Tendinopatía aquilea y ejercicio excéntrico, una revisión narrativa

  1. Martín Llantino, Pedro Javier
  2. Vázquez Rigueira, Patricia
  3. Rodríguez Sanz, David
  4. Romero Morales, Carlos
  5. Calvo Lobo, César
Revista:
EJPOD: European Journal of Podiatry = Revista europea de podología

ISSN: 2445-1835

Any de publicació: 2018

Volum: 4

Número: 1

Pàgines: 10-16

Tipus: Article

DOI: 10.17979/EJPOD.2018.4.1.3173 DIALNET GOOGLE SCHOLAR lock_openAccés obert editor

Altres publicacions en: EJPOD: European Journal of Podiatry = Revista europea de podología

Resum

Objectives: The main objective of this bibliographical review is to know the most effective application according to the science of eccentric exercise (EE) when it comes to managing Aquilles Tendinopathy (AT). The secondary objectives are to know the differences between the sexes when receiving the treatment of eccentric exercise in the AT and to know the mechanism of action of EE in the AT.Methods: A literature search was made in the PubMed database. The following terms were used: “Tendinopathy”, “Tendinopathy treatment”, “Tendinopathy eccentric” “Tendinopathy eccentric exercise”, “Achilles tendinopathy”, “Achilles tendinopathy treatment”, “Achilles tendinopathy rehabilitation”, “Achilles tendinopathy physical therapy”, “Achilles tendinopathy exersice”, “Achilles tendinopathy eccentric”. We selected articles that provided methodological quality, scientific relevance, or a novel vision.Results: We found articles that support the application of EE as a treatment for AT and the recommended dosage. We found several articles that theorize about the effects of EE on AT. An article was found that differentiates the effects of EE in men and women in AT.Conclusions: EE is the treatment of choice in AT. The Alfedson protocol has the most scientific support. In the future it will be necessary to carry out studies of higher methodological quality on different exercise options. It is not clear what are the mechanisms of EE action in the TA. It is shown that the effects of EE in women are limited compared to men.

