To review assessed the effectiveness of eccentric exercise programmes in the treatment of common tendinopathies. The authors found a lack of. OBJECTIVES To determine the effectiveness of eccentric exercise (EE) programmes in the treatment of common tendinopathies. DATA SOURCES Relevant. Purpose. To systematically review the current evidence and determine the effectiveness of eccentric exercise in the treatment of chronic tendinosis.

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Findings from this review are limited by the fact that included trials were based upon small sample sizes, and these numbers were often too small to reach adequate statistical power. Accepted Oct Three assessors BW, DB and RNW independently reviewed the included articles and a consensus was reached to determine the final quality scores.

Br J Sports Med. J Sci Med Sport 1 22— To date no systematic review has investigated EE and its effectiveness in tendinopathy rehabilitation.

Open in a separate window. References Publications referenced by this paper. If this item was deleted in both methodological scores used in this review, quality ratings of all included studies would not have changed.

Three studies reported on pain. The studies were then rated as high or low quality based on definitions used in a previous systematic review using the van Tulder scale.

The authors stated that further adequately-powered studies with adequate randomisation procedures, exercie outcome measures and long-term follow-up are required to assess the effectiveness of EE over other treatments. Sports Med 29 — Study designs of evaluations included in the review Randomised controlled trials RCTs were eligible for inclusion. Upon correspondence with one of the authors of this study, it was found that the regime was based on clinical experience, rather than derived from any empirical evidence; e.


Chronic tendinopathy: effectiveness of eccentric exercise

The search dates covered to January and the keywords were reported. Levels of evidence were then determined using the following criteria: Various measures of functional outcome were used to determine whether EE was effective in increasing function in tendinopathy, and due to this variation, pooling of data was not possible.

Overall, the methodological quality was considered high in only six studies of the 11 included in this review. The PEDro and van Tulder scales were employed to assess methodological quality. However, the first of these studies was of low methodological quality and the second used a non-validated functional outcome measure. Clin Orthop Relat Res 65— To determine the effectiveness of eccentric exercise EE programmes in the treatment of common tendinopathies.

A prospective randomised study. Topics Discussed in This Paper.

Contracture of tendo achilles Physical effectivenesss exercises. A qualitative study Raymond LeungNikolaos G. VISA scores for knee function. The conservative management of Achilles tendinopathy. VAS Return to sport: However, a recent study suggests that sedentary subjects with AT may show less promising results with EE therapy compared to athletic subjects.

Chronic tendinopathy: effectiveness of eccentric exercise.

Study participants must have been diagnosed clinically with tendinopathy of the studied tendon. Other less common tendinopathies fell outside the scope of this review. Details of the included studies were tabulated. Sample size calculations were obtained using an online calculator, 44 in collaboration with a biostatistician.


Svernlov 54 RCT. Differences between the tendiopathy were reported in the tables and text. Health Services Research Methods: J Clin Epidemiol 51 — RCTs investigating the effect of EE on rotator cuff tendinopathy were not found using the defined search strategy. Ovid Technologies Inc N. The hand search of three sports journals resulted in no further inclusions.

Spine 23 — Where does the pain come from? Message for DARE database users. The following databases were searched using the OVID website: Med Sci Sports Exerc 36 — Study quality was assessed using published scales, both tendinopahhy of 11 criteria.

Evaluation of eccentric exercise in treatment of patellar tendinitis.

Chronic tendinopathy: effectiveness of eccentric exercise. – Semantic Scholar

Load increased to attain this. A recent review of pain measurement methods recommended the visual analogue scale VAS 33 and the McGill Pain Questionnaire 34 as the most reliable and sensitive tools for pain measurement.

The studies were combined in a narrative. The use of eccentric training and stretching in the treatment and prevention of tendon injuries. Studies in any language were eligible for inclusion. The exercisse study also assessed grip strength as a functional measure, but again there were no statistically significant results.