differential diagnosis of anterior knee pain in adolescent female athletes during preparticipation screening. J Athl Train 2012; 47 (05) 519-524 doi:10.4085/1062–6050–47.5.01
• 3 de Vries AJ, van der Worp H, Diercks RL. et al. Risk factors for patellar tendinopathy in volleyball and basketball players: A survey-based prospective cohort study. Scand J Med Sci Sports 2015; 25 (05) 678-684 doi:10.1111/sms.12294
• 4 Boling M, Padua D, Marshall S. et al. Gender differences in the incidence and prevalence of patellofemoral pain syndrome. Scand J Med Sci Sports 2010; 20 (05) 725-730 doi:10.1111/j.1600–0838.2009.00996.x
• 5 Lankhorst NE, Bierma-Zeinstra SM, van Middelkoop M. Factors associated with patellofemoral pain syndrome: A systematic review. Br J Sports Med 2013; 47 (04) 193-206 doi:10.1136/bjsports-2011–090369
• 6 Murphy M, Travers M, Gibson W. et al. Rate of improvement of pain and function in mid-portion Achilles tendinopathy with loading protocols: A systematic review and longitudinal meta-analysis. Sports Medicine. 2018
• 7 Cook JL, Khan KM, Kiss ZS. et al. Reproducibility and clinical utility of tendon palpation to detect patellar tendinopathy in young basketball players. Victorian Institute of Sport tendon study group. Br J Sports Med 2001; 35 (01) 65-69 doi:10.1136/bjsm.35.1.65
• 8 Gisslen K, Gyulai C, Soderman K. et al. High prevalence of jumper’s knee and sonographic changes in Swedish elite junior volleyball players compared to matched controls. Br J Sports Med 2005; 39 (05) 298-301 doi:10.1136/bjsm.2004.014290
• 9 Visnes H, Tegnander A, Bahr R. Ultrasound characteristics of the patellar and quadriceps tendons among young elite athletes. Scand J Med Sci Sports 2015; 25 (02) 205-215 doi:10.1111/sms.12191
• 10 Gisslen K, Gyulai C, Nordstrom P. et al. Normal clinical and ultrasound findings indicate a low risk to sustain jumper’s knee patellar tendinopathy: A longitudinal study on Swedish elite junior volleyball players. Br J Sports Med 2007; 41 (04) 253-258 doi:10.1136/bjsm.2006.029488
• 11 Simpson M, Rio E, Cook J. At what age do children and adolescents develop lower limb tendon pathology or tendinopathy? A systematic review and meta-analysis. Sports Med 2016; 46 (04) 545-557 doi:10.1007/s40279–015–0438–0
• 12 Drew BT, Smith TO, Littlewood C. et al. Do structural changes (eg, collagen/matrix) explain the response to therapeutic exercises in tendinopathy: A systematic review. Br J Sports Med 2014; 48 (12) 966-972 doi:10.1136/bjsports-2012–091285
• 13 McAuliffe S, McCreesh K, Culloty F. et al. Can ultrasound imaging predict the development of Achilles and patellar tendinopathy? A systematic review and meta-analysis. Br J Sports Med 2016; 50 (24) 1516-1523 doi:10.1136/bjsports-2016–096288
• 14 de Vries A, Zwerver J, Diercks R. et al. Effect of patellar strap and sports tape on pain in patellar tendinopathy: A randomized controlled trial. Scand J Med Sci Sports 2016; 26 (10) 1217-1224 doi:10.1111/sms.12556
• 15 Larsson ME, Kall I, Nilsson-Helander K. Treatment of patellar tendinopathy – a systematic review of randomized controlled trials. Knee Surg Sports Traumatol Arthrosc 2012; 20 (08) 1632-1646 doi:10.1007/s00167–011–1825–1
• 16 Rio E, Kidgell D, Purdam C. et al. Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. Br J Sports Med 2015; 49 (19) 1277-1283 doi:10.1136/bjsports-2014–094386
• 17 Rio E, Kidgell D, Moseley G. et al. Elevated corticospinal excitability in patellar tendinopathy compared with other anterior knee pain or no pain. Scandinavian Journal of Medicine & Science in Sports. 2015
• 18 van Ark M, Cook JL, Docking SI. et al. Do isometric and isotonic exercise programs reduce pain in athletes with patellar tendinopathy in-season? A randomised clinical trial. J Sci Med Sport 2016; 19 (09) 702-706 doi:10.1016/j.jsams.2015.11.006
• 19 Rio E, Purdam C, Girdwood M. et al. Isometric exercise to reduce pin patellar tendinopathy in-season; is it effective „on the road?. “ Clin J Sport Med. 2017
• 20 Zwerver J, Hartgens F, Verhagen E. et al. No effect of extracorporeal shockwave therapy on patellar tendinopathy in jumping athletes during the competitive season: A randomized clinical trial. Am J Sports Med 2011; 39 (06) 1191-1199 doi:10.1177/0363546510395492