Preventive effect of tailored exercises on patellar tendinopathy in elite youth athletes: A cohort study

Preventive effect of tailored exercises on patellar tendinopathy in elite youth athletes: A cohort study

To investigate the effects of an intervention with tailored exercises on the incidence of patellar tendinopathy (PT) in elite youth jumping athletes. Prospective crossover cohort. One sport club facility. 271 elite youth basketball and volleyball player were followed in the first year of the study (...

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Bibliographic Details
Published in:Physical therapy in sport Vol. 53; pp. 60 - 66
Main Authors: Bittencourt, Natália Franco Neto, Oliveira, Rodrigo Ribeiro de, Vaz, Rodrigo de Paula Mascarenhas, Silva, Rodrigo Scattone, Mendonça, Luciana De Michelis
Format: Journal Article
Language:English
Published: England Elsevier Ltd 01-01-2022
Elsevier Limited
Subjects:
Adolescent
Asymptomatic
Athletes
Basketball
Cohort analysis
Cohort Studies
Exercise
Humans
Injury
Intervention
Investigations
Jumper's knee
Knee
Male
Overuse
Pain
Patellar Ligament
Physical therapists
Physical therapy
Prevention
Prospective Studies
Range of motion
Soccer
Sports medicine
Team sports
Tendinitis
Tendinopathy - prevention & control
Volleyball
Prevention
Jumper's knee
Tendinitis
Injury
Overuse
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Summary:To investigate the effects of an intervention with tailored exercises on the incidence of patellar tendinopathy (PT) in elite youth jumping athletes. Prospective crossover cohort. One sport club facility. 271 elite youth basketball and volleyball player were followed in the first year of the study (Observation year) and 270 athletes were followed in the second year (intervention year). Incidence rates of PT per 1,000h of exposure. Cox survival analysis was used to verify the effects of the intervention (exercises implemented according to the findings of a preseason assessment) on PT incidence. The exercise prevention program significantly reduced the number of cases of PT, with athletes submitted to the intervention showing 51% less risk of developing PT. The overall PT incidence in the Observation year (5.9 per 1,000h of exposure) was significantly higher than that in the intervention year (2.8 per 1,000h of exposure) (P = .037). Twenty-six athletes developed PT in the observation year, whereas 13 athletes developed PT in the intervention year. A tailored preventive program may be able to reduce the incidence of patellar tendinopathy, especially in male youth volleyball athletes. Randomized controlled trials are encouraged to confirm these findings. •The incidence of patellar tendinopathy (PT) in elite youth volleyball and basketball athletes was 5.9 per 1,000h of exposure.•With a cohort study design, a tailored prevention program significantly decreased the incidence of PT.•The intervention focused on addressing known risk factors for PT, such as dorsiflexion range of motion restriction.•The incidence of PT after the intervention was 2.8 per 1,000h of exposure (51% risk reduction).•The study's conclusions are limited by its cohort design and randomized controlled trials are warranted.
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ISSN:1466-853X
1873-1600
DOI:10.1016/j.ptsp.2021.11.006