Patellar tendinitis or Jumper’s knee is a over use or repetitive trauma to the extensor mechanism of the knee, which commonly results from jumping or running sports such as ‘Basket ball’ and ‘Volley ball’.
The prevalence of Jumpers knee is 40-50% among elite volleyball and basketball players. Ferrati A, Panpandrea P -1990 ,Lion O, Holen K J -1996.
They are present with anterior knee pain and intermittent swelling.
The tenderness is localizes to the patellar tendon, primarily at its origin on the ‘Inferior pole of patella’ and the tenderness is appreciated with the knee in extension.
This often recurrent condition can severely limit or even an athletic career and recovery from each episode can be prolonged. Cook J L, Khan K M-1997.
Recent investigations have shown that squat performed on a 25 degree decline board ‘target knee extensor mechanism more specifically than the ‘Standard squat ‘ and it has been suggested that this may be relevant in the management of patellar tendinopathy Purdam C R -2004 , Cook J -2003.
The progressive eccentric strengthening forming the corner stone of most rehabilitation programmes. The treatment includes Ultrasound and Transfriction Massage.
Therapeutic ultrasound is one of the most common treatments used in the management of soft tissue lesions like tendon, ligament, and bursa.
Ultrasound induces thermal and non thermal physical effects in tissues. The thermal effects are increased blood flow, reduction in muscle spasm, increased extensibility of collagen fibers and an inflammatory response at the temperature level of 40-45 degree for 5 minutes.
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