Dimitrios Stasinopoulos*, Eleni Papadamou and Areti-Zoi Cheimonidou
Background: One of the two most common tendinopathies of the lower limb is Patellar Tendinopathy (PT). An exercise programmer consisting of a unilateral squat concentric - eccentric training of the patellar tendon on a 25° decline board has been recommended for the management of PT. In addition, slow progressive eccentric - concentric loading of quadriceps using forward step lunge (FSL) with the anterior knee motion going in front of the toes (FT) is also recommended for the management of PT. The purpose of the present article will be to make a comparison of the effects of an unilateral squat concentric - eccentric training of the patellar tendon on a 25° decline board and an exercise programmer consisting of FSL-FT for the treatment of Chronic PT (CPT). Methods/Design: CPT patients will participate in this randomized clinical trial (RCT). Patients will be allocated to two groups randomly. Group A will be treated with unilateral squat concentric - eccentric training of the patellar tendon on a 25° decline board and group B will be treated with FSL-FT. All patients will receive 30 treatments totally (5 treatments/week for 6 weeks). Pain (VISA -P), function (VISA-P) and drop - out will be evaluated at the end of treatment, at 3 months follow-up and at 6 months follow up. The independent t test will be used to determine the differences between groups. A paired t test will be used to determine the difference within groups. The level for statistical significance will be 5% level of probability. SPSS 21.00 will be used for the statistical analysis. Discussion: The present RCT will be evaluate the effectiveness of an unilateral squat concentric - eccentric training of the patellar tendon on a 25° decline board and an exercise programmer consisting of FSL-FT for the treatment of CPT.
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