Table 2.
Progression of rehabilitation exercises for patellar tendinopathy.
| Week | Rest | Eccentric Exercise | Transverse friction mobilization | Stretching(30 sees × 3-4x) |
|---|---|---|---|---|
| 1 | *No jumping or running; can ride bike, do pool work; | *Around the world eccentric lowering leg raises(4 way) increase weight by 1# each week) | 5-10 minutes firmly 1-2x a day | Hip flexors, quadriceps, hamstrings, & heelcords before/ after activity |
| *No sports specific training | *Eccentric squats on Total Gym/Shuttle on decline board 15 reps × 3 sets 1-2 × a day/ | |||
| 2 | *No jumping or running; can ride bike, do pool work; | *Around the world eccentric lowering leg raises(4 way) increase weight by 1# each week) | 5-10 minutes firmly 1-2× a day | Continue stretching as above |
| *No sports specific training | *Eccentric squats on Total Gym/Shuttle on decline board 15 reps × 3 sets 1-2× a day/ | |||
| 3 | *Begin jumping squats in short range on Total gym/Shuttle; | *Around the world eccentric lowering leg raises(4 way) (increase weight by 1# each week) | 5-10 minutes firmly 1-2× a day | Continue stretching as above |
| *No sports specific training | *Eccentric squats on Total Gym/Shuttle on decline board 15 reps × 3 sets 1-2 × a day/; | |||
| *Progress to upright decline board squats | ||||
| 4 | *cycle, exercise in water; | *Upright squats on decline board double leg to single leg; add 10# to backpack; | As needed | Continue stretching as above |
| *Begin eccentric step downs standing (no step) | * Around the world eccentric lowering leg raises(4 way) (increase weight by 1# each week) | |||
| *No sports specific training | ||||
| 5 | Begin eccentric step downs on 4″ step; | *Upright squats on decline board double leg to single leg; add 20# to backpack; | As needed | Continue stretching as above |
| *No sports specific training | *Continue Around the world eccentric lowering leg raises(4 way) (increase weight by 1# each week) | |||
| *Begin jumping squats on Total Gym/Shuttle with both legs | ||||
| 6 | *Begin eccentric step downs on 6"; | "Upright squats on decline board double leg to single leg; add 30# to backpack; | As needed | Continue stretching as above |
| *No sports specific training | * Continue Around the world eccentric lowering leg raises(4 way) (increase weight by 1# each week) | |||
| * Jumping squats on Total Gym/Shuttle with both legs | ||||
| 7 | *Begin eccentric step downs on 8″ step | *Upright squats on decline board double leg to single leg; add 40# to backpack; | As needed | Continue stretching as above |
| *Continue leg lifts with weights; | ||||
| * Jumping squats on Total Gym/Shuttle with single leg | ||||
| 8-12 | *Progressive return to jumping/ squatting/jump boxes; | *Jumping squats on Total *Gym/Shuttle with single leg; | As needed | Continue stretching as above |
| *Begin sports specific training with gradual return to sporting events | *Upright squats on decline board with 50#' | |||
| "Jumping squats one leg on Total gym/Shuttle with maximal resistance |