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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Implications of the review for practice and research Practice: A qualitative study Raymond LeungNikolaos G. 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.

Br J Sports Med 35 60— 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 The blinding of subjects and therapists will always remain difficult when implementing exercise therapy interventions in research.

Study quality was assessed using published scales, both consisting of 11 criteria. The authors did not state effectiveness many reviewers performed the data extraction.

Fu Clinical orthopaedics and related research Studies chroniic ordered by PEDro score. All patients received 3 treatments per week. The conclusions are likely to be reliable.


Arthroscopy 14 — 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.

J Clin Epidemiol 51 — It was assumed that the risk of misclassification was low, as reliable and valid measures of methodological quality were used. Dimensions of methodological quality associated with estimates of treatment effects in controlled trials.

Clin Orthop Relat Res 65— VISA scores for knee function.

Both groups performed exercise on decline board. Both with use of brace. British Journal of Sports Medicine ; 41 4: To assess the effectiveness of eccentric exercise EE programmes in the treatment of common tendinopathies.

The same study also assessed grip strength as a functional measure, but again there were no statistically significant results. The PEDro scores for articles found in the PEDro database were subsequently compared to those available on the website.

Chronic tendinopathy: effectiveness of eccentric exercise.

Three assessors BW, DB and RNW independently reviewed the included articles and a consensus was reached to determine the final quality scores.

In the acute phase of treatment, reduction of risk factors such as training errors, 6 flexibility issues 678910 and biomechanical abnormalities, 6811 along with symptom reduction using relative rest, 91012 ice, 7810 and physical modalities such as ultrasound and laser have been suggested. Open in a separate window. Limited to moderate levels of evidence exist in a number of areas, thus warranting further research in this ecceentric.


Chronic tendinopathy: effectiveness of eccentric exercise

Ovid Technologies Inc N. However, a recent study suggests that sedentary subjects with AT may show less promising results with EE therapy compared to athletic subjects. CRD commentary The review question and inclusion criteria tendinopathhy clearly reported. KortebeinKatherine W. Patellar tendinopathy in athletes: Eccentric calf muscle training in non-athletic patients with Achilles tendinopathy.

Tendinopathy Exercise stress test.

Chronic tendinopathy: effectiveness of eccentric exercise

Sayana M K, Maffulli N. However, as no attempt was made to search for unpublished studies, publication bias might have been introduced into the review. Phys Ther 83 — Activity level could increase over this period.