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Archivos de Prevención de Riesgos Laborales

versión On-line ISSN 1578-2549

Resumen

ARNAL-GOMEZ, Anna et al. Efficacy of eccentric exercise as a treatment for Achilles tendinopathy: literature review. Arch Prev Riesgos Labor [online]. 2020, vol.23, n.2, pp.211-233.  Epub 21-Sep-2020. ISSN 1578-2549.  https://dx.doi.org/10.12961/aprl.2020.23.02.07.

Introduction:

Tendinopathies are a consequence of excessive tendon loads, so they are frequent both in athletes and in the workplace due to repetitive movements and forced postures. Achilles tendinopathy is characterized by a disorganized healing response, associated with a certain degree of neovascularization, with conservative treatment being the initial strategy.

Objectives:

To carry out a bibliographic review in order to identify the different eccentric exercise protocols and their effectiveness in Achilles tendinopathy.

Methods:

A literature review of scientific articles has been implemented in the databases of PubMed and The Cochrane Library databases using the key words “((tendinopathy) AND (Achilles Tendon) AND (exercise OR exercise therapy OR Muscle Stretching Exercises OR physical therapy modalities OR rehabilitation))”

Results:

635 studies were obtained from Pubmed and 134 from Cochrane Library of which 14 met all the inclusion criteria. Selected studies showed that, in general, eccentric exercises are an effective therapy applied between 6 and 12 weeks in Achilles tendinopathy, either on their own or combined with the vibration platform, nutritional supplements, soft tissue treatment, laser therapy or shock wave therapy.

Conclusion:

this review showed eccentric exercise has a great scientific evidence in Achilles tendinopathy treatment.

Palabras clave : Achilles tendon; Rehabilitation; Tendon injuries; Exercise.

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