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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Eccentric exercise EE strengthening programmes have been emphasised recently as a key element of strength training in rehabilitation, 6789111213151718192021222324 in part due to literature supporting their use in the treatment of AT. However, as no attempt was made to search for unpublished studies, publication bias might have been introduced into the review.
Normalised tendon structure and decreased thickness tendinopaghy follow up. Various measures to assess these outcomes were used. Discussion This systematic review was undertaken with the aim of determining the effectiveness of EE in the treatment of various common tendinopathies.
Studies that included participants who had previously ruptured, or had undergone surgery of, the involved tendon were excluded as were studies that compared two different types of EE programmes without a control group.
Chronic tendinopathy: effectiveness of eccentric exercise
Studies are ordered by PEDro score. J Sci Med Sport 1 22— Authors’ conclusions There is a lack of high-quality evidence to support the effectiveness of EE in comparison with other treatments for relieving pain and improving function or satisfaction in patients with tendinopathies.
How were differences between studies investigated? Sample size calculations were obtained using exsrcise online calculator, 44 in collaboration with a biostatistician.
Br J Sports Med 38 8— Load was increased as pain decreased. Participants included in the review Studies of participants with a clinical diagnosis of tendinopathy of the Achilles tendon, patella tendon, common wrist extensor tendon origin, or rotator cuff tendons were eligible for inclusion, except if they had previously ruptured or undergone surgery of these tendons.
Comparison of effects of exercise programme, pulsed ultrasound and transverse friction in the treatment of chronic patellar tendinopathy. Conservative treatment of patellar tendinopathy. Roos 50 RCT. Intratendinous glutamate levels and eccentric training in chronic Achilles tendinosis: Superior results with eccentric compared to concentric quadriceps training in patients with jumper’s knee: Message for DARE database users.
Chronic tendinopathy: effectiveness of eccentric exercise.
Load management in tendinopathy: Eccentric training in patients with chronic Effecgiveness tendinosis: However, the first of these studies was of low methodological quality and the second used a non-validated functional outcome measure.
Therefore, outcomes that objectively measured any part of function were included in the review: J Hand Ther 17 — Selvanetti 63 RCT Participants: Calcif Tissue Int 64 — Authors were contacted to obtain any missing data.
Assessment of study quality Study quality was assessed using published scales, both consisting of 11 criteria. The aim of this systematic review was to evaluate the evidence for the effectiveness of EE programmes in the treatment of common tendinopathies. Global evaluation score pain and function and jumping performance.
Evans P J, Miniaci A. Various outcome measures were used in the included studies. The PEDro 31 and van Tulder 39 effectivenrss were used to assess methodological quality.
A proposal for standardized use. Med Sci Sports Exerc 36 —