Dimitrios Stasinopoulos
Stasinopoulos Dimitrios, Physiotherapy Program, Department Health Sciences, School of Sciences, European University of Cyprus, 1516 Nicosia, Cyprus.
World J Methodol. 2015 Jun 26;5(2):51-4. doi: 10.5662/wjm.v5.i2.51.
Tendinopathies are one of the most common sports/musculoskeletal injury in modern western societies. Many physiotherapy approaches have been recommended in the literature for the management of tendinopathy. The most effective treatment in the management of tendinopathy is the eccentric training. Load, speed and frequency of contractions are the three principles of eccentric exercises, discussed in this report. However, eccentric training is not effective for all patients with tendinopathy and the effectiveness of this approach when applied as monotherapy is lower than it is applied as part of the rehabilitation process. For this reason, clinicians combine eccentric training with other physiotherapy techniques such as stretching, isometric and lumbar stability exercises, electrotherapy, manual therapy, soft tissue manipulation techniques, taping and acupuncture in the management of tendinopathies. Further research is needed to find out which treatment strategy combined with eccentric training will provide the best results in the rehabilitation of tendinopathy.
肌腱病是现代西方社会最常见的运动/肌肉骨骼损伤之一。文献中推荐了许多物理治疗方法来管理肌腱病。管理肌腱病最有效的治疗方法是离心训练。收缩的负荷、速度和频率是本报告中讨论的离心运动的三个原则。然而，离心训练并非对所有肌腱病患者都有效，且这种方法作为单一疗法应用时的有效性低于作为康复过程一部分应用时的有效性。因此，临床医生在管理肌腱病时会将离心训练与其他物理治疗技术相结合，如拉伸、等长和腰椎稳定性训练、电疗法、手法治疗、软组织推拿技术、贴扎和针灸。需要进一步研究以找出哪种与离心训练相结合的治疗策略能在肌腱病康复中提供最佳效果。
