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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British Journal of Sports Medicine ; 41 4: Robinson K A, Dickersin K.
Chronic tendinopathy: effectiveness of eccentric exercise
MeeuwisseChirag I. Levels of evidence were then determined using the following criteria: The chronic painful Achilles and patellar tendon: The conservative management of Achilles tendinopathy.
CRD summary To review assessed the effectiveness of eccentric exercise programmes in the treatment of common tendinopathies. 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.
Sample size calculations were obtained using an online calculator, eccebtric in collaboration with a biostatistician. The van Tulder scale is the methodological quality scale utilised in the updated guidelines for systematic reviews of the Cochrane Collaboration back review group. Arendt Journal of hand therapy: Studies that reported at least one of these three clinically orientated outcomes were included in the systematic review.
Heterogeneity of the studies included in the review was considered another problem, with differences in eccenyric population, interventions, controls and outcome measures. Phys Sportsmed 5 38— Am J Sports Med 15 79— Inclusion and exclusion criteria Randomised controlled trials investigating the use of EE to treat tendinopathy of the Achilles tendon, patella tendon, common wrist extensor tendon origin, or rotator cuff tendons were included. Scand J Med Sci Sports 15 — The PEDro 31 and van Tulder 39 scales were used to assess methodological quality.
Effect of supplement of essential fatty acids on lateral epicondylitis: Sports Medicine and Arthroscopic Review 8 17— However, the first of these studies was of low methodological quality and the second used a non-validated functional outcome measure. Studies of etndinopathy 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.
Arthroscopy 14 — All studies gave descriptive statistics on age of subjects with an overall mean of Criteria 1 omitted as not included in internal validity eccentrc. A recent review of pain measurement methods recommended the visual analogue scale VAS 33 and the McGill Pain Questionnaire 34 as the most reliable and sensitive tools for pain measurement.
The comparison groups included concentric exercise CEstretching, sham or true ultrasound, and counselling, frictions, splinting or normal effecitveness.
The included studies evaluated males and females with a mean age of 37 effectiveess who had been diagnosed with Achilles tendinopathy, patella tendinopathy or lateral elbow tendinopathy. A recent review of EE in AT tried to address the issue of treatment dosage 21 and concluded that because the studies in this tendinopathu have not used an underlying rationale to determine loading parameters, progressions and frequency of treatment, further research needs to be undertaken before an optimal dosage can be determined.
Chronic tendinopathy: effectiveness of eccentric exercise. – Semantic Scholar
However, as no attempt was made to search for unpublished studies, publication bias might have been introduced into the review. Function Various measures of functional outcome were used to determine whether EE was effective in increasing function in tendinopathy, and due to this variation, pooling of data was not possible.
Fyfe I, Stanish W D. Normalised tendon structure and decreased thickness at follow up. Scand J Med Sci Sports 1 —