It is time to abandon the myth that eccentric training is best practice
Journal Title: Biology of Exercise - Year 2016, Vol 12, Issue 1
Abstract
achilles and patellar tendinopathy are the most common tendinopathies of the lower limb. the main complaints of patients with tendinopathy are pain and decreased function both of which may affect daily activities. Diagnosis is based on defining pain features (e.g. localized pain) as well as reproducing pain with specific clinical tests and palpation. although the signs and symptoms of tendinopathy are relatively clear, to date, no ideal treatment has emerged. many clinicians advocate a conservative approach as the treatment of choice for tendinopathy. For example, many physical therapy strategies have been proposed for the rehabilitation of tendon disorders. these include electrotherapy such as therapeutic ultrasound, extracorporeal shockwave therapy, low level laser, iontophoresis and non-electrotherapeutic modalities such as exercise, soft tissue techniques, taping and dry needling or acupuncture. these treatments aim to reduce pain and improve function in tendinopathy via different mechanism of action. there is no evidence that any treatment is able to reverse the pathology of the tendinopathy. Such a variety of treatment options suggests that the optimal treatment strategy is not known, and more research is needed to discover the most effective treatment in patients with tendinopathy.
Authors and Affiliations
StaSInOpOulOS DImItrIOS (phD)| Vice-Chairperson / Assistant Professor, Physiotherapy, Coordinator of MSc in Sports Physiotherapy Coordinator of Physiotherapy Program, Director of Cyprus Musculoskeletal and Sports Trauma Research Centre (CYMUSTR EC) Physiotherapy Program, Dep. of Health Sciences, School of Sciences, Nicosia, Cyprus, peter mallIaraS| Research Fellow, Musculoskeletal Research Centre, La Trobe University, Australia Visiting Senior Lecturer, Centre for Sport and Exercise Medicine, Queen Mary, University of London, UK
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- EP ID EP15876
- DOI http: doi.org/10.4127/jbe.2016.0097
- Views 377
- Downloads 27
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