Journal of bodywork and movement therapies · 2025
Effectiveness of fascial manipulation® versus eccentric training with static stretching on patellar tendinopathy - A randomized clinical trial.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Sannasi Rajasekar, Dinesh K V N, Patel Parth H, Badikala Sharath Chandra, Uchilla Karthik, Adav Mohak Girish, Stecco Carla
Аннотация
OBJECTIVE: To compare the effectiveness of Fascial Manipulation® (FM) and eccentric training (ET) with static stretching in patellar tendinopathy.
METHODS: This randomized clinical trial was conducted at an outpatient physiotherapy department. A total of 88 patients with patellar tendinopathy were recruited and randomly allocated to either a 4-week ET program with static stretching or a once-weekly FM treatment for 4 weeks. The primary outcome measure was the Victorian Institute of Sport Assessment-Patella Kannada (VISA-P-K) questionnaire. Secondary outcomes included the Numerical Pain Rating Scale (NPRS), Pressure Pain Threshold (PPT), patellar tendon thickness assessed using colour Doppler ultrasonography, and a 6-point Likert scale to measure patient satisfaction. Paired and independent t-tests, along with repeated measures ANOVA, were used to analyse differences within and between groups. Post hoc analysis was applied to minimize familywise error.
RESULTS: Of the 88 subjects, 86 completed the study follow-up. The mean scores for VISA-P, NPRS, and PPT showed significant improvement (p < .001) in both groups at 4 weeks, 3 months, 6 months, and 1-year follow-up. The thickness of the hypoechoic area in the patellar tendon was reduced at 4 weeks in both groups. On the 6-point Likert scale, 80 % of patients in the FM group and 39 % in the ET group reported complete recovery. Both groups demonstrated a significant Effect Size Index (ESI) across all outcome measures at 4 weeks.
CONCLUSION: While both Fascial Manipulation® and Eccentric Training with stretching led to similar improvements, Fascial Manipulation® appears to be superior in terms of the number of treatment sessions required and patient satisfaction.
METHODS: This randomized clinical trial was conducted at an outpatient physiotherapy department. A total of 88 patients with patellar tendinopathy were recruited and randomly allocated to either a 4-week ET program with static stretching or a once-weekly FM treatment for 4 weeks. The primary outcome measure was the Victorian Institute of Sport Assessment-Patella Kannada (VISA-P-K) questionnaire. Secondary outcomes included the Numerical Pain Rating Scale (NPRS), Pressure Pain Threshold (PPT), patellar tendon thickness assessed using colour Doppler ultrasonography, and a 6-point Likert scale to measure patient satisfaction. Paired and independent t-tests, along with repeated measures ANOVA, were used to analyse differences within and between groups. Post hoc analysis was applied to minimize familywise error.
RESULTS: Of the 88 subjects, 86 completed the study follow-up. The mean scores for VISA-P, NPRS, and PPT showed significant improvement (p < .001) in both groups at 4 weeks, 3 months, 6 months, and 1-year follow-up. The thickness of the hypoechoic area in the patellar tendon was reduced at 4 weeks in both groups. On the 6-point Likert scale, 80 % of patients in the FM group and 39 % in the ET group reported complete recovery. Both groups demonstrated a significant Effect Size Index (ESI) across all outcome measures at 4 weeks.
CONCLUSION: While both Fascial Manipulation® and Eccentric Training with stretching led to similar improvements, Fascial Manipulation® appears to be superior in terms of the number of treatment sessions required and patient satisfaction.