古怪的使用协议对于腱子病变衰退膝康复锻炼产生的结果允许防止侵入性手术治疗,以及函数在手术后康复。治疗髌病变时,通常需要几个月的康复为了产生积极的结果,显示在减少症状(Pedrelli、Stecco &天,2009)。治疗建议的两种模式,是保守治疗,以前讨论的偏心运动,和外科治疗(Pedrelli,et al .,2009)。保守治疗通常是完成最初膝病变的诊断后,必须注意不超载肌腱进一步(Garau、Rittweger Mallarias,隆戈,&马夫里,2008)。治疗包括加强膝盖两种通过偏心运动协议(Garau,et al .,2008)。这些练习包括膝盖两种工作,因为他们延长,最大化复苏所示。加强肌肉除了膝盖两种,如小腿肌肉,也可以减少加载髌腱。结合怪人,冷疗法可用于减轻疼痛和炎症、按摩疗法使用交叉摩擦技术可能被使用,和注射抑肽酶,帮助在肌腱修复酶的平衡。手术治疗通常是建议作为最后的手段,几乎没有证据支持使用手术保守治疗对于腱子病变衰退膝(Garau,et al .,2008)。手术可能包括取消受影响的区域的髌韧带或肌腱的横向释放在小切口两侧,将压力中间第三(浓湿雾,et al .,2008)。手术失败的最后那些保守的管理,它仍然是不确定如何减少粘连和删除退化地区影响愈合,多血管或解决痛苦。一个密集的康复程序通常是建议手术后,再次使用偏心运动,显示前和手术后的国家都将从中受益。
The use of eccentric exercise protocols for patellar tendinopathy rehabilitation produce results that allow the prevention of invasive surgical treatment, as well as function in post surgery rehabilitation. When treating patellar tendinopathy, it often requires months of rehabilitation in order to produce positive results, showing a decrease in symptoms (Pedrelli, Stecco, & Day, 2009). The two modes of treatment advised, are conservative treatment, previously discussed as eccentric exercise, and surgical treatment (Pedrelli, et al., 2009). Conservative treatment is normally done initially after diagnosis of patellar tendinopathy, as care must be taken not overload the tendon further (Garau, Rittweger, Mallarias, Longo, & Maffulli, 2008). Treatment involves strengthening the knee extensors through eccentric exercise protocols (Garau, et al., 2008). These exercises involve working the knee extensors as they lengthen, which is shown to maximize recovery. The strengthening of muscles other than the knee extensors, such as the calf muscles, may also decrease the loading on the patellar tendon. In conjunction with eccentrics, cold therapy can be used to reduce pain and inflammation, massage therapy using cross friction techniques may be used, and Aprotinin injections, which help in restoring enzyme balance in the tendon. Surgical Treatment is normally advised as a last resort, with little evidence to support the use of surgery over conservative treatment for patellar tendinopathy (Garau, et al., 2008). Surgery may include the removal of the affected area of the patellar tendon or a ‘lateral release’ of the tendon where small incisions are made at the sides, which takes the pressure off the middle third (Garua, et al., 2008). Surgery is the last resort in those failing conservative management, and it is still uncertain how the reduction of adhesions and removal of degenerated areas affects healing, vascularity or resolves pain. An intensive rehabilitative program is normally advised following surgery, with the use of eccentric exercises once again, displaying the benefits both in pre and post-operative states.