Lorenz Daniel, Reiman Michael
Int J Sports Phys Ther. 2011 Mar;6(1):27-44.
The benefits and proposed physiological mechanisms of eccentric exercise have previously been elucidated and eccentric exercise has been used for well over seventy years. Traditionally, eccentric exercise has been used as a regular component of strength training. However, in recent years, eccentric exercise has been used in rehabilitation to manage a host of conditions. Of note, there is evidence in the literature supporting eccentric exercise for the rehabilitation of tendinopathies, muscle strains, and in anterior cruciate ligament (ACL) rehabilitation. The purpose of this Clinical Commentary is to discuss the physiologic mechanism of eccentric exercise as well as to review the literature regarding the utilization of eccentric training during rehabilitation. A secondary purpose of this commentary is to provide the reader with a framework for the implementation of eccentric training during rehabilitation of tendinopathies, muscle strains, and after ACL reconstruction.
离心运动的益处及所提出的生理机制此前已得到阐明,且离心运动已被应用七十多年了。传统上,离心运动一直是力量训练的常规组成部分。然而,近年来,离心运动已被用于康复治疗多种病症。值得注意的是,文献中有证据支持离心运动用于肌腱病、肌肉拉伤的康复以及前交叉韧带(ACL)重建术后的康复。本临床评论的目的是讨论离心运动的生理机制,并回顾有关在康复过程中使用离心训练的文献。本评论的第二个目的是为读者提供一个在肌腱病、肌肉拉伤康复以及ACL重建术后实施离心训练的框架。