Does eccentric loading improve symptoms of chronic Achilles tendinopathy in adults?
Tendinopathy is known as an overuse injury and often linked to patients who participate in sports which involve repetitive running and jumping, however one third of all patients live a non-active life style (Habets et al., 2014). Eccentric loading, injections, shockwave therapy, modified rest and NSAID’S are all management strategies suggested over the years for the management & treatment of Achilles tendinopathy, this collection of proposed actions for treatment has risen from the lack of agreement to the cause of tendinopathy as research is limited (Maffuli et al., 2008). Impaired oxygen and metabolic delivery is said to be the result of repeated strain on the tendon which distort collagen and fibrils which can damage blood cells, the tearing of collagen is seen to be the main aspect of tendinopathy (Renstorm et al., 2007). …show more content…
Normal mechanical load promotes mechanotransduction which is tendon cells responding to load resulting in reconstruction of the cellular matrix which can support the healing phase for the tendon (Eliasson, 2011). Mechanical load has been identified to have an important role in the rehabilitation of tendinopathy, the type of load is also important, eccentric exercises have been recognized to the improvement of symptoms in numerous research studies in this not so clear condition and are mostly used for rehabilitation (Maffilu et al., 2005). The aim of this literature review is to provide a comprehensive review to see if eccentric loading exercises have a positive effect in reducing pain and improving symptoms in chronic Achilles Tendinopathy based on secondary
Tendinopathy is known as an overuse injury and often linked to patients who participate in sports which involve repetitive running and jumping, however one third of all patients live a non-active life style (Habets et al., 2014). Eccentric loading, injections, shockwave therapy, modified rest and NSAID’S are all management strategies suggested over the years for the management & treatment of Achilles tendinopathy, this collection of proposed actions for treatment has risen from the lack of agreement to the cause of tendinopathy as research is limited (Maffuli et al., 2008). Impaired oxygen and metabolic delivery is said to be the result of repeated strain on the tendon which distort collagen and fibrils which can damage blood cells, the tearing of collagen is seen to be the main aspect of tendinopathy (Renstorm et al., 2007). …show more content…
Normal mechanical load promotes mechanotransduction which is tendon cells responding to load resulting in reconstruction of the cellular matrix which can support the healing phase for the tendon (Eliasson, 2011). Mechanical load has been identified to have an important role in the rehabilitation of tendinopathy, the type of load is also important, eccentric exercises have been recognized to the improvement of symptoms in numerous research studies in this not so clear condition and are mostly used for rehabilitation (Maffilu et al., 2005). The aim of this literature review is to provide a comprehensive review to see if eccentric loading exercises have a positive effect in reducing pain and improving symptoms in chronic Achilles Tendinopathy based on secondary