This is a Journal Club quiz that can be completed to acquire CPD points. Read the article and complete the quiz that follows.
Tendinopathy is a very common disorder in both recreational and elite athletes. Many individuals have recurrent symptoms that lead to chronic conditions and termination of sports activity. Exercise has become a popular and somewhat efficacious treatment regime, and isolated eccentric exercise has been particularly promoted. In this clinical commentary, we review the relevant evidence for different exercise regimes in tendinopathy rehabilitation, with particular focus on the applied loads that are experienced by the tendon and how the exercise regime may affect these applied loads. There is no convincing clinical evidence to demonstrate that isolated eccentric loading exercise improves clinical outcomes more than other loading therapies. However, the great variation and sometimes insufficient reporting of the details of treatment protocols may hamper the interpretation of what may be the optimal exercise regime with respect to parameters such as load magnitude, speed of movement, and recovery period between exercise sessions. Future studies should control for these loading parameters, evaluate various exercise dosages, and think beyond isolated eccentric exercises to arrive at firm recommendations regarding rehabilitation of individuals with tendinopathies.
Quiz details: 70% pass/ 2 attempts
What Will You Learn?
- After reading this clinical commentary review, you will be able to analyse and compare the effectiveness of different exercise regimes in tendinopathy rehabilitation, considering factors such as load magnitude, speed of movement, and recovery period between exercise sessions.
- Upon completion of this reading and quiz, you will be able to propose evidence-based recommendations for the rehabilitation of individuals with tendinopathies, taking into account various exercise dosages and exploring exercise approaches beyond isolated eccentric exercises.
Journal Club: Eccentric or Concentric Exercises for the Treatment of Tendinopathies?
Journal Club: Eccentric or Concentric Exercises for the Treatment of Tendinopathies?00:00
CPD Questions for the Article