The Application of Eccentric Movement in the Treatment of Tendinopathies


Authors: Orenčák R. Janičko M. 1,3 2;  Š. Onušková 1
Authors‘ workplace: REHAPRO, Michalovce 1;  I. Interná klinika UNLP, Košice 2;  Klinik fur Neurologie und Stroke Unit, Helios Klinikum Aue, SRN 3
Published in: Rehabil. fyz. Lék., 22, 2015, No. 4, pp. 208-214.
Category: Review Article

Overview

Degenerative affections of tendons belong to frequent causes why patients find the physician help. Prevalence of patellar tendinopathy reached 45% in volleyball players and 32% in basketball players. In regular tennis players prevalence of radial epicondylalgia was observed to reach 40%. Radial epicondylitis was detected in up to 15% of workers, who performed repetitive movement in the wrist.

Objective:
the authors draw attention to etiopathogenic connections in the origin of degenerative process and, at the same time, present the mechanisms of the effects of eccentric training on the ligament tissue.

Results:
A successful management of degenerative affection of tendons remains to be an important therapeutic problem. Conservative or surgical therapeutic procedures often do not reach conclusive results for both the physician and the patient. An eccentric training represents a very efficient therapeutic procedure for influencing the degenerative process. Exactly performed application and understanding of the effects at neurophysiological and molecular level should belong to general view of medical personnel, who encounter this diagnosis.

Keywords:
eccentric movements, tendinopathy, rehabilitation therapy of tendinopathies, enthesopathy, tendinosis


Sources

1. ADAMS, G. R., CHENG, D. C., HADDAD, F., BALDWIN, K. M.: Skeletal muscle hypertrophy in response to isometric, lengthening, and shortening training bouts of equivalent duration. Journal of Applied Physiology, 96, 2004,5, s. 1613-1618.

2. ALFREDSON, H.: Chronic pain in the Achilles tendon. Aspetar Sports Medicine Journal, 2, 2013, 1, s. 18-22.

3. ALFREDSON, H., COOK, J.: A treatment algorithm for managing Achilles tendinopathy: new treatment options. British Journal of Sports Medicine, 41, 2007, 4, s. 211-216.

4. BESTWICK, C. S., MAFFULLI, N.: Reactive oxygen species and tendon problems: review and hypothesis. Sports Medicine and Arthroscopy Review, 8, 2000, 1, s. 6-16.

5. BUBBICO, A., KRAVITZ, L.: Eccentric exercise. IDEA Fitness Journal, 7, 2010, 9, s. 50-59.

6. DE MARCHE BALDON, R., LOBATO, D. F. M., YOSHIMATSU, A. P., DOS SANTOS, A. F. et al.: Effect of plyometric training on lower limb biomechanics in females. Clinical Journal of Sport Medicine, 24, 2014, 1, s. 44-50.

7. DEAN, B. J. F., LOSTIS, E., OAKLEY, T., ROMBACH, I. et al.: The risks and benefits of glucocorticoid treatment for tendinopathy: A systematic review of the effects of local glucocorticoid on tendon. In Seminars in arthritis and rheumatism. Elsevier, 43, 2014, 3, s. 570-576.

8. EL KHOURY, L., POSTHUMUS, M., COLLINS, M., RIBBANS, W. et al.: 82 The COL5A1 gene and risk of Achilles tendon pathology in a British Cohort. British Journal of Sports Medicine, 48, 2014, (Suppl. 2), s. A54-A54.

9. ENOKA, R. M.: Eccentric contractions require unique activation strategies by the nervous system. Journal of Applied Physiology, 81, 1996, 6, s. 2339-2346.

10. FANG, Y., SIEMIONOW, V., SAHGAL, V., XIONG, F. et al.: Greater movement-related cortical potential during human eccentric versus concentric muscle contractions. Journal of Neurophysiology, 86, 2001, 4, s. 1764-1772.

11. FARTHING, J. P., CHILIBECK P. D.: The effects of eccentric and concentric training at different velocities on muscle hypertrophy. European Jurnal of Aplied Pysiology, 89, 2003, 6, s. 576-586.

12. GÚTH, A., ČERMÁK, J., MALÝ, M., GÚTH, A. et al.: Vyšetrovacie a liečebné metodiky pre fyzioterapeutov. Edtion ed.: Liečreh Gúth, 1998. ISBN 8088932025.

13. HART, L.: Corticosteroid and other injections in the management of tendinopathies: a review. Clinical Journal of Sport Medicine, 21, 2011, 6, s. 540-541.

14. HEINEMEIER, K. M., OLESEN, J., HADDAD, F., LANGBERG, H. et al.: Expression of collagen and related growth factors in rat tendon and skeletal muscle in response to specific contraction types. The Journal of Physiology, 582, 2007, 3, s. 1303-1316.

15. HERD, C. R., MESERVE, B. B.: A systematic review of the effectiveness of manipulative therapy in treating lateral epicondylalgia. Journal of Manual & Manipulative Therapy, 16, 2008, 4, s. 225-237.

16. HERZOG, W.: The role of titin in eccentric muscle contraction. The Journal of Experimental Biology, 217, 2014, 16, s. 2825-2833.

17. HOLMES, G. B., LIN J.: Etiologic factors associated with symptomatic achilles tendinopathy. Foot & Ankle International, 27, 2006, 11, s. 952-959.

