{"id":380,"date":"2019-12-05T02:06:20","date_gmt":"2019-12-05T02:06:20","guid":{"rendered":"https:\/\/drnat.com\/nd\/?p=380"},"modified":"2019-12-05T02:06:20","modified_gmt":"2019-12-05T02:06:20","slug":"prp-and-knee-10","status":"publish","type":"post","link":"https:\/\/drnat.com\/nd\/prp-and-knee-10\/","title":{"rendered":"PRP and KNEE"},"content":{"rendered":"

Platelet-Rich Plasma Versus Focused Shock Waves in the Treatment of Jumper\u2019s Knee in Athletes<\/h1>\n
\n
    \n
  1. Mario Vetrano<\/a>, MD*<\/a>,\u2020<\/a>,<\/li>\n
  2. Anna Castorina<\/a>, MD\u2020<\/a>,<\/li>\n
  3. Maria Chiara Vulpiani<\/a>, MD\u2020<\/a>,<\/li>\n
  4. Rossella Baldini<\/a>, PhD\u2021<\/a>,<\/li>\n
  5. Antonio Pavan<\/a>, MD\u00a7<\/a> and<\/li>\n
  6. Andrea Ferretti<\/a>, MD?<\/a><\/li>\n<\/ol>\n

    +<\/a>Author Affiliations<\/p>\n

      \n
    1. <\/a>
      \n
      \u2020<\/sup>Physical Medicine and Rehabilitation Unit, Sant\u2019Andrea Hospital, Sapienza University of Rome, Rome, Italy<\/address>\n<\/li>\n
    2. <\/a>
      \n
      \u2021<\/sup>Department of Statistical Sciences, Sapienza University of Rome, Rome, Italy<\/address>\n<\/li>\n
    3. <\/a>
      \n
      \u00a7<\/sup>Department of Immunohematology and Transfusion, Sant\u2019Andrea Hospital, Sapienza University of Rome, Rome, Italy<\/address>\n<\/li>\n
    4. <\/a>
      \n
      ?<\/sup>Orthopaedic Unit and Kirk Kilgour Sports Injury Centre, Sant\u2019Andrea Hospital, Sapienza University of Rome, Rome, Italy<\/address>\n<\/li>\n
    5. <\/a>
      \n
      Investigation performed at the Sant\u2019Andrea Hospital, Sapienza University of Rome, Rome, Italy<\/address>\n<\/li>\n<\/ol>\n
        \n
      1. ?<\/a>*Mario Vetrano, MD, Physical Medicine and Rehabilitation Unit, Sant\u2019Andrea Hospital, Via di Grottarossa 1035-1039, Rome, Italy 00189 (email:mariovetrano@gmail.com<\/a>).<\/li>\n<\/ol>\n<\/div>\n
        \n

        Abstract<\/h2>\n
        \n

        Background:<\/strong> Tendinopathies represent a serious challenge for orthopaedic surgeons involved in treatment of athletes.<\/p>\n<\/div>\n

        \n

        Purpose:<\/strong> To compare the effectiveness and safety of platelet-rich plasma (PRP) injections and focused extracorporeal shock wave therapy (ESWT) in athletes with jumper\u2019s knee.<\/p>\n<\/div>\n

        \n

        Study Design:<\/strong> Randomized controlled trial; Level of evidence, 1.<\/p>\n<\/div>\n

        \n

        Methods:<\/strong> Forty-six consecutive athletes with jumper\u2019s knee were selected for this study and randomized into 2 treatment groups: 2 autologous PRP injections over 2 weeks under ultrasound guidance (PRP group; n = 23), and 3 sessions of focused extracorporeal shock wave therapy (2.400 impulses at 0.17-0.25 mJ\/mm2<\/sup> per session) (ESWT group; n = 23). The outcome measures were Victorian Institute of Sports Assessment\u2013Patella (VISA-P) questionnaire, pain visual analog scale (VAS), and modified Blazina scale. A reviewer who was blinded as to the group allocation of participants performed outcome assessments before treatment and at 2, 6, and 12 months after treatment. Nonparametric tests were used for within-group (Friedman\/Wilcoxon test) and between-group (Kruskal-Wallis\/Fisher test) testing, and the significance level was set at .05.<\/p>\n<\/div>\n

