Issue №5-21, 2022

Efficacy of Platelet-Rich Plasma in the Rehabilitation of Athletes with Peroneal Tendinopathy: a Prospective Non-randomized Study of 60 Patients

¹ Аlexey D. Repetyuk, ¹ Evgeniy E. Achkasov, ² Andrey P. Sereda

¹ I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
² R.R. Vreden Russian Research Institute of Traumatology and Orthopedics, St. Petersburg, Russian Federation

ABSTRACT

INTRODUCTION. Peroneal tendons pathology is an underestimated cause of pain in the lateral part of the foot in athletes, which is difficult to distinguish from lateral ankle ligament injuries. As a result, the athlete's training and participation in competitions may be restricted for a long time. Platelet-rich plasma (PRP) injections have been suggested as a promising method for the treatment of peroneal tendinopathy.

AIM. To evaluate the effectiveness of the use of PRP in the complex rehabilitation of athletes with peroneal tendinopathy by comparing the time to return to play (RTP) and the evaluation of pain symptoms. To develop a model for pain evaluation and physical activity dosingin athletes with this pathology, in order to objectify the transition from one rehabilitation stage to another.

MATERIAL AND METHODS. This prospective, non-randomised study analyzed the treatment outcomes of 60 male patients, aged 21.0±1.4 years with peroneal tendinopathy. Depending on the treatment, two groups of patients were identified. Group I (30 athletes), in addition to complex rehabilitation (physiotherapy and physical therapy), had percutaneous PRP injections under the ultrasound guidance. Group II (30 athletes) received only physiotherapy and exercise therapy.

RESULTS AND DISCUSSION. A statistically significant difference in pain symptoms between the groups was observed starting from the 28th day of treatment. The average time for the athletes in group I to return to regular training activities was on average 10 days shorter than for those in group II (p<0.001).

CONCLUSION. The use of PRP, in the rehabilitation of athletes with peroneal tendinopathy is more effective than a comprehensive programme. The developed model of pain evaluation makes it possible to determine the degree of physical activity at various stages of the rehabilitation process, as well as to adequately estimate readiness to RTP.

KEYWORDS: sports injury, ankle joint, tendonitis, tendinopathy, peroneal tendons, platelet-rich plasma, rehabilitation

For citation: Repetyuk А.D., Achkasov E.E., Sereda A.P. Efficacy of Platelet-Rich Plasma in the Rehabilitation of Athletes with Peroneal Tendinopathy: a Prospective Non-randomized Study of 60 Patients. Bulletin of Rehabilitation Medicine. 2022; 21 (5): 116-121. https://doi.org/10.38025/2078-1962-2022-21-5-116-121

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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.