Comparison of Pain Measures Between Tendons of Elite Basketball Players With Different Sonographic Patterns
| Autor: | Francesc Medina-Mirapeix, Jose Casaña-Granell, Pablo Martínez-Ramírez, Josep C Benítez-Martínez, Fermín Valera-Garrido |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Basketball genetic structures Sports medicine Biophysics Pain Physical Therapy Sports Therapy and Rehabilitation Context (language use) 03 medical and health sciences 0302 clinical medicine Patellar Ligament medicine Humans Orthopedics and Sports Medicine Pain Measurement Ultrasonography Neovascularization Pathologic business.industry Rehabilitation Pain Perception 030229 sport sciences Tendinopathy Elite Physical therapy Identification (biology) Patellar tendinopathy Psychology business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Sport Rehabilitation. 29:142-147 |
| ISSN: | 1543-3072 1056-6716 |
| Popis: | Context: The prevalence and negative consequences of the symptoms surrounding patellar tendinopathy constitute an important problem for sports medicine professionals. The identification of potential pain mediators is, therefore, of major interest to improve both the prevention and management of this injury. Objective: To compare the pain experienced by elite male adult basketball players and patterns of patellar tendon abnormalities. Also, to identify whether structural and vascular sonographic abnormalities (focal area of hypoechogenicity, thickening, and neovascularization [NV]) are equal in determining pain perceptions. Design: An observational study with professional basketball teams (ACB—Spanish league). Participants: A total of 73 male basketball players (mean age 26.8 y). Main Outcome Measures: Patellar tendon ultrasonography images. Pain scores were compared between the identified patterns. Multiple regression analysis was used to examine the relative importance of abnormalities. Results: Of the 146 tendons, 91 had some degree of sonographic abnormality. Three main patterns were identified: I (1 structural abnormality without NV), II (2 structural abnormalities without NV), and III (2 structural abnormalities and NV). A total of 31 tendons (21.2%) exhibited pattern I, 46 (31.5%) presented pattern II, and 13 tendons (8.9%) exhibited pattern III. The mean visual analog scale and the Victorian Institute of Sport assessment questionnaire—patellar tendon (VISA-P) scores for pattern III were significantly different (P Conclusion: Patterns of sonographic abnormalities, including NV, demonstrated greater pain. Although NV determined scores for the visual analog scale, VISA-P, and PPT, the presence of focal area of hypoechogenicity on its own is a determining factor for the PPT. This study suggests that the combination of 2 or more sonographic abnormalities may help explain pain variations among basketball players. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|