        \n

        Results:<\/strong> The 2 groups were homogeneous in terms of age, sex, level of sports participation, and pretreatment clinical status. Patients in both groups showed statistically significant improvement of symptoms at all follow-up assessments. The VISA-P, VAS, and modified Blazina scale scores showed no significant differences between groups at 2-month follow-up (P<\/em> = .635, .360, and .339, respectively). The PRP group showed significantly better improvement than the ESWT group in VISA-P, VAS scores at 6- and 12-month follow-up, and modified Blazina scale score at 12-month follow-up (P<\/em> < .05 for all).<\/p>\n<\/div>\n

        \n

        Conclusion:<\/strong> Therapeutic injections of PRP lead to better midterm clinical results compared with focused ESWT in the treatment of jumper\u2019s knee in athletes.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

        Platelet-Rich Plasma Versus Focused Shock Waves in the Treatment of Jumper\u2019s Knee in Athletes Mario Vetrano, MD*,\u2020, Anna Castorina, MD\u2020, Maria Chiara Vulpiani, MD\u2020, Rossella Baldini, PhD\u2021, Antonio Pavan, MD\u00a7 and Andrea Ferretti, MD? +Author Affiliations \u2020Physical Medicine and Rehabilitation Unit, Sant\u2019Andrea Hospital, Sapienza University of Rome, Rome, Italy \u2021Department of Statistical Sciences, Sapienza University of […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","ngg_post_thumbnail":0,"footnotes":""},"categories":[8,7],"tags":[],"yoast_head":"\nPRP and KNEE - Dr. Nathan Ehrlich, N.D.<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/drnat.com\/nd\/prp-and-knee-10\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"PRP and KNEE - Dr. Nathan Ehrlich, N.D.\" \/>\n<meta property=\"og:description\" content=\"Platelet-Rich Plasma Versus Focused Shock Waves in the Treatment of Jumper\u2019s Knee in Athletes Mario Vetrano, MD*,\u2020, Anna Castorina, MD\u2020, Maria Chiara Vulpiani, MD\u2020, Rossella Baldini, PhD\u2021, Antonio Pavan, MD\u00a7 and Andrea Ferretti, MD? +Author Affiliations \u2020Physical Medicine and Rehabilitation Unit, Sant\u2019Andrea Hospital, Sapienza University of Rome, Rome, Italy \u2021Department of Statistical Sciences, Sapienza University of […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/drnat.com\/nd\/prp-and-knee-10\/\" \/>\n<meta property=\"og:site_name\" content=\"Dr. Nathan Ehrlich, N.D.\" \/>\n<meta property=\"article:published_time\" content=\"2019-12-05T02:06:20+00:00\" \/>\n<meta name=\"author\" content=\"NAt\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"NAt\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/drnat.com\/nd\/prp-and-knee-10\/\",\"url\":\"https:\/\/drnat.com\/nd\/prp-and-knee-10\/\",\"name\":\"PRP and KNEE - Dr. Nathan Ehrlich, N.D.\",\"isPartOf\":{\"@id\":\"https:\/\/drnat.com\/nd\/#website\"},\"datePublished\":\"2019-12-05T02:06:20+00:00\",\"dateModified\":\"2019-12-05T02:06:20+00:00\",\"author\":{\"@id\":\"https:\/\/drnat.com\/nd\/#\/schema\/person\/0fb549d14b7bb58de157ffb3998db3dc\"},\"breadcrumb\":{\"@id\":\"https:\/\/drnat.com\/nd\/prp-and-knee-10\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/drnat.com\/nd\/prp-and-knee-10\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/drnat.com\/nd\/prp-and-knee-10\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/drnat.com\/nd\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"PRP and KNEE\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/drnat.com\/nd\/#website\",\"url\":\"https:\/\/drnat.com\/nd\/\",\"name\":\"Dr. Nathan Ehrlich, N.D.\",\"description\":\"Physician \/ Musician\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/drnat.com\/nd\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/drnat.com\/nd\/#\/schema\/person\/0fb549d14b7bb58de157ffb3998db3dc\",\"name\":\"NAt\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/drnat.com\/nd\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/68a842d3599799d23ca9a8930a405aa1?