Tennis Elbow: Both Concentric and Eccentric Exercise Helps

A randomized controlled trial of eccentric vs. concentric graded exercise in chronic tennis elbow (lateral elbow tendinopathy). Clin Rehabil. 2014 Mar 14. [Epub ahead of print] Peterson M, Butler S, Eriksson M, Svärdsudd K. Abstract Objective:To analyse treatment effects of eccentric vs. concentric graded exercise in chronic tennis elbow.Design:Randomized controlled trial.Setting:Primary care in Uppsala County, … Read more

Alfredson’s exercise program in Achilles tendinopathy 5 years later

A 5-year follow-up study of Alfredson’s heel-drop exercise programme in chronic midportion Achilles tendinopathy. van der Plas A, de Jonge S, de Vos RJ, van der Heide HJ, Verhaar JA, Weir A, Tol JL. Br J Sports Med. 2011 Nov 10. [Epub ahead of print] Abstract BACKGROUND: Eccentric exercises have the most evidence in conservative … Read more

Cortisone, Eccentric vs Heavy Slow Resistance for Patellar Tendinopathy

Corticosteroid injections, eccentric decline squat training and heavy slow resistance training in patellar tendinopathy. Kongsgaard M, Kovanen V, Aagaard P, Doessing S, Hansen P, Laursen AH, Kaldau NC, Kjaer M, Magnusson SP. Scand J Med Sci Sports. 2009 Dec;19(6):790-802. Epub 2009 May 28. Abstract A randomized-controlled single-blind trial was conducted to investigate the clinical, structural … Read more

Eccentric vs Eccentric Plus Shock-Wave Treatment for Achilles Tendinopathy

Eccentric loading versus eccentric loading plus shock-wave treatment for midportion Achilles tendinopathy: a randomized controlled trial. Rompe JD, Furia J, Maffulli N. Am J Sports Med. 2009 Mar;37(3):463-70. Epub 2008 Dec 15. Abstract BACKGROUND: Results of a previous randomized controlled trial have shown comparable effectiveness of a standardized eccentric loading training and of repetitive low-energy … Read more

Eccentric Exercise and Heel Brace for Achilles Tendinopathy

Eccentric exercises for the management of tendinopathy of the main body of the Achilles tendon with or without the AirHeel Brace. A randomized controlled trial. A: effects on pain and microcirculation. Knobloch K, Schreibmueller L, Longo UG, Vogt PM. Disabil Rehabil. 2008;30(20-22):1685-91. Abstract PURPOSE: To compare eccentric training and the combination of eccentric training with … Read more

Eccentric Exercise vs. Ultrasound for Achilles Tendo Pain

Eccentric calf muscle training compared with therapeutic ultrasound for chronic Achilles tendon pain–a pilot study. Chester R, Costa ML, Shepstone L, Cooper A, Donell ST. Man Ther. 2008 Dec;13(6):484-91. Epub 2007 Jul 26. Abstract A number of studies have indicated that eccentric calf muscle training has beneficial effects in the management of Achilles tendon pain … Read more

Eccentric calf muscle training in athletic patients with Achilles tendinopathy

Eccentric calf muscle training in athletic patients with Achilles tendinopathy. Maffulli N, Walley G, Sayana MK, Longo UG, Denaro V. Disabil Rehabil. 2008;30(20-22):1677-84.  Abstract PURPOSE: To evaluate the effects of eccentric strengthening exercises (ESE) in athletic patients with Achilles tendinopathy. METHODS: Forty-five athletic patients (29 men, average age 26 years +/- 12.8, range 18 – … Read more

Eccentric exercise in treatment of Achilles tendinopathy

Eccentric exercise in treatment of Achilles tendinopathy. Nørregaard J, Larsen CC, Bieler T, Langberg H. Scand J Med Sci Sports. 2007 Apr;17(2):133-8. Abstract AIM: Prognosis and treatment of Achilles tendon pain (achillodynia) has been insufficiently studied. The purpose of the present study was to examine the long-term effect of eccentric exercises compared with stretching exercises … Read more

Eccentric loading, shock-wave treatment, or a wait-and-see policy for tendinopathy

Eccentric loading, shock-wave treatment, or a wait-and-see policy for tendinopathy of the main body of tendo Achilles: a randomized controlled trial. Rompe JD, Nafe B, Furia JP, Maffulli N. Am J Sports Med. 2007 Mar;35(3):374-83. Epub 2007 Jan 23. Abstract BACKGROUND: Few randomized controlled trials compare different methods of management in chronic tendinopathy of the … Read more

Eccentric calf muscle training in non-athletic patients with Achilles tendinopathy

Eccentric calf muscle training in non-athletic patients with Achilles tendinopathy. Sayana MK, Maffulli N. J Sci Med Sport. 2007 Feb;10(1):52-8. Epub 2006 Jul 7. Abstract OBJECTIVE: Achilles tendinopathy is prevalent in athletes, but can also affect sedentary patients. We studied the effects of eccentric exercises in sedentary non-athletic patients with Achilles tendinopathy. METHODS: Thirty-four sedentary … Read more

Tennis Elbow: Ice Has Zero Effect

A controlled clinical pilot trial to study the effectiveness of ice as a supplement to the exercise programme for the management of lateral elbow tendinopathy. Manias P, Stasinopoulos D. Br J Sports Med. 2006 Jan;40(1):81-5. Abstract BACKGROUND: The use of ice as a supplement to an exercise programme has been recommended for the management of … Read more

Jumper’s Knee, Eccentric Better than Concentric Exercise?

