SPORTS
MEDICINE REHABILITATION SECTION
THE
IMPORTANCE OF THE CYRIAX
PROFOUND TRANSVERSAL MASSAGE FOR THE RECOVERY OF THE SPORTSMEN WITH
PATELLA TENDONITIS
Calina
Mirela Lucia, Avramescu Elena Taina , Enescu Bieru Denisa
Faculty of Physical
Education and Sport, University of Craiova, Romania
Introduction.
The tendons injuries are common in sportive medicine and the patella
ones are the most frequent in sports that imply jumping (athletics,
volleyball, handball, basketball, football) due to the excessive
solicitation of the tendon in the landing moment.
Objective.
The purpose of our work is to emphasize the efficiency of the Cyriax
profound transversal massage (CPTM) for the recovery treatment of the
sportsmen with patella tendonitis.
Material and method.
The study was made during 4 months, on 27 sportsmen (18M, 9F), ages
15-35 years, diagnosed with patella tendonitis. The patients had been
evaluated etiopathogenetical clinical, functional and paraclinical
using screening laboratory tests, radiological exam, echography, before
and after the recovery treatment. To evaluate and quantify the results,
we used the analog visual scale for pain. The functional
response
was appreciated according to the Blazina classification, modified by
Roels and Martens. The results appreciation was made in
accordance to the following criteria: - very good results: the
sportsmen took again the sportive activity at the same level, without
pain or other; negative effects; - good results: the sportsmen took
again the sportive activity at the same level, with a slight warming up
discomfort; - medium results: the sportsmen took again the sportive
activity at an inferior level, with major negative effects; -
unsatisfied results: the sportsmen can not take the sportive activity
ever. After the first evaluation and the
establishing of the
diagnosis, the sportsmen were divided in 2 groups: - group A (15
subjects) which benefit of the following therapeutic protocol: sportive
repose, cryotherapy (3x20min/day), local and general non inflammation
medication, ultrasound, non pain and relaxing electrotherapy, CPTM (6
cures x5 min), quadriceps passive and auto passive stretching (30s,
10x3 series/day), quadriceps tone up kinetotherapy; - group B
(12
subjects) which benefit of the same therapeutic protocol except CPTM.
Results.
The patients had been evaluated before and after 6 weeks from the
beginning of treatment. The patients´ distribution according
to
the functional response after the first evaluation was:
|
| Group A
| Group B
| | Stage
I
| 3
| 2
| | Stage
II
| 2
| 4
| | StageIII
bis
| 10
| 6
|
On
the second evaluation (after the treatment), the results were:
|
| Group A | Group B |
| Very good results |
8 cases (53,3 %) |
1 case (8,3 %) |
| Good results | 5
cases (33,3 %) |
2 cases (16,6 %) |
| Medium results
| 2 cases (13,4 %) |
6 cases (50 %) |
| Unsatisfied results |
- | 3 cases (25 %) |
The
results showed that all patients treated with CPTM presented an
important decrease of the VAS, its score decreased from 4,43 to 1,17
after 7 days of treatment.
Conclusions.
Associated with medicinal and physical therapy, CPTM proved to be an
efficient recovery treatment, due to its non pain and relaxing effects
that support the rehabilitation and sportive activity´
recommencing for the sportsmen with patella tendonitis.
Key
words : Cyriax
profound transversal massage, rotulian tendonitis.
|
