Clinical results after ultrasound-guided intratissue percutaneous electrolysis (EPI®) and eccentric exercise in the treatment of patellar tendinopathy
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| 024 | 7 | 0 | |a 10.1007/s00167-014-2855-2 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-014-2855-2 | ||
| 245 | 0 | 0 | |a Clinical results after ultrasound-guided intratissue percutaneous electrolysis (EPI®) and eccentric exercise in the treatment of patellar tendinopathy |h [Elektronische Daten] |c [F. Abat, P. Gelber, F. Polidori, J. Monllau, J. Sanchez-Ibañez] |
| 520 | 3 | |a Purpose: To investigate the outcome of ultrasound (US)-guided intratissue percutaneous electrolysis (EPI®) and eccentric exercise in the treatment of patellar tendinopathy during a long-term follow-up. Methods: Forty patients with patellar tendinopathy were prospectively evaluated over a 10-year follow-up period. Pain and function were evaluated before treatment, at 3months and at 2, 5 and 10years using the Victorian Institute of Sport Assessment-Patella (VISA-P) score, the Tegner score and Blazina's classification. According to VISA-P score at baseline, patients were also dichotomized into Group 1 (<50 points) and Group 2 (≥50 points). There were 21 patients in Group 1 and 19 in Group 2. Patient satisfaction was measured according to the Roles and Maudsley score. Results: The VISA-P score improved globally by 41.2 points (p<0.01) after a mean 4.1 procedures. In Group 1, VISA-P score improved from 33.1±13 to 78.9±14.4 at 3-month and to 88.8±10.1 at 10-year follow-up (p<0.001). In Group 2, VISA-P score improved from 69.3±10.5 to 84.9±9 at 3-month and to 96.0±4.3 at 10-year follow-up (p<0.001). After 10years, 91.2% of the patients had a VISA-P score >80 points. The same level (80% of patients) or the Tegner score at no more than one level lower (20% of patients) was restored, and 97.5% of the patients were satisfied with the procedure. Conclusion: Treatment with the US-guided EPI® technique and eccentric exercises in patellar tendinopathy resulted in a great improvement in knee function and a rapid return to the previous level of activity after few sessions. The procedure has proved to be safe with no recurrences on a long-term basis. Level of evidence: Therapeutic study, Level IV. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Intratissue percutaneous electrolysis |2 nationallicence | |
| 690 | 7 | |a EPI |2 nationallicence | |
| 690 | 7 | |a Eccentric exercises |2 nationallicence | |
| 700 | 1 | |a Abat |D F. |u CEREDE-Sports Medicine, Dr. Roux 8-10, 08017, Barcelona, Spain |4 aut | |
| 700 | 1 | |a Gelber |D P. |u Department of Orthopedic Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain |4 aut | |
| 700 | 1 | |a Polidori |D F. |u CEREDE-Sports Medicine, Dr. Roux 8-10, 08017, Barcelona, Spain |4 aut | |
| 700 | 1 | |a Monllau |D J. |u Department of Orthopedic Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain |4 aut | |
| 700 | 1 | |a Sanchez-Ibañez |D J. |u CEREDE-Sports Medicine, Dr. Roux 8-10, 08017, Barcelona, Spain |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/4(2015-04-01), 1046-1052 |x 0942-2056 |q 23:4<1046 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-2855-2 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-2855-2 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Abat |D F. |u CEREDE-Sports Medicine, Dr. Roux 8-10, 08017, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Gelber |D P. |u Department of Orthopedic Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Polidori |D F. |u CEREDE-Sports Medicine, Dr. Roux 8-10, 08017, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Monllau |D J. |u Department of Orthopedic Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Sanchez-Ibañez |D J. |u CEREDE-Sports Medicine, Dr. Roux 8-10, 08017, Barcelona, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/4(2015-04-01), 1046-1052 |x 0942-2056 |q 23:4<1046 |1 2015 |2 23 |o 167 | ||