Referències bibliogràfiques

  • Maffulli N, Kader D. Tendinopathy of tendo achillis. Journal of Bone and Joint Surgery -British volume- 2002;84(1):1-8.
  • McCrory JL, Martin DF, Lowery RB, Cannon DW, Curl WW, Read HM,Jr, et al. Etiologic factors associated with Achilles tendinitis in runners. Med Sci Sports Exerc 1999 Oct;31(10):1374-1381.
  • Kvist M. Achilles tendon injuries in athletes. Sports Medicine 1994;18(3):173-201.
  • Järvinen TA, Kannus P, Maffulli N, Khan KM. Achilles tendon disorders: etiology and epidemiology. Foot Ankle Clin 2005;10(2):255-266.
  • Houshian S, Tscherning T, Riegels-Nielsen P. The epidemiology of Achilles tendon rupture in a Danish county. Injury 1998;29(9):651-654.
  • Raikin SM, Garras DN, Krapchev PV. Achilles tendon injuries in a United States population. Foot Ankle Int 2013 Apr;34(4):475-480.
  • Rolf C, Movin T. Etiology, histopathology, and outcome of surgery in achillodynia. Foot Ankle Int 1997 Sep;18(9):565-569.
  • Ames PRJ, Longo UG, Denaro V, Maffulli N. Achilles tendon problems: not just an orthopaedic issue. Disabil Rehabil 2008;30(20-22):1646-1650.
  • Rompe JD, Nafe B, Furia JP, Maffulli N. Eccentric loading, shock-wave treatment, or a wait-and-see policy for tendinopathy of the main body of tendo Achillis: a randomized controlled trial. Am J Sports Med 2007 Mar;35(3):374-383.
  • De Jonge S, van den Berg C, de Vos RJ, van der Heide HJ, Weir A, Verhaar JA, et al. Incidence of midportion Achilles tendinopathy in the general population. Br J Sports Med 2011 Oct;45(13):1026-1028.
  • Bohm S, Mersmann F, Arampatzis A. Human tendon adaptation in response to mechanical loading: a systematic review and meta-analysis of exercise intervention studies on healthy adults. Sports Medicine-Open 2015;1(1):1-18.
  • Silbernagel K, Thomee R, Thomee P, Karlsson J. Eccentric overload training for patients with chronic Achilles. Scand J Med Sci Sports 2001;11
  • Van Ark M, Cook JL, Docking SI, Zwerver J, Gaida JE, van den Akker-Scheek I, et al. Do isometric and isotonic exercise programs reduce pain in athletes with patellar tendinopathy in-season? A randomised clinical trial. Journal of Science and Medicine in Sport 2016;19(9):702-706. 14. Rio E, van Ark M, Docking S, Moseley GL, Kidgell D, Gaida JE, et al. Isometric Contractions Are More Analgesic Than Isotonic Contractions for Patellar Tendon Pain: An In-Season Randomized Clinical Trial. Clin J Sport Med 2017 May;27(3):253-259.
  • Rio E, Kidgell D, Purdam C, Gaida J, Moseley GL, Pearce AJ, et al. Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. Br J Sports Med 2015 Oct;49(19):1277-1283.
  • Grigg NL, Wearing SC, Smeathers JE. Eccentric calf muscle exercise produces a greater acute reduction in Achilles tendon thickness than concentric exercise. Br J Sports Med 2009 Apr;43(4):280-283.
  • Beyer R, Kongsgaard M, Kjær BH, Øhlenschlæger T, Kjær M, Magnusson SP. Heavy Slow Resistance Versus Eccentric Training as Treatment for Achilles Tendinopathy A Randomized Controlled Trial. Am J Sports Med 2015:0363546515584760.
  • Morrissey D, Roskilly A, Twycross-Lewis R, Isinkaye T, Screen H, Woledge R, et al. The effect of eccentric and concentric calf muscle training on Achilles tendon stiffness. Clin Rehabil 2011 Mar;25(3):238-247.
  • Mafi N, Lorentzon R, Alfredson H. 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. Knee Surgery, Sports Traumatology, Arthroscopy 2001;9(1):42-47.
  • Stanish W, Rubinovich R, Curwin S. Eccentric exercise in chronic tendinitis. Clin Orthop 1986;208:65-68.
  • Alfredson H, Pietila T, Jonsson P, Lorentzon R. Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. Am J Sports Med 1998 May-Jun;26(3):360-366.
  • Alfredson H. Clinical commentary of the evolution of the treatment for chronic painful mid-portion Achilles tendinopathy. Brazilian journal of physical therapy 2015(AHEAD):0-0.
  • Roos EM, Engström M, Lagerquist A, Söderberg B. Clinical improvement after 6 weeks of eccentric exercise in patients with mid‐portion Achilles tendinopathy–a randomized trial with 1‐year follow‐up. Scand J Med Sci Sports 2004;14(5):286-295.
  • Sayana MK, Maffulli N. Eccentric calf muscle training in non-athletic patients with Achilles tendinopathy. Journal of Science and Medicine in Sport 2007;10(1):52-58.
  • Maffulli N, Walley G, Sayana MK, Longo UG, Denaro V. Eccentric calf muscle training in athletic patients with Achilles tendinopathy. Disabil Rehabil 2008;30(20-22):1677-1684.
  • Nørregaard J, Larsen C, Bieler T, Langberg H. Eccentric exercise in treatment of Achilles tendinopathy. Scand J Med Sci Sports 2007;17(2):133-138.
  • Ohberg L, Lorentzon R, Alfredson H. Eccentric training in patients with chronic Achilles tendinosis: normalised tendon structure and decreased thickness at follow up. Br J Sports Med 2004 Feb;38(1):8-11; discussion 11.
  • Van der Plas A, de Jonge S, de Vos RJ, van der Heide HJ, Verhaar JA, Weir A, et al. A 5-year follow-up study of Alfredson's heel-drop exercise programme in chronic midportion Achilles tendinopathy. Br J Sports Med 2012 Mar;46(3):214-218.
  • Fahlström M, Jonsson P, Lorentzon R, Alfredson H. Chronic Achilles tendon pain treated with eccentric calf-muscle training. Knee surgery, sports traumatology, arthroscopy 2003;11(5):327-333.
  • Habets B, Cingel R. Eccentric exercise training in chronic mid‐portion Achilles tendinopathy: A systematic review on different protocols. Scand J Med Sci Sports 2015;25(1):3-15.
  • Stevens M, Tan C. Effectiveness of the alfredson protocol compared with a lower repetition-volume protocol for midportion Achilles tendinopathy: a randomized controlled trial. journal of orthopaedic & sports physical therapy 2014;44(2):59-67.
  • Tumilty S, Mani R, Baxter GD. Photobiomodulation and eccentric exercise for Achilles tendinopathy: a randomized controlled trial. Lasers in medical science 2016;31(1):127-135.
  • Morrison SM, Dick TJ, Wakeling JM. Structural and mechanical properties of the human Achilles tendon: Sex and strength effects. J Biomech 2015.
  • Knobloch K, Schreibmueller L, Kraemer R, Jagodzinski M, Vogt PM, Redeker J. Gender and eccentric training in Achilles mid-portion tendinopathy. Knee Surgery, Sports Traumatology, Arthroscopy 2010;18(5):648-655.
  • Fyfe I, Stanish WD. The use of eccentric training and stretching in the treatment and prevention of tendon injuries. Clin Sports Med 1992 Jul;11(3):601-624.
  • Mahieu N, Cools A, De Wilde B, Boon M, Witvrouw E. Effect of proprioceptive neuromuscular facilitation stretching on the plantar flexor muscle‐tendon tissue properties. Scand J Med Sci Sports 2009;19(4):553-560.
  • Knobloch K, Kraemer R, Jagodzinski M, Zeichen J, Meller R, Vogt PM. Eccentric training decreases paratendon capillary blood flow and preserves paratendon oxygen saturation in chronic Achilles tendinopathy. journal of orthopaedic & sports physical therapy 2007;37(5):269-276.
  • Rees JD, Lichtwark GA, Wolman RL, Wilson AM. The mechanism for efficacy of eccentric loading in Achilles tendon injury; an in vivo study in humans. Rheumatology (Oxford) 2008 Oct;47(10):1493-1497.
  • Crill MT, Berlet G, Hyer C. Plantar flexor muscle architecture changes as a result of eccentric exercise in patients with Achilles tendinosis. Foot Ankle Spec 2014 Dec;7(6):460-465.
Fuente de los datos: Dialnet