Eccentric or Concentric Exercises for the Treatment of Tendinopathies?

Research output: Contribution to journalComment/debateResearchpeer-review

Standard

Eccentric or Concentric Exercises for the Treatment of Tendinopathies? / Couppé, Christian; Svensson, René B; Silbernagel, Karin Grävare; Langberg, Henning; Magnusson, S Peter.

In: Journal of Orthopaedic and Sports Physical Therapy, Vol. 45, No. 11, 11.2015, p. 853-863.

Research output: Contribution to journalComment/debateResearchpeer-review

Harvard

Couppé, C, Svensson, RB, Silbernagel, KG, Langberg, H & Magnusson, SP 2015, 'Eccentric or Concentric Exercises for the Treatment of Tendinopathies?', Journal of Orthopaedic and Sports Physical Therapy, vol. 45, no. 11, pp. 853-863. https://doi.org/10.2519/jospt.2015.5910

APA

Couppé, C., Svensson, R. B., Silbernagel, K. G., Langberg, H., & Magnusson, S. P. (2015). Eccentric or Concentric Exercises for the Treatment of Tendinopathies? Journal of Orthopaedic and Sports Physical Therapy, 45(11), 853-863. https://doi.org/10.2519/jospt.2015.5910

Vancouver

Couppé C, Svensson RB, Silbernagel KG, Langberg H, Magnusson SP. Eccentric or Concentric Exercises for the Treatment of Tendinopathies? Journal of Orthopaedic and Sports Physical Therapy. 2015 Nov;45(11):853-863. https://doi.org/10.2519/jospt.2015.5910

Author

Couppé, Christian ; Svensson, René B ; Silbernagel, Karin Grävare ; Langberg, Henning ; Magnusson, S Peter. / Eccentric or Concentric Exercises for the Treatment of Tendinopathies?. In: Journal of Orthopaedic and Sports Physical Therapy. 2015 ; Vol. 45, No. 11. pp. 853-863.

Bibtex

@article{4d95264e285e48838897843fdbbb6727,
title = "Eccentric or Concentric Exercises for the Treatment of Tendinopathies?",
abstract = "Tendinopathy is a very common disorder in both recreational and elite athletes. Many individuals have recurrent symptoms that lead to chronic conditions and termination of sports activity. Exercise has become a popular and somewhat efficacious treatment regime, and in particular isolated eccentric exercise has been promoted. In this review we cover the relevant evidence for different exercise regimes in tendinopathy rehabilitation with particular focus on the applied loads that are experienced by the tendon and how the exercise regime may affect these applied loads. There is no convincing clinical evidence that demonstrate that isolated eccentric loading exercises improve the clinical outcome more than other loading therapies. However, the great variation and sometimes insufficient reporting of details of treatment protocols hamper the interpretation of what may be the optimal exercise regime with respect to parameters like load magnitude, speed of movement, and recovery period between exercise sessions. Future studies should control for these loading parameters, evaluate various exercise dosages, and also think beyond isolated eccentric exercises to arrive at firm recommendations regarding rehabilitation of individuals with tendinopathies.",
author = "Christian Coupp{\'e} and Svensson, {Ren{\'e} B} and Silbernagel, {Karin Gr{\"a}vare} and Henning Langberg and Magnusson, {S Peter}",
year = "2015",
month = "11",
doi = "10.2519/jospt.2015.5910",
language = "English",
volume = "45",
pages = "853--863",
journal = "Journal of Orthopaedic and Sports Physical Therapy",
issn = "0190-6011",
publisher = "American Physical Therapy Association Orthopaedic and Sports Physical Therapy Sections",
number = "11",

}

RIS

TY - JOUR

T1 - Eccentric or Concentric Exercises for the Treatment of Tendinopathies?

AU - Couppé, Christian

AU - Svensson, René B

AU - Silbernagel, Karin Grävare

AU - Langberg, Henning

AU - Magnusson, S Peter

PY - 2015/11

Y1 - 2015/11

N2 - Tendinopathy is a very common disorder in both recreational and elite athletes. Many individuals have recurrent symptoms that lead to chronic conditions and termination of sports activity. Exercise has become a popular and somewhat efficacious treatment regime, and in particular isolated eccentric exercise has been promoted. In this review we cover the relevant evidence for different exercise regimes in tendinopathy rehabilitation with particular focus on the applied loads that are experienced by the tendon and how the exercise regime may affect these applied loads. There is no convincing clinical evidence that demonstrate that isolated eccentric loading exercises improve the clinical outcome more than other loading therapies. However, the great variation and sometimes insufficient reporting of details of treatment protocols hamper the interpretation of what may be the optimal exercise regime with respect to parameters like load magnitude, speed of movement, and recovery period between exercise sessions. Future studies should control for these loading parameters, evaluate various exercise dosages, and also think beyond isolated eccentric exercises to arrive at firm recommendations regarding rehabilitation of individuals with tendinopathies.

AB - Tendinopathy is a very common disorder in both recreational and elite athletes. Many individuals have recurrent symptoms that lead to chronic conditions and termination of sports activity. Exercise has become a popular and somewhat efficacious treatment regime, and in particular isolated eccentric exercise has been promoted. In this review we cover the relevant evidence for different exercise regimes in tendinopathy rehabilitation with particular focus on the applied loads that are experienced by the tendon and how the exercise regime may affect these applied loads. There is no convincing clinical evidence that demonstrate that isolated eccentric loading exercises improve the clinical outcome more than other loading therapies. However, the great variation and sometimes insufficient reporting of details of treatment protocols hamper the interpretation of what may be the optimal exercise regime with respect to parameters like load magnitude, speed of movement, and recovery period between exercise sessions. Future studies should control for these loading parameters, evaluate various exercise dosages, and also think beyond isolated eccentric exercises to arrive at firm recommendations regarding rehabilitation of individuals with tendinopathies.

U2 - 10.2519/jospt.2015.5910

DO - 10.2519/jospt.2015.5910

M3 - Comment/debate

VL - 45

SP - 853

EP - 863

JO - Journal of Orthopaedic and Sports Physical Therapy

JF - Journal of Orthopaedic and Sports Physical Therapy

SN - 0190-6011

IS - 11

ER -

ID: 146734607