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The Effectiveness of Minimally Invasive Techniques in the Treatment of Patellar Tendinopathy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Joint Authors
López-Royo, M. P.
Ortiz-Lucas, M.
Gómez-Trullén, E. M.
Herrero, P.
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-16, 16 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-07
Country of Publication
Egypt
No. of Pages
16
Main Subjects
Abstract EN
The aim was to determine the effectiveness of minimally invasive techniques (MIT) in patients with patellar tendinopathy.
Database searches were performed for randomized controlled trials (RCTs) in electronic databases (WOS, Cochrane Central, SportDiscus, and Medline via PubMed and PEDro).
The inclusion criteria used were published in English or Spanish and involving adults with patellar tendinopathy (pain on the inferior pole of the patella for a minimum of 3 months), with at least one group receiving MIT.
The quality of the relevant RCTs was evaluated using the PEDro scale.
The primary outcome was functionality using the VISA-p questionnaire.
Secondary outcome was focused on pain.
A total of 1164 studies were screened for possible inclusion in our systematic review.
Finally, 10 RCTs were included with a total of 326 individuals.
Five RCTs were included in the meta-analysis.
The quality assessment revealed that all the studies included were considered to possess high methodological quality.
All studies analyzing MIT such as platelet-rich plasma (PRP), dry needling, or skin-derived tenocyte-like cells, when combined with exercise, proved to be effective for patellar tendinopathy.
Moreover, the PRP technique with doses greater than 4 mL together and combined with an exercise program lasting over 6 weeks obtained better results in functionality and pain than other treatments in the short term.
However, in the long term, dry needling and skin-derived tenocyte-like cells are more effective than PRP.
Although the infiltration of drugs was effective at posttreatment, these improvements were not maintained over time and may have secondary effects.
Although there are no RCTs analyzing the effectiveness of MIT like percutaneous needle electrolysis, there has been an increasing number of publications achieving excellent results in the last years.
However, it is necessary to develop RCTs analyzing not only the effect but also comparing the effectiveness between different MIT such as dry needling and percutaneous needle electrolysis.
American Psychological Association (APA)
López-Royo, M. P.& Ortiz-Lucas, M.& Gómez-Trullén, E. M.& Herrero, P.. 2020. The Effectiveness of Minimally Invasive Techniques in the Treatment of Patellar Tendinopathy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evidence-Based Complementary and Alternative Medicine،Vol. 2020, no. 2020, pp.1-16.
https://search.emarefa.net/detail/BIM-1157867
Modern Language Association (MLA)
López-Royo, M. P.…[et al.]. The Effectiveness of Minimally Invasive Techniques in the Treatment of Patellar Tendinopathy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evidence-Based Complementary and Alternative Medicine No. 2020 (2020), pp.1-16.
https://search.emarefa.net/detail/BIM-1157867
American Medical Association (AMA)
López-Royo, M. P.& Ortiz-Lucas, M.& Gómez-Trullén, E. M.& Herrero, P.. The Effectiveness of Minimally Invasive Techniques in the Treatment of Patellar Tendinopathy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evidence-Based Complementary and Alternative Medicine. 2020. Vol. 2020, no. 2020, pp.1-16.
https://search.emarefa.net/detail/BIM-1157867
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1157867