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


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.

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.

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.

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


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Physiotherapist, university degree Rehabilitation Sports medicine
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