Nikolovska, Lence and Simic, Bozidar (2020) Treatment of patellar tendinopathy. International Journal Knowledge, 40 (5). pp. 987-991. ISSN 1857-923X
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Abstract
Patellar tendonitis, also known as the jumper's knee is an inflammation of the tendon or cord of fibrous
tissue that attaches a muscle to a bone. It has an incidence of about 20% in jumping athletes, including volleyball,
basketball and handball athletics. It is often accompanied by tenosynovitis, which is an inflammation of the lining of
the tendon sheath. The cause of the inflammation may result from repeated trauma or excessive straine of the
tendon. Chronic overuse of tendons leads to microscopic tears within the collagen matrix, which gradually weakens
the tissue. These causes can lead to ―local qi and blood congestion in the channels‖. In most cases good results are
obtained with conservative treatment that includes medication and physical therapy. According to TCM,
acupuncture not only help decrease the pain, but will also enhance body‘s own healing ability. Needling the affected
area bring in more blood flow and oxygen and help the tissue recover. Research shows that overall, acupuncture can
be helpful to reduce tendonitis pain and increase circulation to/around a tendon.
The aim of this study was to evaluate and compare the effectiveness of conservative and complementary treatment
in patients with patellar tendinitis.
Methods of research: The research was conducted in cooperation with the Public Institution „Center for Traditional
Chinese Medicinethe―and the Recreation Center at the University "Goce Delcev" - Stip, for a period of 1 months.
The study included 15 participants (4 women and 11 men) with previously diagnosed Patellar tendinopathy. Each
patient was asked for consent to participate in the study. Participants are divided into two groups, Group A (7
respondents) and Group B (8 respondents). Group A participants received conservative treatment that included drug
therapy, physical therapy, and kinesitherapy (eccentric exercises), while group B respondents received
complementary treatment with acupuncture and electroacupuncture, moxibustion, and kinesiotaping techniques.
Тreatment of Patellar tendonitis included 4 weeks of acupuncture treatment. We used the acupuncture protocol for
Patellar tendonitis. The points were selected according to textbook acupuncture point prescription.
Results: Before starting treatment, each patient fills out the Questionnaire Lysholm Knee Score Standard (LKSS).
The same tests are done at the end of treatment. The results are shown in Tables. The present study demonstrated a
statistically significant difference before treatment and after 4 weeks of acupuncture at tender points. The results
demonstrated, not only a reduction in pain threshold sensitivity, but also knee motor impairment.
The researchers determined that acupuncture and electroacupuncture therapy, plus moxibustion and kinesiotaping
techniques is more effective than conservative treatment with drug therapy (NSAID) and physical therapy for relief
of knee Patellar tendonitis .
Conclusion: This is a clinically significant finding for important reasons. First, the acupuncture protocol combined
with moxibustion does not cause the gastrointestinal distress common with NSAID intake. Second, this is a proven
treatment option for the effective relief of disability and pain due to knee Patellar tendonitis. The NSAID
(nonsteroidal anti-inflammatory drug) had a faster onset of effective action but acupuncture produced significantly
greater positive patient outcomes for long-term relief.
Keywords: Patellar tendonitis, pain, physical therapy, kinesitherapy, acupuncture, moxibustion, taping techniques.
| Item Type: | Article |
|---|---|
| Impact Factor Value: | 1.832 |
| Subjects: | Medical and Health Sciences > Other medical sciences |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Lence Nikolovska |
| Date Deposited: | 02 Oct 2020 07:45 |
| Last Modified: | 02 Oct 2020 07:45 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/24488 |
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