الفهرس 
Radial shock wave versus instrument assisted soft tissue mobilization on patellar tendinopathy in athletes
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Abstract
Background: Despite the widely available conservative therapeutic options for tendinopathies, the inclusion of the instrument-assisted soft tissue mobilization (I-ASTM) in patellar tendinopathy (PT) treatment and comparing its effect versus the widely used radial shock wave therapy (RSWT) on pain and functional activity was not investigated before. Objective: This study aimed to compare the effect of RSWT versus I- ASTM on pain and functional activity in athletes with patellar tendinopathy. Design: A prospective single-blinded a randomized- controlled trail. Settings: Physical therapy outpatient clinic of Physical Therapy Faculty, Egyptian Chinese University. Participants: Forty-five athletes - aged 14 to 26 years old with a 3-month history of PT – were included. Methods: The athletes were randomly assigned to one of the 3 following groups: control group (group A) received an ice-pack application, group B (received ice packs plus RSWT ,2000 shocks and
0.18-mJ/mm2 one session per week for 5 weeks), or group C received ice packs plus I-ASTM, 15 athletes for each. Pain and functional activity were evaluated by the vertical jump test (VJT)and the Victorian institute of sport assessment patella questionnaire (VISA)at baseline and 6weeks post intervention. Results: There were significant intergroup variation in VJT and VISA where(p<0.05). The results of the between-group analysis were notable, with the major differences favoring group B., where (p<0.001) Conclusion: ESWT is more effective than I-ASTM in improving pain and reducing the functional disability associated with PT highlighting it as an alternative option