18. HORTOBÁGYI, T., ZHENG, D., WEIDNER, M., LAMBERT, N. J. et al.: The influence of aging on muscle strength and muscle fiber characteristics with special reference to eccentric strength. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 50, 1995, 6, s. B399-B406.

19. JOZSA, L., BALINT, J., KANNUS, P., REFFY, A. et al.: Distribution of blood groups in patients with tendon rupture. An analysis of 832 cases. Journal of Bone & Joint Surgery, British Volume, 71, 1989, 2, s. 272-274.

20. KANDA, K., SUGAMA, K., HAYASHIDA, H., SAKUMA, J. et al.: Eccentric exercise-induced delayed-onset muscle soreness and changes in markers of muscle damage and inflammation. Exerc. Immunol. Rev, 19, 2013, s. 72-85.

21. KOLÁŘ, P.: Rehabilitace v klinické praxi. Edtion ed.: Galén, 2009. ISBN 8072626574.

22. KUJALA, U., JÄRVINEN, M., NATRI, A., LEHTO, M. et al.: ABO blood groups and musculoskeletal injuries. Injury, 23, 1992, 2, s. 131-133.

23. KUJALA, U. M., SARNA, S., KAPRIO, J.: Cumulative incidence of achilles tendon rupture and tendinopathy in male former elite athletes. Clinical Journal of Sport Medicine, 15, 2005, 3, s. 133-135.

24. LANGBERG, H., ELLINGSGAARD, H., MADSEN, T., JANSSON, J. et al.: Eccentric rehabilitation exercise increases peritendinous type I collagen synthesis in humans with Achilles tendinosis. Scandinavian Journal of Medicine & Science in Sports,17, 2007, 1, s. 61-66.

25. LINDSTEDT, S., LASTAYO, P., REICH, T.: When active muscles lengthen: properties and consequences of eccentric contractions. Physiology, 16, 2001, 6, s. 256-261.

26. MALISOUX, L., FRANCAUX, M., NIELENS, H., THEISEN D.: Stretch-shortening cycle exercises: an effective training paradigm to enhance power output of human single muscle fibers. Journal of Applied Physiology, 100, 2006, 3, s. 771-779.

27. MORITANI, T., MURAMATSU, S., MURO, M.: Activity of motor units during concentric and eccentric contractions1. American Journal of Physical Medicine & Rehabilitation, 66, 1987, 6, s. 338-350.

28. MURTAUGH, B., IHM, J. M.: Eccentric training for the treatment of tendinopathies. Current Sports Medicine Reports, 12, 2013, 3, s. 175-182.

29. NOURISSAT, G., HOUARD, X., SELLAM, J., DUPREZ, D. et al: Use of autologous growth factors in aging tendon and chronic tendinopathy. Frontiers in Bioscience (Elite edition), 2013, 5, s. 911.

30. ÖHBERG, L., LORENTZON, R., ALFREDSON, H.: Neo-vascularisation in Achilles tendons with painful tendinosis but not in normal tendons: an ultrasonographic investigation. Knee Surgery, Sports Traumatology, Arthroscopy, 9, 2001, 4, s. 233-238.

31. OZBAR, N., ATES, S., AGOPYAN, A: The effect of 8-week plyometric training on leg power, jump and sprint performance in female soccer player. Journal of Strength and Conditioning Research/National Strength & Conditioning Association, 2014.

32. PEĆINA, M., IVKOVIĆ, A., BOJANIĆ, I., BRČIĆ, L. et al.: Patellar tendinopathy: histopathological examination and follow-up of surgical treatment. Acta Chir. Orthop. Traumatol. Cechoslov, 77, 2010, 4, s. 277-283.

33. REES, J., LICHTWARK, G. A., WOLMAN, R., WILSON A.: The mechanism for efficacy of eccentric loading in Achilles tendon injury; an in vivo study in humans. Rheumatology (Oxford), 47, 2008, 10, s. 1493-1497.

34. RECHARDT, M., SHIRI, R., KARPPINEN, J., JULA, A. et al.: Lifestyle and metabolic factors in relation to shoulder pain and rotator cuff tendinitis: a population-based study. BMC Musculoskeletal Disorders, 11, 2010, 1, s. 165.

35. RILEY, G.: The pathogenesis of tendinopathy. A molecular perspective. Rheumatology (Oxford), 43, 2004, 2, s. 131-142.

36. SHARMA, P., MAFFULLI, N.: Tendon injury and tendinopathy: healing and repair. The Journal of Bone & Joint Surgery, 87, 2005, 1, s. 187-202.

37. STANISH, W. D., RUBINOVICH, R. M., CURWIN, S.: Eccentric exercise in chronic tendinitis. Clinical Orthopaedics and Related Research, 208, 1986, s. 65-68.

38. VÉLE, F.: Kineziologie pro klinickou praxi. Edtion ed.: Grada Publishing, 1997. ISBN 8071692565.

39. VÉLE, F.: Kineziologie, 2. rozšírene a prepracované vyd. Edtion ed. Praha, Triton, 2006. 375 s., ISBN 80-7254-837.

40. WILLEMS, T. M., DE CLERCQ, D., DELBAERE, K., VANDERSTRAETEN, G. et al.: A prospective study of gait related risk factors for exercise-related lower leg pain. Gait & Posture, 23, 2006, 1, s. 91-98.

Labels
Physiotherapist, university degree Rehabilitation Sports medicine
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