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1) A 21-year old female runner developed tendinopathy due to overuse and over-training. She had previously seen a physical therapist who prescribed eccentric exercises but she was still experiencing pain. 2) A study examined whether adding transverse friction massage to an exercise program would reduce pain and improve function for adults aged 20-45 with tendinopathy more than exercises alone. 3) The study involved 14 participants split into two groups - one receiving exercises and one receiving exercises plus transverse friction massage. Both groups experienced reduced pain and improved function, but the group receiving massage reported significantly greater improvements.

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83 views9 pages

Pico Presentation

1) A 21-year old female runner developed tendinopathy due to overuse and over-training. She had previously seen a physical therapist who prescribed eccentric exercises but she was still experiencing pain. 2) A study examined whether adding transverse friction massage to an exercise program would reduce pain and improve function for adults aged 20-45 with tendinopathy more than exercises alone. 3) The study involved 14 participants split into two groups - one receiving exercises and one receiving exercises plus transverse friction massage. Both groups experienced reduced pain and improved function, but the group receiving massage reported significantly greater improvements.

Uploaded by

api-343650991
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Transverse Friction Massage and Infrapatellar

Tendinopathy

Kylie Higley & Melanee Mills


Clinical Scenario & PICO Question

A female runner, aged 21, developed tendinopathy due to over-training and overuse.
She had seen a physical therapist in the past for tendinopathy who prescribed her
eccentric exercises. She wondered if there was any other type of treatment that
would help reduce her pain and get her back to running.

In adults aged 20-45, can the addition of transverse friction massage to an exercise
program in treatment of tendinopathy reduce pain and improve function?
Study Purpose + Reference

Eccentric exercise is important in recovery from tendon injuries. We wanted to see if


there was any additional treatment options that could help individuals suffering from
pain and decreased function due to tendinopathy.

Blackwood, J., & Ghazi, F. (2012). Can the addition of transverse friction massage to
an exercise programme in treatment of infrapatellar tendinopathy reduce pain and
improve function? A pilot study. International Musculoskeletal Medicine, 43(3), 108-
114. https://doi.org/10.1179/1753615412Y.0000000005
Background Literature
Infrapatellar tendinopathy is a common injury in athletes participating in high-impact jumping
activities.

Eccentric exercise has been considered the gold standard method for treatment, but researchers
wondered if there was anything that helped improve function and decrease pain.

TFM, transverse friction massage, was used in other similar injuries and resulted in the desired
outcomes.

TFM research indicates that it is better than other methods previously tested such as ultrasound
and phonophoresis.
Randomized Controlled.
14 participants. 6 in group A (mean
Study Design and Sample age 38 years). 8 in group B (mean
age 43 years)

Group A Group B

Exercise Program: Exercise Program +TFM

3x15-- Single Leg Eccentric Squats to 90 TFM prior to exercise


degrees on 25 degree incline (add weight)
3-5 minutes per session
10x20 sec-- Proprioceptive Single Leg
Stance with cervical rotation, wobble
cushion
*Both groups treated 2x/wk for 4 wks
Outcomes Measures

The Visual Analog Scale was used to measure pain and


Victorian Institute of Sport Assessment Patellar score
questionnaire used to measure function.
Both groups participated in an eccentric and
proprioceptive exercise program. Group A only
Intervention received exercise treatment 2 times a week for
3 weeks while group B received additional
treatment before completing the exercises.
Those in group B given a transverse friction
massage to the infrapatellar tendon.
Results
Both treatment groups showed improved
function and reduced pain. But those who
received TFM reported significantly higher
function and less pain than those who only
received exercises.
Clinical Bottom Line

TFM is an effective treatment option. It reduces pain and improves function better
than simply exercise alone.

It is best done in conjunction with the gold standard: eccentric exercise.

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