The Effect of Positional Release Therapy on Intercollegiate Male Basketball Athletes Classified With Patella Tendinopathy

in International Journal of Athletic Therapy and Training

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Lucas C. BiancoBIOKINETIX

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James M. MayUniversity of Idaho

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Smokey L. FerminWhitworth University

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Robert OatesWilmington College

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Scott W. CheathamUniversity of Idaho

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DOI:
https://doi.org/10.1123/ijatt.2018-0040
Keywords:
autonomic nervous system; eccentric exercise; regional interdependency
In Print:
Volume 24: Issue 3
Page Range:
108–114
Restricted access

In the current case series, three male patients aged 19–21 years, all participating in basketball activities during their competitive season, were evaluated and classified with patella tendinopathy. A combination of positional release therapy (PRT) treatment with therapeutic exercises was used to decrease pain and improve function. Over the course of the treatment, each patient improved outcomes at discharge and sustained the improvements at follow-up. The purpose of this paper is to compare the results of this case series with a study of the effects of eccentric exercises on physically active patients diagnosed with patella tendinopathy and participating in jumping sports.

Bianco is with BIOKINETIX, Chicago, IL. May and Cheatham are with University of Idaho, Moscow, ID. Fermin is with Whitworth University, Spokane, WA. Oates is with Wilmington College, Wilmington, OH.

Bianco (lucas.bianco@biokinetix.com) is corresponding author.
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  • 1.

    Hamilton B, Purdam C. Patellar tendinosis as an adaptive process: a new hypothesis. Br J Sports Med. 2004;38(6):758–761. PubMed ID: 15562176 doi:10.1136/bjsm.2003.005157

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Reinking MF. Current concepts in the treatment of patellar tendinopathy. Int J Sports Phys Ther. 2016;11(6):854. PubMed ID: 27904789

  • 3.

    Rutland M, O’Connell D, Brismée JM, Sizer P, Apte G, O’Connell J. Evidence–supported rehabilitation of patellar tendinopathy. N Am J Sports Phys Ther. 2010;5(3):166–178. PubMed ID: 21589672

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Khan KM, Maffulli N, Coleman BD, Cook JL, Taunton JE. Patellar tendinopathy: some aspects of basic science and clinical management. Br J Sports Med. 1998;32(4):346–355. PubMed ID: 9865413 doi:10.1136/bjsm.32.4.346

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Kon E, Filardo G, Delcogliano M, et al. Platelet-rich plasma: new clinical application: a pilot study for treatment of jumper’s knee. Injury. 2009;40(6):598–603. PubMed ID: 19380129 doi:10.1016/j.injury.2008.11.026

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Bahr R, Fossan B, Løken S, Engebretsen L. Surgical treatment compared with eccentric training for patellar tendinopathy (jumper’s knee). J Bone Joint Surg Am. 2006;88(8):1689–1698. PubMed ID: 16882889 doi:10.2106/JBJS.E.01181

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Lian OB, Refsnes PE, Engebretsen L, Bahr R. Performance characteristics of volleyball players with patellar tendinopathy. Am J Sports Med. 2003;31:408–413. PubMed ID: 12750135 doi:10.1177/03635465030310031401

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Lian OB, Engebretsen L, Bahr R. Prevalence of jumper’s knee among elite athletes from different sports. Am J Sports Med. 2005;33(4):561–567. PubMed ID: 15722279 doi:10.1177/0363546504270454

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Young MA, Cook JL, Purdam CR, Kiss ZS, Alfredson H. Eccentric decline squat protocol offers superior results at 12 months compared with traditional eccentric protocol for patellar tendinopathy in volleyball players. Br J Sports Med. 2005;39(2):102–105. PubMed ID: 15665207 doi:10.1136/bjsm.2003.010587

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Melnyk M, Faist M, Claes L, Friemert B. Therapeutic cooling: no effect on hamstring reflexes and knee stability. Med Sci Sports Exerc. 2006;38(7):1329–1334. PubMed ID: 16826031 doi:10.1249/01.mss.0000227635.86285.3b

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Wilson JJ, Best TM. Common overuse tendon problems: a review and recommendations for treatment. Am Fam Physician. 2005;72(5):811–818. PubMed ID: 16156339

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Maffulli N. Overuse tendon conditions: time to change a confusing terminology. Arthroscopy. 1998;14(8):840–843. PubMed ID: 9848596 doi:10.1016/S0749-8063(98)70021-0

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Cook JL, Khan KM, Harcourt PR, Grant M, Young DA, Bonar SF. A cross sectional study of 100 athletes with jumper’s knee managed conservatively and surgically. The Victorian Institute of Sport Tendon Study Group. Br J Sports Med. 1997;31(4):332–336. PubMed ID: 9429013 doi:10.1136/bjsm.31.4.332

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Blazina ME, Kerlan RK, Jobe FW, Carter VS, Carlson RN. Jumper’s knee. Orthop Clin North Am. 1973;4(3):665–678. PubMed ID: 4783891

  • 15.

