CHRONIC TENDINOPATHY EFFECTIVENESS OF ECCENTRIC EXERCISE PDF

Open in a separate window Inclusion and exclusion criteria Randomised controlled trials investigating the use of EE to treat tendinopathy of the Achilles tendon, patella tendon, common wrist extensor tendon origin, or rotator cuff tendons were included. Other less common tendinopathies fell outside the scope of this review. Studies where at least one treatment group received an EE programme as the mainstay of treatment were included. Study participants must have been diagnosed clinically with tendinopathy of the studied tendon.

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Open in a separate window Inclusion and exclusion criteria Randomised controlled trials investigating the use of EE to treat tendinopathy of the Achilles tendon, patella tendon, common wrist extensor tendon origin, or rotator cuff tendons were included.

Other less common tendinopathies fell outside the scope of this review. Studies where at least one treatment group received an EE programme as the mainstay of treatment were included. Study participants must have been diagnosed clinically with tendinopathy of the studied tendon.

Studies that included participants who had previously ruptured, or had undergone surgery of, the involved tendon were excluded as were studies that compared two different types of EE programmes without a control group. A recent review of pain measurement methods recommended the visual analogue scale VAS 33 and the McGill Pain Questionnaire 34 as the most reliable and sensitive tools for pain measurement. Studies that reported at least one of these three clinically orientated outcomes were included in the systematic review.

The PEDro scale consists of 11 criteria, of which the first is not included in the final internal validity score. The van Tulder scale is the methodological quality scale utilised in the updated guidelines for systematic reviews of the Cochrane Collaboration back review group.

Three assessors BW, DB and RNW independently reviewed the included articles and a consensus was reached to determine the final quality scores.

The PEDro scores for articles found in the PEDro database were subsequently compared to those available on the website. Methodological scores were calculated for each study and the two scales were then compared to determine whether these were consistent measures of quality.

The studies were then rated as high or low quality based on definitions used in a previous systematic review using the van Tulder scale. Studies that did not meet this level were rated as low quality. If a study reported data that were not adequate for inclusion in the analysis, all efforts were made to obtain it from the relevant author. Values were then entered for analysis into Review Manager 4. Sample size calculations were obtained using an online calculator, 44 in collaboration with a biostatistician.

The hand search of three sports journals resulted in no further inclusions.

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Chronic tendinopathy: effectiveness of eccentric exercise

The authors found a lack of high-quality evidence to support the effectiveness of eccentric exercise in comparison with other treatments for relieving pain and improving function or patient satisfaction. The conclusions are likely to be reliable. The search dates covered to January and the keywords were reported. In addition, three sports medicine journals were handsearched covering the dates to January and the reference lists of relevant articles were checked for additional studies. Studies in any language were eligible for inclusion. Study selection Study designs of evaluations included in the review Randomised controlled trials RCTs were eligible for inclusion.

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Chronic tendinopathy: effectiveness of eccentric exercise.

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