Declined eccentric exercise in chronic patellar tendinopathy

Systematic Review

Abstract

Chronic patellar tendinopathy affects mainly overhead athletes with knee extensor mechanism. In recent decades eccentric exercise has become an indication for routine clinical management of this condition. There will be a synthesis of evidence through a systematic review of randomized clinical trials that have compared an eccentric exercise program declined versus a standard for the management of these patients. The aim of this review is to determine whether there is scientific evidence that proves that declined eccentric exercise is more effective than standard eccentric exercise in the treatment of chronic patellar tendinopathy patients. The search strategy included randomized controlled trials (RCTs) and controlled clinical trials (CCTs); the databases used were MEDLINE, CINAHL, PEDro, CENTRAL, LILACS. The results were four articles that met our eligibility criteria. We conclude that there is conflicting evidence that eccentric exercise declined to be more effective than standard eccentric exercise in pain management and improved functionality, the short, medium and long term in patients with chronic patellar tendinopathy.