[Evidence based evaluation of conservative treatment options for patellar tendinitis syndromes].
BACKGROUND
Patellar tendinopathy causes substantial morbidity in both professional and recreational athletes. There is no consensus about conservative treatment strategies for this condition.


METHODS
With the help of the evidence-based medicine method it is estimated whether conservative treatment is appropriate for treating pain in this condition.


RESULTS
5 specialist articles that matched the clinical question were found in medical databases. One article was analyzed for clinical relevance. The evaluation showed that physiotherapeutic treatment of pain in combination with additional iontophoresis is more promising than physiotherapy alone.


CONCLUSIONS
Current evidence suggests that traditional physiotherapy should be combined with additional therapeutic treatment. This requires further randomized prospective, placebo-controlled trials in order to confirm its efficiency. Prognostic effects of treatments should be included into these studies.
de Bruin
E D
ED
Laboratorium für Biomechanik ETH Zürich, Switzerland. debruin@biomech.mat.ethz.ch
Mangold
S
S
Menzi
C
C
D018771:Arthralgia / Q000209:etiology / Q000534:rehabilitation* / Q000628:therapy; D001265:Athletic Injuries / Q000150:complications / Q000534:rehabilitation / Q000628:therapy; D002986:Clinical Trials as Topic; D003131:Combined Modality Therapy / Q000379:methods; D012090:Cumulative Trauma Disorders / Q000150:complications / Q000534:rehabilitation* / Q000628:therapy; D019317:Evidence-Based Medicine / Q000379:methods*; D007478:Iontophoresis / Q000379:methods*; D007718:Knee Injuries / Q000150:complications / Q000534:rehabilitation / Q000628:therapy; D010166:Palliative Care / Q000379:methods*; D010329:Patella / Q000293:injuries*; D026741:Physical Therapy Modalities / Q000379:methods*; D052256:Tendinopathy / Q000150:complications / Q000534:rehabilitation* / Q000628:therapy; D016896:Treatment Outcome