How do eccentric exercises work in tendinopathy?

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Eccentric exercises; why do they work, what are the problems and how can we improve them?

Eccentric exercises (EE) have proved successful in the management of chronic tendinopathy, particularly of the Achilles and patellar tendons, where they have been shown to be effective in controlled trials. However, numerous questions regarding EE remain. The standard protocols are time-consuming and require very motivated patients. EE are effective in some tendinopathies but not others. Furthe...

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Comparison of Lower Limb Muscle Activity during Eccentric and Concentric Exercises in Runners with Achilles Tendinopathy

[Purpose] This study aimed to identify changes in muscle activation by comparing muscle activities of the affected side (AS) and non-affected side (NAS) during eccentric and concentric exercises in runners with unilateral Achilles tendinopathy. [Subjects] The study included 18 participants consisting of men and women with chronic Achilles tendinopathy in a single leg who had more than 1 year of...

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Tendon structure's lack of relation to clinical outcome after eccentric exercises in chronic midportion Achilles tendinopathy.

CONTEXT Chronic midportion Achilles tendinopathy is a common and hard-to-treat disorder characterized by degenerative changes of the tendon matrix. Ultrasonographic tissue characterization (UTC) was successfully used to quantify structural human Achilles tendon changes. This novel and reliable technique could be used in follow-up studies to relate tendon structure to symptoms. OBJECTIVE To qu...

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Eccentric exercise in treatment of Achilles tendinopathy.

AIM Prognosis and treatment of Achilles tendon pain (achillodynia) has been insufficiently studied. The purpose of the present study was to examine the long-term effect of eccentric exercises compared with stretching exercises on patients with achillodynia. METHODS Patients with achillodynia for at least 3 months were randomly allocated to one of two exercise regimens. Exercise was performed ...

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Eccentric training in the treatment of tendinopathy

7 Abbreviations 8 Original papers 9 Introduction/Background 10 The normal tendon 11 Anatomy 11 Collagen fibre orientation 12 Internal architecture 12 General innervation 13 General biomechanical forces in tendons 14 Metabolism 15 Disuse/immobilisation 15 Exercise/remobilisation 15 The Achilles tendon 17 Anatomy 17 The myotendinous junction (MTJ) 18 The osteotendinous junction (OTJ) 18 Tendon st...

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ژورنال

عنوان ژورنال: Rheumatology

سال: 2008

ISSN: 1462-0324,1462-0332

DOI: 10.1093/rheumatology/ken337