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Romanian Society for Sports Medicine



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"Medicina Sportiva" No.14 - 2008 The 15-th Sports Medicine Balkan Congress
SPORTS MEDICINE REHABILITATION SECTION


THE EFFECTIVENESS OF PHYSIOTHERAPY INTERVENTION IN THE TREATMENT OF TENDINOPATHY. REVIEW

Kouppa Alina, Aftosmidis Dimitis, Porfuriadou Anthi
Physiotherapy Department TEI Thessaloniki, Greece

Backgraound. Tendinopathy is a degenerative not an inflammatory conndition of tendons with a lot of consequent unpleasant symptoms, however it is essential this symptoms be clarified by those of tendinitis. The effectivness of physiotherapy methods for the treatment of tendinopathy, as a selection of the most suitable has not been defined. Object. The effectiveness of physiotherapy intervention in rehabilitation of athletes that suffers from tendinopathies. Study design. Systematic review.
Methods. A computerised literature search of the entire Medline and PEDRO (Physiotherapy Evidence Database) for the physiotherapy approach of tendinopathy. Using the terms tendinopathy, physiotherapy, rehabilitation, we found forty two (42) studies. Thirteen (13) clinical trials (663 individuals) and two (2) reviews were included, in that were investigated and analyzed the physiotherapy methods. These were: shock wave therapy (SWΤ) 4 (n=145), low-intensity pulsed ultrasound (LIPUS) 2 (n=39), low-level laser therapy (LLLT) 2 (n=72), electrotherapy 1 (n=48), therapeutic massage 1 (n=27), thermotherapy 2 (n=47), eccentric exercise 4 (n=184), concentric exercise 1 (n=49) and night splint 2 (n=48).
Results. The analysis show that laser therapy reduces the pain at 95%, increases the strength and the efficacy, eccentric exercise also reduces the pain at 60% and the combination of two methods has likewise spectacular outcomes (reduction of pain at 60%, increase of strength at 45% ) .
Conclusion. The physiotherapy methods have efficient effect in the symptoms of tendinopathy. Some more and some less. Certainly we should differentiate the physiotherapy approach in tendinopathy versus tendinitis. There is necessity of new studies that will quantify the application of physiotherapy methods. 
Keywords: tendinopathy, physiotherapy, rehabilitation.






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