Quadriceps tendinopathy rehabilitation program*

Phase	Goals	Treatment	Progression to next phase
Acute	Tendon load reduction (ie, no jumping or running) Correct biomechanical errors Adapt playing surface	Transverse friction massage Relative rest from offending activity Improve flexibility of quadriceps, hamstrings, IT band, gastrocnemius/soleus complex Eccentric quadriceps activity with partial weightbearing performed twice daily "Around the world" leg raises	Can perform 3 sets of 15 repetitions of eccentric quadriceps activity at full body weight without pain
Subacute	Symmetric lower extremity biomechanics Increase strength Cardiovascular fitness	Upright eccentric decline squat to 60 degrees knee flexion twice daily Progress from bilateral to single leg, then to single leg with added weight Continue "around the world" leg raises and stretching programs Stationary biking or pool jogging at tolerated exertion levels	Can perform 3 sets of 15 single-leg decline eccentric squats with 110% body weight (ie, body weight + added weight) without pain Conditioning activities performed without pain
Functional and sport preparation	Return to running and jumping	Drop squats, 3 sets of 20 reps Eccentric step-downs from 4- to 8-inch (10- to 20-cm) heights, 3 sets of 15 reps Drop jumps from 4- to 8-inch (10- to 20-cm) heights, 3 sets of 20 reps Other sport-specific activities such as shuttle or figure-of-8 runs	Can perform drop jump exercises without pain Can perform sporting activities at full speed and without symptoms

BW: body weight; IT: iliotibial; reps: repetitions.

* This program is for patients with uncomplicated cases of patellar or quadriceps tendinopathy (ie, not associated with any other major lower extremity injury) and without major comorbidity that would prevent them from performing the exercises. This is not the program preferred by UpToDate authors; their preferred program appears in a separate table.

Adapted from: Rutland M, O'Connell D, Brismée JM, et al. Evidence Supported Rehabilitation of Patellar Tendonopathy. N Am J Sports Phys Ther 2010; 5:166.

Graphic 98216 Version 5.0

خرید پکیج

Quadriceps tendinopathy rehabilitation program*