Taping or rigid bandaging (McConnell/Mulligan)
Essential for this type of condition, taping should be used as soon as the condition is discovered. Different techniques are required depending on the desired effect, including neurosensory effects, improved proprioception, lymphatic drainage, reduction of oedema, and finally muscle support. Application is recommended for stage 1 or 2 tendinopathies. Rigid tapes can be used to correct Patellar mal-tracking. Although patellar tendinopathy is a condition caused by tendon overload, it is often associated with an alteration in the femoropatella alignment (mal-tracking), which can increase stress on the patellar tendon. This type of tape should be applied after a postural assessment and is more suitable for stage 3 or 4 tendinopathy.
The clinical effects of ESWT Mechanotransduction, which has been defined as: the conversion of mechanical forces into cellular signals that trigger specific responses. 26 The significance of mechanotransduction lies in its ability to regulate various cellular processes, including cell growth, differentiation, migration, and survival. It was believed, in the past, that tendons could not undergo matrix turnover and that tenocytes were not capable of repair. However, it has been shown more recently that Matrix Metallo Proteinases (MMPs) have a very important role in the degradation and remodeling of the ECM during the healing process. A human in-vivo study 9 demonstrated the association between IL-6 and collagen synthesis, and the IL-8 cascade, which encourages neutrophils to release ECM-degrading and remodelling enzymes (MMPs), resulting in a minimum 5-fold increase in MMP production at any point post-ESWT.
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