Murtaugh Bryan, Ihm Joseph M
Department of Physical Medicine and Rehabilitation, Rehabilitation Institute of Chicago, Chicago, IL, USA.
Curr Sports Med Rep. 2013 May-Jun;12(3):175-82. doi: 10.1249/JSR.0b013e3182933761.
Tendinopathy can result from overuse and is experienced in the affected tendon as pain with activity, focal tenderness to palpation, and decreased ability to tolerate tension, which results in decreased functional strength. While tendinopathy often occurs in those who are active, it can occur in those who are inactive. Research has shown that an eccentric exercise program can be effective in the treatment of tendinopathies. The earliest studied was the Achilles tendon, and subsequent studies have shown benefits using eccentric exercises on other body regions including the patellar tendon, proximal lateral elbow, and rotator cuff. In this article, we review the research on using an eccentric exercise program in the treatment of painful tendinopathy and proposed mechanisms for why eccentric exercises are effective in treating this and then finish by providing a general framework for prescribing an eccentric exercise program to those with a symptomatic tendinopathy.
肌腱病可能由过度使用引起，受影响的肌腱会出现活动时疼痛、触诊时有局部压痛以及耐受张力的能力下降等症状，进而导致功能强度降低。虽然肌腱病常发生于活动人群，但也可能出现在不活动的人群中。研究表明，离心运动方案对肌腱病的治疗有效。最早研究的是跟腱，随后的研究表明，在包括髌腱、肘外侧近端和肩袖等其他身体部位进行离心运动也有好处。在本文中，我们回顾了关于使用离心运动方案治疗疼痛性肌腱病的研究，提出了离心运动为何对治疗该病有效的机制，最后为有症状的肌腱病患者提供了一个开具离心运动方案的总体框架。
