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PHYSICAL EXAMINATION THATCAN IDENTIFY UNILATERAL PATELLAR TENDINITIS PATIENTS WITH LIMITED KNEE RANGE OF MOTION |
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| รหัสดีโอไอ | |
| Creator | Warinda INTIRAVORANONT |
| Title | PHYSICAL EXAMINATION THATCAN IDENTIFY UNILATERAL PATELLAR TENDINITIS PATIENTS WITH LIMITED KNEE RANGE OF MOTION |
| Contributor | Laorrat SUTTIWIRIYAKUL, Peemongkon WATTANANON, Noochjaree SIRI |
| Publisher | The Sports Science Society of Thailand (SSST) |
| Publication Year | 2565 |
| Journal Title | Journal of Sports Science and Technology |
| Journal Vol. | 22 |
| Journal No. | 1 |
| Page no. | 70-85 |
| Keyword | Knee Joint, Patellar Tendinitis, Physical Examination, Physical Therapy |
| URL Website | https://he01.tci-thaijo.org/index.php/JSST/index |
| Website title | Journal of Sports Science and Technology |
| ISSN | 1513-7201;2672-927X |
| Abstract | Limited knee range of motion (ROM) is one problem in patients withpatellar tendinitis. Although comprehensive examination is recommended, no study has previously identified specific examination relevant to limited ROM in these patients.This would help in minimizing time during physical examination. Objective:To investigate physical examination including palpation, muscle length, muscle strength, and passive movement test that can identify patellar tendinitis patients who hadlimited knee ROM.Methods:Fifty-nine patient records diagnosed as patellar tendinitis were included in this study. Knee ROM and muscle strength were recorded as actual scores, while palpation, muscle length and passive movement were recorded as categorical variables. An independent t-test was used to compare knee ROM between pain/no pain and tightness/no tightness, whereas one-way ANOVA with post-hoc Bonferroni was used to compare among normal/limited by pain/limited by resistance. Spearmen’s correlation test was used to determine correlation between ROM and muscle strength.Results:Tenderness at popliteus muscle, iliotibial band tightness, hamstring muscle strength, and limited by pain during passive movement test in flexion with adduction, posteroanterior, anteroposterior, extension with abduction and extension with adductionsignificantly affected (P<0.05) knee flexion ROM. Limited by resistance during passive movement testalso significantly affected (P<0.05) knee extension ROM.Conclusion:Limited knee flexion suggests problem with tenderness at popliteus muscle, iliotibial band tightness, hamstring muscle strength, and limited knee mobility by pain, while limited knee extension primarily indicates problem with limited knee mobility by resistance. These findings may help physical therapists to select appropriate physical examination in patients with patellar tendinitis who has limited knee ROM |
