CHRONIC TENDINOPATHY EFFECTIVENESS OF ECCENTRIC EXERCISE PDF

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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Studies cgronic interventions of EE programmes of varying lengths: Comparative effectiveness of a home exercise program including stretching alone versus stretching supplemented with eccentric or concentric strengthening.

Chronic tendinopathy: effectiveness of eccentric exercise.

Pain measurement in humans. Pain — It is only then that the clinical benefit of EE in the treatment of tendinopathy may be fully elucidated compared to other treatment modalities. The authors did not state how many reviewers performed the data extraction. Where does the pain come from? Alfredson H, Lorentzon R. Given by same physiotherapist. Citations Publications citing this paper.

Chronic tendinopathy: effectiveness of eccentric exercise.

Studies where at least one treatment group received an EE programme as the mainstay of treatment were included. Seven studies reported drop outs, 45465052545563 with a mean percentage drop out rate of 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.

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EE programmes have been emphasised in recent literature as a key part of tendinopathy rehabilitation. J Hand Ther 18 — New Zealand Journal of Sports Medicine 33 22— Study quality was assessed using published scales, both consisting of 11 criteria.

Overall, the conclusions are likely to be reliable. Study designs of evaluations included in the review Randomised controlled trials RCTs were eligible for inclusion.

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. For dichotomous data, the numbers of events and sample sizes were extracted.

tenfinopathy

Inclusion and exclusion criteria Randomised controlled trials investigating the use tendinopatgy EE to treat tendinopathy of the Achilles tendon, patella tendon, common wrist extensor tendon origin, or rotator cuff tendons were included. Am J Sports Med 15 79— J Orthop Sports Phys Ther 33 — CookRoald Bahr Clinical journal of sport medicine: PatelDavid A WisemanJ.

A randomised controlled clinical trial. Cannell et al 57 also investigated PT, and measured hamstring and quadriceps moments as a functional outcome. Another systematic review known to have investigated the effect of different physical interventions in the treatment of LET came to similar conclusions regarding the effectiveness of exercise therapy. Clin Sports Med 22 — Types and epidemiology of tendinopathy. Br J Sports Med 39 — VISA scores for knee function. Various outcome measures were used in the included studies.

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J Sci Med Sport 1 22— Owing to small trial numbers and very large confidence intervals, there is no evidence available to suggest whether EE is effective in reducing pain in either AT or LET.

Authors’ objectives To assess the effectiveness of eccentric exercise EE programmes in the treatment of common tendinopathies. Physiotherapy 82 eccenrtic Studies that evaluated both mid-portion and insertional tendinopathies were eligible. Clin Orthop Relat Res — Exercse Only three studies using the pain VAS as an outcome measure were able to be included in data analysis; 454652 no pooling of data was achievable due to the low number of studies.

Classification of Chronic Pain: Phys Ther 83 — From This Paper Topics from this paper.

Values were then entered for analysis into Review Manager 4. Levels of evidence were then determined using the following criteria: Patellar tendinopathy in athletes: A prospective and retrospective analysis.

VISA score for knee function.

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