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Journal article review of " Acupuncture for chronic patellar tendinopathy"

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In today's article we will critically review the following research paper: Acupuncture for chronic patellar tendinopathy P. Jeffs Journal of the Acupuncture Association of Chartered Physiotherapists, Autumn 2013, 79–86. https://www.aacp.org.uk/journal/stream-file/12#page=79 So what type of evidence is this article? The below image shows where this article ranks in the hierarchy of evidence: So this article comes under the second from the base: Case reports, case series, practice guidelines etc. What conclusion is made? The author concluded that using acupuncture as an adjunct to usual treatment for Chronic Patella Tendinopathy was clinically significantly beneficial. Are the conclusion’s justified by the data? It would appear that the usual care with eccentric exercises was irritating to the injury and after acupuncture this enabled the patient to commence and progress this, which prior to the acupuncture wasn’t possible. What is t