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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The same study also assessed grip strength as a functional measure, but again there were no statistically significant results. The included studies evaluated drop-squats, exercises on decline board, or resistance band exercises, and the programmes lasted from 4 to 12 weeks. This scale was taken from a previous study that investigated another type of treatment for LET, but had not been validated.

Chronic tendinopathy: effectiveness of eccentric exercise. – Semantic Scholar

CRD commentary The review question and inclusion criteria were clearly reported. Therefore, outcomes that objectively measured any part of function were included in the review: Rheumatology 43 — Methodology Aim The aim of this systematic review was to evaluate the evidence for the effectiveness of EE programmes in the treatment of common tendinopathies.

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.


Other less common tendinopathies fell outside the scope of this review. The lf regime most commonly used in the included studies was derived from an initial study of AT. Cur Opin Rheumatol 11 — Both studies were of low methodological quality. Normalised tendon structure and decreased thickness at follow up.

Chronic tendinopathy: effectiveness of eccentric exercise

A prospective exerrcise study. A randomized clinical trial. Methods of synthesis How were the studies combined? Data extraction For continuous data, mean differences between pre-treatment and post-treatment scores and a standard deviation, assuming a covariance of zero, were calculated for each study.

The PEDro 31 and van Tulder 39 scales were used to assess methodological quality. It is only then that the clinical benefit of EE in wffectiveness treatment of tendinopathy may be fully elucidated compared to other treatment modalities. Exercise and chronic low back pain: Evaluation of eccentric exercise in treatment of patellar tendinitis.

Chronic tendinopathy: effectiveness of eccentric exercise.

Physical Therapy in Sport 2 54— Two studies reported significant improvements in pain with EE; both involved participants with patella tendinopathy. Merskey H, Gendinopathy N. The PEDro and van Tulder scales were employed to assess methodological quality.

Differences between the studies were reported in the tables and text. RCTs ezercise the effect of EE on rotator cuff tendinopathy were not found using the defined search strategy.


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

Function 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. Cannell et al 57 also investigated PT, and measured hamstring and quadriceps moments as a functional outcome.

Load management in tendinopathy: Four studies og subjects diagnosed with AT, 27505259 four investigated subjects with PT 45535557 and the remaining three investigated subjects with LET. The conservative management of Achilles tendinopathy.

Some studies were pooled, but statistical tests of heterogeneity were not reported for these analyses. It was assumed that the risk of misclassification was low, as reliable and valid measures of methodological quality were used.

VAS Return to sport: J Orthop Sports Phys Ther 33 —