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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Chronic tendinopathy: effectiveness of eccentric exercise. – Semantic Scholar

There is also limited evidence suggestive of an increase in function using EE compared to ultrasound in the treatment of LET, although the validity of the outcome measure used in this study is unclear. Please review our privacy policy. These included studies of Achilles tendinopathy ATpatella tendinopathy PT and tendinopathy of the common wrist extensor tendon of the lateral elbow LET.

Both studies were of low methodological quality.

Specific interventions included in the review Studies that used EE were eligible for inclusion. Twenty relevant effecgiveness were eccejtric, 11 of which met the inclusion criteria. The PEDro and van Tulder scales were employed to assess methodological quality. The studies were then rated as high or low quality based on definitions used in a previous systematic review using the van Tulder scale.

Given by same physiotherapist. They also reported that three reviewers were involved in the validity assessment process, thus reducing any reviewer bias; it is not clear how many reviewers were involved in the other aspects of the review process. Details of the included studies were tabulated. Eleven RCTs tendons were included. VAS Return to sport: 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.



Chronic tendinopathy: effectiveness of eccentric exercise.

Arendt Journal of hand therapy: Some studies were pooled, but statistical tests of effectivebess were not reported for these analyses.

Load added as tolerated. Comparative effectiveness of a home exercise program including stretching alone versus stretching supplemented with eccentric or concentric strengthening.

Svernlov B, Adolfsson L. Therefore, outcomes that objectively measured any part of function were included in the review: The hand search of three sports journals resulted in no further inclusions.

A qualitative study Raymond LeungNikolaos G. What is the most appropriate treatment for patellar tendinopathy?

Three studies reported on pain. Only three studies using the pain VAS as an outcome measure were able to be included in data analysis; 454652 no pooling of data was achievable due to the low number of studies. To assess the effectiveness of eccentric exercise EE programmes in the treatment of common tendinopathies.

Chronic tendinopathy: effectiveness of eccentric exercise

Clinical applications to Achilles tendinopathy. Studies that evaluated both mid-portion and insertional tendinopathies were eligible. The duration of symptoms were reported in nine studies with a mean of In cases where the criteria were unclear, authors were contacted.

What this study adds There is a lack of evidence supporting the effectiveness of EE programmes over other active modalities such as CE and stretching. J Sci Med Sport 1 22— Clin Sports Med tnedinopathy — Knee Surg Sports Traumatol Arthrosc 9 42— Fam Pract Res J 13 15— Overall, this study showed no statistically significant differences between EE and any comparison group. Heterogeneity of the studies included in the review was considered another problem, with differences in study population, interventions, controls and outcome measures.


The van Tulder scale is the methodological quality scale utilised in the updated guidelines for systematic reviews of the Cochrane Collaboration back review group. Clin J Sport Med 2 — Cochrane Collaboration, The Oxford.

Current diagnostic and therapeutic recommendations. A systematic review and meta-analysis of clinical trials on physical interventions for lateral epicondylalgia.

chroonic Superior results with eccentric compared to concentric quadriceps training in patients with dffectiveness knee: The following databases were searched using the OVID website: It appears that the studies were appropriately summarised in a narrative synthesis. Two exercises used short and long calf muscle loading.

Am J Sports Med 15 79— Spine 28 — Carla Rauseo International journal of sports physical therapy To review assessed the effectiveness of eccentric exercise programmes in the treatment of common tendinopathies. Skip to search form Skip to main content. No effect of eccentric training on tendino;athy knee in volleyball players during the competitive season: Sports Medicine and Arthroscopic Review 8 17— Tidsskr Nor Laegeforen — Other systematic reviews investigating exercise therapy in PT or AT were not found.

Selvanetti et al 63 also studied the common extensor tendon origin to determine the effect of EE compared to ultrasound, and found a significant difference in Ko 70 scores at 4 weeks WMD