In Achilles Tendinopathy the Symptomatic Tendon Differs from the Asymptomatic Tendon While Exercise Therapy Has Little Effect on Asymmetries-An Ancillary Analysis of Data from a Controlled Clinical Trial.
Achilles tendinopathy
eccentric exercise
heavy slow resistance training
high-load
inter-limb asymmetry
physiotherapy
tendon adaptation
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
31 Jan 2023
31 Jan 2023
Historique:
received:
17
12
2022
revised:
27
01
2023
accepted:
30
01
2023
entrez:
11
2
2023
pubmed:
12
2
2023
medline:
12
2
2023
Statut:
epublish
Résumé
As inter-limb asymmetries can be associated with higher injury risk, we aimed to investigate their role in Achilles tendinopathy patients. In Achilles tendinopathy patients (n = 41), we assessed inter-limb asymmetries of mechanical, material, and morphological musculoskeletal properties and function and how those were affected by 12 weeks of exercise intervention (high-load protocol, n = 13; Alfredson protocol, n = 11). Moreover, we assessed whether asymmetry reductions correlated with improved Patient-Reported Outcomes (VISA-A score). At baseline, tendinopathic tendons demonstrated lower tendon force ( The tendinopathic limb differs from the asymptomatic limb while therapeutic exercise interventions have little effect on asymmetries. Asymmetry reductions are not necessarily associated with tendon health improvements.
Sections du résumé
BACKGROUND
BACKGROUND
As inter-limb asymmetries can be associated with higher injury risk, we aimed to investigate their role in Achilles tendinopathy patients.
METHODS
METHODS
In Achilles tendinopathy patients (n = 41), we assessed inter-limb asymmetries of mechanical, material, and morphological musculoskeletal properties and function and how those were affected by 12 weeks of exercise intervention (high-load protocol, n = 13; Alfredson protocol, n = 11). Moreover, we assessed whether asymmetry reductions correlated with improved Patient-Reported Outcomes (VISA-A score).
RESULTS
RESULTS
At baseline, tendinopathic tendons demonstrated lower tendon force (
CONCLUSIONS
CONCLUSIONS
The tendinopathic limb differs from the asymptomatic limb while therapeutic exercise interventions have little effect on asymmetries. Asymmetry reductions are not necessarily associated with tendon health improvements.
Identifiants
pubmed: 36769750
pii: jcm12031102
doi: 10.3390/jcm12031102
pmc: PMC9918090
pii:
doi:
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : Bundesinstitut für Sportwissenschaft
ID : ZMVI4-070102/16-17
Organisme : Stiftung Oskar-Helene-Heim, Berlin, Germany
ID : (n. a.)
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