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/68a842d3599799d23ca9a8930a405aa1?s=96&d=mm&r=g\",\"caption\":\"NAt\"},\"url\":\"https:\/\/drnat.com\/nd\/author\/NAt\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"PRP and KNEE - Dr. Nathan Ehrlich, N.D.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/drnat.com\/nd\/prp-and-knee-10\/","og_locale":"en_US","og_type":"article","og_title":"PRP and KNEE - Dr. Nathan Ehrlich, N.D.","og_description":"Platelet-Rich Plasma Versus Focused Shock Waves in the Treatment of Jumper\u2019s Knee in Athletes Mario Vetrano, MD*,\u2020, Anna Castorina, MD\u2020, Maria Chiara Vulpiani, MD\u2020, Rossella Baldini, PhD\u2021, Antonio Pavan, MD\u00a7 and Andrea Ferretti, MD? +Author Affiliations \u2020Physical Medicine and Rehabilitation Unit, Sant\u2019Andrea Hospital, Sapienza University of Rome, Rome, Italy \u2021Department of Statistical Sciences, Sapienza University of […]","og_url":"https:\/\/drnat.com\/nd\/prp-and-knee-10\/","og_site_name":"Dr. Nathan Ehrlich, N.D.","article_published_time":"2019-12-05T02:06:20+00:00","author":"NAt","twitter_card":"summary_large_image","twitter_misc":{"Written by":"NAt","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/drnat.com\/nd\/prp-and-knee-10\/","url":"https:\/\/drnat.com\/nd\/prp-and-knee-10\/","name":"PRP and KNEE - Dr. Nathan Ehrlich, N.D.","isPartOf":{"@id":"https:\/\/drnat.com\/nd\/#website"},"datePublished":"2019-12-05T02:06:20+00:00","dateModified":"2019-12-05T02:06:20+00:00","author":{"@id":"https:\/\/drnat.com\/nd\/#\/schema\/person\/0fb549d14b7bb58de157ffb3998db3dc"},"breadcrumb":{"@id":"https:\/\/drnat.com\/nd\/prp-and-knee-10\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/drnat.com\/nd\/prp-and-knee-10\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/drnat.com\/nd\/prp-and-knee-10\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/drnat.com\/nd\/"},{"@type":"ListItem","position":2,"name":"PRP and KNEE"}]},{"@type":"WebSite","@id":"https:\/\/drnat.com\/nd\/#website","url":"https:\/\/drnat.com\/nd\/","name":"Dr. Nathan Ehrlich, N.D.","description":"Physician \/ Musician","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/drnat.com\/nd\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/drnat.com\/nd\/#\/schema\/person\/0fb549d14b7bb58de157ffb3998db3dc","name":"NAt","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/drnat.com\/nd\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/68a842d3599799d23ca9a8930a405aa1?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/68a842d3599799d23ca9a8930a405aa1?s=96&d=mm&r=g","caption":"NAt"},"url":"https:\/\/drnat.com\/nd\/author\/NAt\/"}]}},"_links":{"self":[{"href":"https:\/\/drnat.com\/nd\/wp-json\/wp\/v2\/posts\/380"}],"collection":[{"href":"https:\/\/drnat.com\/nd\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drnat.com\/nd\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drnat.com\/nd\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drnat.com\/nd\/wp-json\/wp\/v2\/comments?post=380"}],"version-history":[{"count":1,"href":"https:\/\/drnat.com\/nd\/wp-json\/wp\/v2\/posts\/380\/revisions"}],"predecessor-version":[{"id":381,"href":"https:\/\/drnat.com\/nd\/wp-json\/wp\/v2\/posts\/380\/revisions\/381"}],"wp:attachment":[{"href":"https:\/\/drnat.com\/nd\/wp-json\/wp\/v2\/media?parent=380"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drnat.com\/nd\/wp-json\/wp\/v2\/categories?post=380"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drnat.com\/nd\/wp-json\/wp\/v2\/tags?post=380"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}