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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Roos 50 RCT.

J Hand Ther 17 — Therefore, this systematic review was undertaken to evaluate the current evidence for oc effectiveness of EE programmes in the treatment of common tendinopathies. Accepted Oct Clin Sports Med 22 — Chronic excentric Achilles tendinopathy: All studies gave descriptive statistics on age of subjects with an overall mean of Physical Therapy in Sport 2 54— KortebeinKatherine W.

Six of the included studies were considered to be of a high quality.

Chronic tendinopathy: effectiveness of eccentric exercise

A qualitative study Raymond LeungNikolaos G. Phys Ther 69 — The same study also assessed grip strength as a functional measure, but again there were no statistically significant results. Dimensions of methodological quality associated with estimates of treatment effects in controlled trials. New Zealand Journal of Sports Medicine 33 22— Br J Sports Med 38 — Pain measurement in humans.

Chronic tendinopathy: effectiveness of eccentric exercise

RCTs investigating the effect of EE on rotator cuff tendinopathy were not found using the defined search strategy. Levels of evidence were then determined using the following criteria: EE programmes have been emphasised in recent literature as effectigeness key part of tendinopathy rehabilitation. In addition, the effects of EE programme durations and intensities should be investigated. Am J Sports Med 15 79— Study quality was assessed using published scales, both consisting of 11 criteria.


Development of a highly sensitive search strategy for the retrieval of reports of controlled trials using PubMed. Scand J Med Sci Sports 11 — Cur Opin Rheumatol 11 — The authors found a lack of high-quality evidence to support the effectiveness of eccentric exercise in comparison with other treatments for relieving pain and improving function or patient satisfaction.

Each critical abstract contains a brief summary of the review methods, results and conclusions followed by a detailed critical assessment on the reliability of the review and the conclusions drawn. Clin J Sport Med 15 — Med Sport Roma 56 — In addition, three sports medicine journals were handsearched covering the dates to January and the reference lists of relevant articles were checked exrecise additional studies.

Chronic tendinopathy: effectiveness of eccentric exercise. – Semantic Scholar

The PEDro scores for articles found in the PEDro database were subsequently compared to those available on the website. J Clin Epidemiol 51 — Only a few studies reported similar outcomes, making the pooling kf data impossible for the majority of outcome measures.

Robinson K A, Dickersin K. Jonsson 45 RCT Participants: MeeuwisseChirag I. CookRoald Bahr Clinical journal of sport medicine: Four studies investigated subjects diagnosed with AT, 27505259 four eccenntric subjects with PT 45535557 and the remaining three investigated subjects with LET.


EE, night splint or combination of both. Advice on ice massage and strap use was also given to all patients.

Chronic tendinopathy: effectiveness of eccentric exercise.

Studies that reported at least one of these three clinically orientated outcomes were included in the systematic review. Physical Therapy in Sport 1 6— However, a recent study suggests that sedentary subjects with AT may show less promising results with EE therapy compared to athletic subjects.

Selvanetti et al 63 also studied the common extensor tendon origin to determine the effect of EE compared to ultrasound, and found a significant difference in Ko 70 scores at 4 weeks WMD Am J Ind Med 29 — Some studies were pooled, but statistical tests of heterogeneity were not reported for these analyses.

The criteria included methods of randomisation, allocation concealment, blinding, eccentic analysis, drop-out rates, timing of the outcome assessment in both groups, and between-group statistical comparisons.

Three assessors BW, DB and RNW independently reviewed the included articles and a consensus was reached to determine the final quality scores. PeersRoeland J.