    Speicher TE. Clinical Guide to Positional Release Therapy. Champaign, IL: Human Kinetics; 2016.

  • 16.

    Farrar JT, Young JP, LaMoreaux L, Werth JL, Poole M. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001;94:149–158. PubMed ID: 11690728 doi:10.1016/S0304-3959(01)00349-9

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Stauffer ME, Taylor SD, Watson DJ, Peloso PM, Morrison A. Definition of non-response to analgesic treatment of arthritic pain: an analytical literature review of the smallest detectable difference, the minimal detectable change, and the minimal clinically important difference on the pain visual analog scale. Int J Inflam. 2011;2011:1–6. doi:10.4061/2011/231926.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18.

    Vela LI, Denegar C. The disablement in the physically active scale, part II: The psychometric properties of an outcomes scale for musculoskeletal injuries. J Athl Train. 2010;45(6):630–641. PubMed ID: 21062187 doi:10.4085/1062-6050-45.6.630

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Hernandez-Sanchez S, Hidalgo MD, Gomez A. Responsiveness of the VISA-P scale for patellar tendinopathy in athletes. Br J Sports Med. 2014;48:453–457.

  • 20.

    Visentini PJ, Khan KM, Cook JL, Kiss ZS, Harcourt PR, Wark JD. The VISA score: an index of severity of symptoms in patients with jumper’s knee (patellar tendinosis). Victorian Institute of Sport Tendon Study Group. J Sci Med Sport. 1998;1(1):22–28. PubMed ID: 9732118 doi:10.1016/S1440-2440(98)80005-4

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21.

    Horn KK, Jennings S, Richardson G, Vliet DV, Hefford C, Abbott JH. The patient-specific functional scale: Psychometrics, clinimetrics, and application as a clinical outcome measure. J Orthop Sports Phys Ther. 2012;42(1):30–42. PubMed ID: 22031594 doi:10.2519/jospt.2012.3727

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Mehta SP, Barker K, Bowman B, Galloway H, Oliashirazi N, Oliashirazi A. Reliability, concurrent validity, and minimal detectable change for iPhone goniometer app in assessing knee range of motion. J Knee Surg. 2017;30(6):577–584. doi:10.1055/s-0036-1593877

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Florence JM, Pandya S, King WM, et al. Intrarater reliability of manual muscle test (Medical Research Council scale) grades in Duchenne’s muscular dystrophy. Phys Ther. 1992;72(2):115–122. PubMed ID: 1549632 doi:10.1093/ptj/72.2.115

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Lian O, Holen KJ, Engebrestson L, Bahr R. Relationship between symptoms of jumper’s knee and the ultrasound characteristics of the patellar tendon among high level male volleyball players. Scand J Med Sci Sports. 1996;6:291–296. PubMed ID: 8960651 doi:10.1111/j.1600-0838.1996.tb00473.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Shalaby M, Almekinders LC. Patellar tendinitis: the significance of magnetic resonance imaging findings. Am J Sports Med. 1999;27:345–349. PubMed ID: 10352771 doi:10.1177/03635465990270031301

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Cook JL, Khan KM, Harcourt PR, et al. Patellar tendon ultrasonography in asymptomatic active athletes reveals hypoechoic regions: a study of 320 tendons. Clin J Sport Med. 1998;8:73–77. PubMed ID: 9641432 doi:10.1097/00042752-199804000-00001

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Van Buskirk RL. Nociceptive reflexes and the somatic dysfunction: a model. J Am Osteopath Assoc. 1990;90(9):792–808. PubMed ID: 2211195

    • Search Google Scholar
    • Export Citation
  • 28.

    Kamper SJ, Maher CG, Mackay G. Global rating of change scales: a review of strengths and weaknesses and considerations for design. J Man Manip Ther. 2009;17(3):163–170.

    • Crossref
    • Search Google Scholar
    • Export Citation
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