Proposing a Patellar Tendinopathy Screening tool following a systematic review

Background: Patellar tendinopathy (PT) is an overuse injury of the knee. The mechanism of injury is associated with repetitive stress on the patellar tendon of the knee as a result of explosive movement. Patellar tendinopathy is prevalent in all populations and is associated with intrinsic and extri...

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Main Authors: Sanell Morgan, Frederik F. Coetzee
Format: Article
Language:English
Published: AOSIS 2018-09-01
Series:South African Journal of Physiotherapy
Subjects:
Online Access:https://sajp.co.za/index.php/sajp/article/view/454
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author Sanell Morgan
Frederik F. Coetzee
author_facet Sanell Morgan
Frederik F. Coetzee
author_sort Sanell Morgan
collection DOAJ
description Background: Patellar tendinopathy (PT) is an overuse injury of the knee. The mechanism of injury is associated with repetitive stress on the patellar tendon of the knee as a result of explosive movement. Patellar tendinopathy is prevalent in all populations and is associated with intrinsic and extrinsic risk factors. Objectives: Primarily, the objective was to report on the intrinsic and extrinsic risk factors for PT, entailing a systematic review of the literature; the secondary objective was to use these risk factors to compile a proposed PT screening tool from the review and standard outcome measures. Method: A systematic review was undertaken according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Elimination criteria of the articles included duplicates, titles, abstracts and methodological quality. The evidence was collected, characterised with regard to the intrinsic and extrinsic risk factors and summarised descriptively. Results: The search yielded 157 feasible articles prior to commencement of article elimination. Six articles were included with a mean methodological quality score of 69%. Eight intrinsic and five extrinsic risk factors were identified. These identified risk factors are all relevant to the pathology and formed the basis for a proposed PT screening tool. The Victorian Institute of Sports Assessment for Patellar Tendinopathy Questionnaire, Visual Analog Scale and the Pain Provocation Test are also included in the proposed test. Conclusion: Intrinsic and extrinsic risk factors for PT were identified, and consequently, the proposed PT screening tool was formulated for possible future testing in appropriate studies. Clinical implications: Prevention of PT through intrinsic and extrinsic risk factor identification, and implementation in the clinical setup as a possible outcome measurement tool with which to verify functional improvement in PT rehabilitation.
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spelling doaj.art-5b105bac8d85451b90121770bb4e6ce92022-12-22T03:01:54ZengAOSISSouth African Journal of Physiotherapy0379-61752410-82192018-09-01741e1e1110.4102/sajp.v74i1.454571Proposing a Patellar Tendinopathy Screening tool following a systematic reviewSanell Morgan0Frederik F. Coetzee1Department of Physiotherapy, University of the Free StateDepartment of Exercise and Sport Sciences, University of the Free StateBackground: Patellar tendinopathy (PT) is an overuse injury of the knee. The mechanism of injury is associated with repetitive stress on the patellar tendon of the knee as a result of explosive movement. Patellar tendinopathy is prevalent in all populations and is associated with intrinsic and extrinsic risk factors. Objectives: Primarily, the objective was to report on the intrinsic and extrinsic risk factors for PT, entailing a systematic review of the literature; the secondary objective was to use these risk factors to compile a proposed PT screening tool from the review and standard outcome measures. Method: A systematic review was undertaken according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Elimination criteria of the articles included duplicates, titles, abstracts and methodological quality. The evidence was collected, characterised with regard to the intrinsic and extrinsic risk factors and summarised descriptively. Results: The search yielded 157 feasible articles prior to commencement of article elimination. Six articles were included with a mean methodological quality score of 69%. Eight intrinsic and five extrinsic risk factors were identified. These identified risk factors are all relevant to the pathology and formed the basis for a proposed PT screening tool. The Victorian Institute of Sports Assessment for Patellar Tendinopathy Questionnaire, Visual Analog Scale and the Pain Provocation Test are also included in the proposed test. Conclusion: Intrinsic and extrinsic risk factors for PT were identified, and consequently, the proposed PT screening tool was formulated for possible future testing in appropriate studies. Clinical implications: Prevention of PT through intrinsic and extrinsic risk factor identification, and implementation in the clinical setup as a possible outcome measurement tool with which to verify functional improvement in PT rehabilitation.https://sajp.co.za/index.php/sajp/article/view/454patellar tendinopathyintrinsicextrinsic risk factorssystematic review
spellingShingle Sanell Morgan
Frederik F. Coetzee
Proposing a Patellar Tendinopathy Screening tool following a systematic review
South African Journal of Physiotherapy
patellar tendinopathy
intrinsic
extrinsic risk factors
systematic review
title Proposing a Patellar Tendinopathy Screening tool following a systematic review
title_full Proposing a Patellar Tendinopathy Screening tool following a systematic review
title_fullStr Proposing a Patellar Tendinopathy Screening tool following a systematic review
title_full_unstemmed Proposing a Patellar Tendinopathy Screening tool following a systematic review
title_short Proposing a Patellar Tendinopathy Screening tool following a systematic review
title_sort proposing a patellar tendinopathy screening tool following a systematic review
topic patellar tendinopathy
intrinsic
extrinsic risk factors
systematic review
url https://sajp.co.za/index.php/sajp/article/view/454
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