Translation to Filipino and validation of the Victorian Institute of Sport Assessment-Patella (VISA-P) questionnaire for patellar tendinopathy

BACKGROUND@#Patellar tendinopathy is an overuse injury characterized by pain on the distal part of the patella caused by specific movement patterns like jumping. To assess the severity of patellar tendinopathy, the self-administered VISA-P questionnaire was developed in the English language. The purpose of this study was to translate and cross-culturally adapt the VISA-P questionnaire into Filipino and determine its psychometric properties.@*METHODS@#A psychometric study design was used in this study. The VISA-P was translated from English to Filipino following the guidelines set by Beaton et al. and Sousa et al. There were six stages: (1) forward translation to Filipino, (2) synthesis, (3) backward translation, (4) expert committee review, (5) pilot testing/cognitive briefing, and (6) preliminary psychometric testing. The psychometric testing was conducted on eight patients with patellar tendinopathy and eight healthy subjects.@*RESULTS@#The Filipino VISA-P questionnaire (VISA-P-Fil) successfully underwent translation and cross-cultural adaptation. It exhibited excellent face, content validity (Item-Content Validity index and Scale-Content Validity Index= 1.00), construct validity (p>0.05, except for Item 6), internal consistency (Cronbach α= 0.81) as well as reliability (ICC= 0.99; 95% CI: 0.994 – 0.999; SEM= 0.42; minimum detectable change at 95% confidence level= 1.79). No ceiling and floor effects were noted for the VISA-PFil.@*CONCLUSION@#In conclusion, the VISA-P-Fil questionnaire was translated and cross-culturally adapted successfully with good validity. Preliminary testing also showed its excellent reliability.

Effects of functional training on movement performance and balance in elite fencing athletes with patellar tendinopathy / 中华物理医学与康复杂志

Objective To investigate the effect of functional training on knee pain,functional movement screen (FMS) score and balance in Chinese elite fencing athletes with patellar tendinopathy.Methods Twenty-four fencing athletes with a diagnosed patellar tendinopathy were randomized into a treatment group (TG) and a control group (CG),each of 12.Both groups were given routine physical therapy,while TG received motor function training in addition for eight weeks.Both groups completed the numerical rating scale (NRS),FMS and balance test before and after the intervention.Results After the intervention,the average PRS and FMS of TG were 2.08± 1.24 and 16.25±0.97 respectively,which significantly outperformed those of TG before the intervention and those of CG after the intervention (P＜0.05).Moreover,TG indicated superior results in parameters of static postural balance including center of pressure,total length of swinging pathway,maximal length of swinging pathway,and area of swinging pathway when compared to TG before the intervention and CG after the intervention(P＜0.05).Conclusion The motor functiontraining is effective in improving functional movement and balance in elite fencing athletes with patellar tendinopathy.

Physical therapists' role in prevention and management of patellar tendinopathy injuries in youth, collegiate, and middle-aged indoor volleyball athletes

ABSTRACTPatellar tendinopathy is highly prevalent in all ages and skill levels of volleyball athletes. To illustrate this, we discuss the clinical, biomechanical, and ultrasound imaging presentation and the intervention strategies of three volleyball athletes at different stages of their athletic career: youth, middle-aged, and collegiate. We present our examination strategies and interpret the data collected, including visual movement analysis and dynamics, relating these findings to the probable causes of their pain and dysfunction. Using the framework of the EdUReP concept, incorporating Education, Unloading, Reloading, and Prevention, we propose intervention strategies that target each athlete's specific issues in terms of education, rehabilitation, training, and return to sport. This framework can be generalized to manage patellar tendinopathy in other sports requiring jumping, from youth to middle age, and from recreational to elite competitive levels.

Tendinopatia patelar / Patellar tendinopathy

A tendinopatia do tendão patelar é uma patologia que acomete frequentemente atletas que exigem força de impacto repetitivo ou de saltos frequentes. A sobrecarga excessiva no tendão pode provocar alterações na matriz extracelular que cronicamente poderá levar a um quadro de tendinose. Ocorre principalmente na região do polo inferior da patela. Seu início é insidioso e gradual, principalmente após uma atividade física, mas com a progressão da doença pode tornar-se frequente durante ou mesmo no início da atividade. O diagnóstico de tendinopatia do tendão patelar é eminentemente clínico, caracterizado por dor a palpação no polo inferior da patela e adjacências. Exames complementares auxiliam no diagnóstico. O USG e a RM são os mais indicados, pois podem definir o local exato da lesão, sua extensão, como também identificar a presença ou não de alterações degenerativas. O tratamento inicial desta tendinopatia é clínico, com repouso relativo, correção dos fatores etiológicos, além de crioterapia e medidas fisioterápicas. Já nos casos não responsivos ao tratamento clínico, o tratamento cirúrgico é uma opção, em que várias técnicas são descritas, com a literatura expondo índices variados de bons resultados.