During the webinar ‘Restoring health’ on Thursday 18 March, several physiotherapists who are experts in sports treatments and Winback tecartherapy presented the focused TECAR R-SHOCK, describing its use for clinical cases with pathologies linked to basketball. Thanks to the design of its electrode, R-SHOCK delivers rapid and targeted energy. Additionally, the combination of two different currents, a TECAR current and a low-frequency pulse current, mean it can be used for different applications, ranging from acute to chronic.
With thousands of different movements per game, including changes in direction and pace every two to three seconds, basketball is the number one sport responsible for injuries for women. Jumps represent 3% of playing time, which is as important as volleyball.
64% of these injuries relate to the lower limbs, made up of a majority of ankle sprains, muscle lesions or tendinopathies.
Clinical case: tendinosis in a female player from the French basketball team
Prior to looking at this case, it’s necessary to recall the pathophysiology of the tendon. In practice, the tendon is not an inert structure, it is living, and modifies, regenerates and repairs itself. It is subject to uniaxial and multi-directional stresses. Its cells keep it in a permanent state of homeostasis, that’s to say a balance between synthesis and degradation of the extracellular matrix.
The tendon adapts to an appropriate workload, including during training. The balance between workload and intensive effort must therefore be appropriate. An imbalance will lead to a risk of pathologies: from reactive tendinopathy to a remodeled tendon, then to degenerative tendinopathy. In fact, an excessive load will lead to microlesions aggravated by factors such as nutritional status and dehydration.
This intersection of constraints gives the tendon a specific structure, with different parts exhibiting different pathologies: tendinosis (affecting the body of the tendon), paratenonitis (the paratenon) and enthesopathy (the connection points). An evaluation of the tendinopathy, including research into the mechanism that has caused the lesion and the associated mechanical stresses, combined with questioning and a clinical exam, will enable the type of tendinopathy and its severity to be established.