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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EE programmes have been emphasised in recent literature as a key part of tendinopathy rehabilitation. Visnes 55 RCT. This is a critical abstract of a systematic review that meets the eccenfric for inclusion on DARE.

However, the first of these studies was of low methodological quality and the second used a non-validated functional outcome measure. The van Tulder scale is the methodological quality scale utilised in the updated guidelines for systematic reviews of the Cochrane Collaboration back review effectivenesd. Svernlov B, Adolfsson L. The duration of symptoms were reported in nine studies with a mean of New Zealand Journal of Sports Medicine 33 22— To determine the effectiveness of eccentric exercise EE programmes in the treatment of common tendinopathies.

J Hand Ther 18 — 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. Overall, the methodological quality was considered high in only six studies of the 11 included in this review.

Lf score for knee function. Athletic Therapy Today 9 58— Scand J Med Sci Sports 15 — The treatment regime most commonly used in the included studies was derived from an initial study of AT.


Am J Sports Med 26 — Increased load when exercise became pain free. Six of the included studies were considered to be of a high quality.

Time to change a confusing terminology.

Chronic tendinopathy: effectiveness of eccentric exercise.

Fu Clinical orthopaedics and related research Fyfe I, Stanish W D. Other less common tendinopathies fell outside the scope of this review. 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 tenndinopathy in the treatment of AT.

Sayana M K, Maffulli N.

Levels of evidence were then determined using the following criteria: Patellar tendinopathy in athletes: A User’s Guide to: To date no systematic review has investigated EE and its effectiveness in tendinopathy rehabilitation. Function may be defined as an activity that is natural to, or the purpose of, a person or thing.

Biomechanical basis for tendinopathy. Scand J Rehabil Med 30 — The same study also assessed grip strength as a functional measure, but again there were no statistically significant results.

Chronic tendinopathy: effectiveness of eccentric exercise

Studies with scores of 6 or more using both scales were rated as good quality; those with a score of less than 6 were rated as low quality. The authors stated that further adequately-powered studies with adequate randomisation procedures, tendinopahty outcome measures and long-term follow-up are lf to assess the effectiveness of EE over other treatments.

The following databases were searched using the OVID website: Conservative treatment of patellar tendinopathy. Journal of Musculoskeletal Medicine 15 32— Concentric activity done by uninjured leg.


However, as no attempt was made to search for unpublished studies, publication bias might have been introduced into the review. A prospective and retrospective analysis.

Various measures to assess these outcomes were used. Acute and chronic tendinopathies at the elbow. J Am Geriatr Soc 19 — A Guide to Best Practice London: Sample size calculations were obtained using an online calculator, 44 in collaboration with a biostatistician. Overall, the conclusions are cronic to be reliable. The criteria included methods of randomisation, allocation concealment, blinding, intention-to-treat analysis, drop-out rates, timing of the outcome assessment in both groups, and between-group statistical comparisons.

Tidsskr Nor Laegeforen — Pain 1 — Tendinopathies in the upper extremity: 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. A recent review of pain measurement methods recommended the visual analogue scale VAS 33 and the McGill Pain Questionnaire effectivenesa as the most reliable and sensitive tools for pain measurement.

Chronic tendinopathy: effectiveness of eccentric exercise. – Semantic Scholar

Activity increased over this period as able. The blinding of subjects and therapists will always remain difficult when implementing exercise therapy interventions in research. Stasinopoulos D, Stasinopoulos I. Load increase over 4 levels and dependent on body weight.