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Elaboration on eccentrics for tendenosis

 
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Elaboration on eccentrics for tendenosis - May 21, 2007 5:00:00 AM   
treybien

 

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I have watched a number of people talking about eccentric protocols for tendenosis. Anyone willing to elaborate or provide some text citations would be greatly appreciated.
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Re: Elaboration on eccentrics for tendenosis - May 21, 2007 5:26:00 AM   
certMDT

 

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The April 2007 issue of British Journal of Sports Medicine has a focus on tendinopathy - diagnosis and treatment. It has articles written by the primary researchers in the field, i.e. Khan, Cook and Alfredson. If you have access to this journal, that would be great starting point. Otherwise a pubmed search using tendinopathy and these authors should get you all of the information you need.

Before Duffy does it, I might as well point out for him that he has a few thorough summaries of articles on this topic (and many others) on his web site, PTupdate.com.

Charlie

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Charles Sheets PT OCS Dip MDT

(in reply to treybien)
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Re: Elaboration on eccentrics for tendenosis - May 27, 2007 5:15:00 AM   
jma

 

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Can't remember specific articles but there were mentions of achilles tendinosis and how eccentric protocols seems to produce significant results.

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Re: Elaboration on eccentrics for tendenosis - May 30, 2007 11:35:00 AM   
VagusX

 

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Here are two on Achilles

1. Wallmann, Harvey. Achilles tendinitis-Eccentric exercise prescription. ACSM Health and Fitness Journal; Jan/Feb 2000; 7-16.

2. Eccentric training in patients with chronic Achilles tendinosis: normalised tendon structure and decreased thickness at follow up. Br J Sports Med. 2004 Feb;38(1):8-11

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Re: Elaboration on eccentrics for tendenosis - May 31, 2007 8:02:00 AM   
jlharris


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Here's what I've got for the Achilles:

1. Alfredson, et al. Heavy Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles tendinosis. Amer. J Sports Med. 26(3) 1998

2. Shalabi et al. Eccentric Training of the Gastrocnemios-Soleus Complex in Chronic Achilles Tendinopathy Results in Decreased Tendon Volume and Intratendinous Signal as Evaluated by MRI. Amer. J Sports Med. 32(5) 2004

3. Roos et al. Clinical Improvement After 6 Weeks of Eccentric Exercise in Patients with Mid-Portion Achilles Tendinopathy - A Randomized Trial with 1-Year Follow-Up. Scand j med Sci Sports. 14 2004

4. Alfredson and Lorentzon. Chronic Achilles Tendinosis - Recommendations for Treatment and Prevention. Sports Medicin. 29(2) 2000.

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Jason L. Harris, PT, DPT
My PT Blog

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