rehabilitation of tendinopathy: where to from here? - home energy storage
For the past 30 years, the exercise or load method for treating tendon disease has been at the forefront of treatment options.
Prior to this, the advantages of the inflammatory model provided for rest, ice and resistance
Inflammatory drugs are the only suitable method.
This approach was hardly successful;
Failure to recover and relapse is common.
In the 70-year-old Curwin and Stanish reports, eccentric loading is beneficial for endinopathy, although this has been given some clinical notice, the 1995 Alfredson paper has aroused great interest in the eccentric load of tendinopathy.
Since then, many studies have confirmed the benefits of eccentric movements, but the reasons for their effectiveness have not yet been clarified.
This effect seems to be aimed at the rehabilitation of the active population;
In the season and in the inactive crowd, the odd exercise is not very successful.
Specificity of eccentricity-
Some people also questioned that only exercise
While the eccentricity must obviously be part of the plan, it has proven to be effective when combined with concentric movements and a fairly high load.
Is there more progress in exercise?
Based on rehabilitation?
If the continuum model is correct, then it is essential to consider the load at different stages, bearing in mind that the eccentric protocol has proven to be the most effective in chronic degenerative tendon disease.
Reactive tendinopathy may require different loading methods, as do the common clinical manifestations of degenerative tendinopathy.
Power and Energy Storage loads were not considered in the study, although they are clinically a key part of rehabilitation.
Research in these areas may be complex and require a lotcentre trials;
People at this meeting may give priority to the study as a whole.