000161782 001__ 161782
000161782 005__ 20251017144625.0
000161782 0247_ $$2doi$$a10.63360/ipmm.v1.e9
000161782 0248_ $$2sideral$$a144443
000161782 037__ $$aART-2025-144443
000161782 041__ $$aeng
000161782 100__ $$aAznar, Diego
000161782 245__ $$aInvasive physiotherapy techniques in patellar tendinopathy. A Systematic Review
000161782 260__ $$c2025
000161782 5060_ $$aAccess copy available to the general public$$fUnrestricted
000161782 5203_ $$aBackground: Patellar tendinopathy (PT) is a degenerative condition characterized by pain and functional impairment, primarily affecting physically active individuals. In recent years, non-pharmacological invasive physiotherapy techniques such as percutaneous needle electrolysis (PNE) and dry needling (DN) have increased.
Objective: To evaluate the effectiveness of non-pharmacological invasive physiotherapy techniques in reducing pain and improving functional disability in patients with PT.
Methods: A total of 2,644 studies were identified through an electronic search in July 2024. After applying the selection criteria, four randomized controlled trials were included. These assessed pain and/or functional disability in 254 adults with PT who received invasive physiotherapy treatments.
Results: DN and PNE improved pain and functional disability in patients with PT. However, these improvements are comparable to those achieved through conventional physical therapy (CPT). Only in the case of pain does the addition of DN to CPT appear to offer greater effectiveness than CPT alone.
Discussion: In line with previous reviews, the use of invasive physiotherapy techniques has shown a positive effect on pain intensity and functional functional disability in patients with PT. This benefit may be attributed to the mechanical effect induced by the needle and the biological processes triggered after its application. A relevant finding was the influence of symptom severity in patients with PT, as those with more severe symptoms experienced greater benefits in terms of functional disability. This pattern is consistent with previous studies conducted in other populations. Notably, none of the reviewed studies reported adverse effects, possibly due to using ultrasound guidance during the interventions.
Conclusions: PNE and DN effectively reduce pain intensity when combined with combined with eccentric exercises (EE) or CPT in individuals with PT. PNE and DN do not enhance the effectiveness of EE and CPT in improving functional disability. Future studies should examine the effect of invasive techniques as stand-alone treatments.
Other information: PROSPERO (CRD42024608225).
000161782 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-sa$$uhttps://creativecommons.org/licenses/by-nc-sa/4.0/deed.es
000161782 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000161782 700__ $$aOrtego, Gorka$$uUniversidad de Zaragoza
000161782 700__ $$0(orcid)0009-0007-7701-9884$$aPérez Espallargas, Luis$$uUniversidad de Zaragoza
000161782 700__ $$aAlboloushi, Zaid
000161782 700__ $$aCarcasona Otal, Alberto$$uUniversidad de Zaragoza
000161782 700__ $$0(orcid)0000-0002-6506-6081$$aLapuente-Hernández, Diego$$uUniversidad de Zaragoza
000161782 7102_ $$11006$$2245$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Educación Física y Depor.
000161782 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000161782 773__ $$g1 (2025), e9 [21 pp.]$$tInvasive Physiotherapy and Musculoskeletal Medicine$$x3101-0105
000161782 8564_ $$s645067$$uhttps://zaguan.unizar.es/record/161782/files/texto_completo.pdf$$yVersión publicada
000161782 8564_ $$s2048853$$uhttps://zaguan.unizar.es/record/161782/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000161782 909CO $$ooai:zaguan.unizar.es:161782$$particulos$$pdriver
000161782 951__ $$a2025-10-17-14:23:42
000161782 980__ $$aARTICLE