Isokinetic Eccentric Exercise for Recurrent Tendinitis

Treatment of recurrent tendinitis by isokinetic eccentric exercise. Croisier J-L, Forthomme B, Foidart-Dessalle M, Godon B, Crielaard J-M. Isokinetics and Exercise Science. 2001;9:133-141. 

Diagnosis:  9 Achilles, 10 patellar, and 15 lateral epicondyllar

Outcome:  15/34 patients had complete relief of symptoms, 10/34 had marked decrease in symptoms, 5/34 had moderate decrease in symptoms, and 4/34 had no change in symptoms.

When Assessed:  After 20 to 30 sessions, which should be ~7-10 weeks. Follow up for return to sporting activities was “after 3 months of practice”.

Subjects:  34 patients, 9 Achilles, 10 patellar and 15 epicondyllar. No blinding and no control group.

Protocol:  Isokinetic eccentric exercise 3x per week, 1-5 sets of 10-30 reps, increasing speed and intensity over time. 20-30 sessions. Comanaged with ice, TENS, ultrasound, massage and stretching.

Other Activity:  “Subjects were instructed to avoid provoking pain or discomfort in the course of activities between training sessions.”

Chad’s Comments:   Reported they generally noted a significant decrease in pain by the 10th session. Did exercises just 3x per week to good effect. Found roughly the same effectiveness regardless of tendinitis type.

Thanks for reading my blog. If you have any questions or comments (even hostile ones) please don’t hesitate to ask/share. If you’re reading one of my older blogs, perhaps unrelated to neck or back pain, and it helps you, please remember Spinal Flow Yoga for you or someone you know in the future.

Chad Reilly is a Physical Therapist, obtaining his Master’s in Physical Therapy from Northern Arizona University. He graduated Summa Cum Laude with a B.S. Exercise Science also from NAU. He is a Certified Strength and Conditioning Specialist, and holds a USA Weightlifting Club Coach Certification as well as a NASM Personal Training Certificate. Chad completed his Yoga Teacher Training at Sampoorna Yoga in Goa, India.

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