Superior results with eccentric compared to concentric quadriceps training in patients with jumper’s knee: a prospective randomized study. Jonsson P, Alfredson H. Br J Sports Med. 2005;39(11):847-850. Abstract BACKGROUND: A recent study reported promising clinical results using eccentric quadriceps training on a decline board to treat jumper’s knee (patellar tendinosis). METHODS: In this prospective study, … Read more

Decline Squats for Volleyball Players with Patellar Tendinopathy

Eccentric decline squat protocol offers superior results at 12 months compared with traditional eccentric protocol for patellar tendinopathy in volleyball players. Young MA, Cook JL, Purdam CR, Kiss ZS, Alfredson H. Br J Sports Med. 2005 Feb;39(2):102-5. Erratum in: Br J Sports Med. 2005 Apr;39(4):246. Abstract BACKGROUND: Conservative treatment of patellar tendinopathy has been minimally … Read more

Eccentric Training and Neovascularisation in Achilles Tendinosis

Effects on neovascularisation behind the good results with eccentric training in chronic mid-portion Achilles tendinosis? Ohberg L, Alfredson H. Knee Surg Sports Traumatol Arthrosc. 2004 Sep;12(5):465-70. Epub 2004 Apr 2. Abstract The background to the good clinical results reported using painful eccentric calf-muscle training as treatment for chronic painful mid-portion Achilles tendinosis is not known. … Read more

Eccentric Calf Muscle Training for Achilles Tendinitis

Chronic Achilles tendon pain treated with eccentric calf-muscle training. Fahlström M, Jonsson P, Lorentzon R, Alfredson H. Knee Surg Sports Traumatol Arthrosc. 2003 Sep;11(5):327-33. Epub 2003 Aug 26. Abstract Injuries involving the Achilles tendon and manifested as chronic tendon pain are common, especially among recreational athletes. In a pilot study on a small group of … Read more

Decline Squats for Patellar Tendinopathy

A pilot study of the eccentric decline squat in the management of painful chronic patellar tendinopathy. Purdam CR, Jonsson P, Alfredson H, Lorentzon R, Cook JL, Khan KM. Br J Sports Med. 2004 Aug;38(4):395-7. Abstract OBJECTIVES: This non-randomised pilot study investigated the effect of eccentric quadriceps training on 17 patients (22 tendons) with painful chronic … Read more

Drop Squats vs. Leg Extension/ Curl for Jumper’s Knee

A randomised clinical trial of the efficacy of drop squats or leg extension/leg curl exercises to treat clinically diagnosed jumper’s knee in athletes: pilot study. Cannell LJ, Taunton JE, Clement DB, Smith C, Khan KM. Br J Sports Med. 2001 Feb;35(1):60-4. Abstract OBJECTIVES: To compare the therapeutic effect of two different exercise protocols in athletes … Read more

Eccentric vs. Concentric Training in Achilles Tendinitis

Superior short-term results with eccentric calf muscle training compared to concentric training in a randomized prospective multicenter study on patients with chronic Achilles tendinosis. Mafi N, Lorentzon R, Alfredson H. Knee Surg Sports Traumatol Arthrosc. 2001;9(1):42-47. Abstract In a previous uncontrolled pilot study we demonstrated very good clinical results with eccentric calf muscle training on … Read more

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 … Read more

Heavy Load Eccentric Training for Achilles Tendinosis

Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. Alfredson H, Pietila T, Jonsson P, R. L. Am J Sports Med. 1998;26(3):360-366. Abstract We prospectively studied the effect of heavy-load eccentric calf muscle training in 15 recreational athletes (12 men and 3 women; mean age, 44.3 +/- 7.0 years) who had the … Read more

Evaluation of Eccentric Exercise in Treatment of Patellar Tendinitis

Evaluation of eccentric exercise in treatment of patellar tendinitis. Jensen K, Di Fabio RP. Physical Therapy. 1989 Mar;69(3):211-6. Abstract The purpose of this study was to analyze the effects of a quadriceps femoris muscle eccentric training program on strength gain in patients with patellar tendinitis. The effect of an eight-week eccentric exercise program on quadriceps … Read more

Original Eccentric Exercise/Tendinitis Study

Eccentric exercise in chronic tendinitis.Stanish WD, Rubinovich RM, Curwin S. Clin Orthop Relat Res. 1986 Jul;(208):65-8. Abstract Chronic tendinitis, particularly of the Achilles tendon, frequently outwits traditional programs of therapy including surgery and/or prolonged immobilization. A hypothesis proposes that disruption of the tendon, micro or macro, occurs under specific conditions of eccentric loading. In order … Read more