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PHYSIOPEDIA
Chapter 21 · Knee

Patellar Tendinopathy protocol

Indexed — full page in progressSource: Rehab Science · Ch 21 · PDF pp. 868–890📖 Rehab ScienceBuild my programme →
AMBER — get assessed before starting rehab
Screen for red flags before starting any protocol (safety check). Progress by symptoms and function, not by the calendar: > 3/10 pain → start phase 1; < 3/10 → phase 2 (PDF p. 205).
Follow this programme to treat
  • Jumper’s knee
  • Quadriceps tendinopathy
  • Pain below or above the kneecap
Good for
  • Alleviating knee pain
  • Relieving muscle tension above and below the knee
  • Warm-up for phase 2 and 3 exercises
Guidelines
  • Perform every day, or every other day if tendon soreness increases
  • Tools: foam roller, stretch strap
  • Add phase 2 when you have no pain at rest and no more than mild pain (3/10) with the exercises
Good for
  • Reducing knee pain
  • Early knee and hip strengthening
  • Warm-up for phase 3 exercises
Guidelines
  • Perform 3 or 4 days a week
  • Set, rep, and hold times for each exercise are covered in the captions
  • Tools: resistance loop, dowel, dumbbells, physio (exercise) ball
  • Skip any exercises that create pain and add them to phase 3
  • Add phase 3 when you can do the exercises with no more than mild pain (3/10)
Good for
  • Increasing knee and leg strength
  • Preventing knee pain and injury
Guidelines
  • Perform 3 or 4 days a week
  • Do 3 sets of 10–15 reps unless otherwise noted
  • Push sets to fatigue
  • Tools: resistance loop, plyo box, physio (exercise) ball, slant board
Source: Rehab Science · Ch 21 · PDF pp. 868–879· 2 original research citationsshow sources ▾
Also cited by the book on these pages:
  1. [Ch 21·23] Challoumas D, Pedret C, Biddle M, et al. Management of patellar tendinopathy: a systematic review and network meta-analysis of randomised studies. BMJ Open Sport Exerc Med. 2021;7(4):e001110. Published 2021 Nov 29. find original ↗
  2. [Ch 21·24] Malliaras P, Cook J, Purdam C, Rio E. Patellar tendinopathy: clinical diagnosis, load management, and advice for challenging case presentations. J Orthop Sports Phys Ther. 2015;45(11):887-898. find original ↗

Page numbers are those of the uploaded PDF edition. "Find original" opens a PubMed search for the cited study.