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Alfredson's "prescription" for achilles tendinopathy

Discussion in 'Biomechanics, Sports and Foot orthoses' started by emoclew, Mar 30, 2006.

  1. NewsBot

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    Re: Alfredson’s "prescription" for achilles tendinopathy

    Comparison of Lower Limb Muscle Activity during Eccentric and Concentric Exercises in Runners with Achilles Tendinopathy
    Jaeho Yu
    Journal of Physical Therapy Science; Vol. 26 (2014) No. 9 September p. 1351-1353
     
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    Re: Alfredson’s "prescription" for achilles tendinopathy

    Changes in Achilles tendon mechanical properties following eccentric heel drop exercise are specific to the free tendon
    S. J. Obst, R. Newsham-West andR. S. Barrett
    Scandinavian Journal of Medicine & Science in Sports; Early View
     
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    Re: Alfredson’s "prescription" for achilles tendinopathy

    Investigating the Effects of Knee Flexion during the Eccentric Heel-Drop Exercise
    Robert A. Weinert-Aplin, Anthony M.J. Bull, and Alison H. McGregor
    J Sports Sci Med. 2015 Jun; 14(2): 459–465.
     
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    Re: Alfredson’s "prescription" for achilles tendinopathy

    Effects of Noxious Electrical Stimulation and Eccentric Exercise on Pain Sensitivity in Asymptomatic Individuals
    Scott K. Stackhouse, MSPT, PhD, Christine M. Taylor, BA, Brian J. Eckenrode, DPT, Erica Stuck, DPT, Helen Davey, DPT
    PM & R; in press
     
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    WHY ARE ECCENTRIC EXERCISES EFFECTIVE FOR ACHILLES TENDINOPATHY?
    Seth O?Neill et al
    Int J Sports Phys Ther. 2015 Aug; 10(4): 552?562.
     
  7. NewsBot

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    Articles:
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    Three-dimensional morphology and strain of the Achilles free tendon immediately following eccentric heel drop exercise.
    Obst SJ et al
    J Exp Biol. 2015 Oct 30. pii: jeb.127175
     
  8. NewsBot

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    Articles:
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    Ultrasound changes in Achilles tendon and Gastrocnemius Medialis muscle on squat eccentric overload and running performance.
    Sanz-L?pez F, Berzosa S?nchez C, Hita-Contreras F, Cruz-Diaz D, Mart?nez-Amat A.
    J Strength Cond Res. 2015 Dec 15.
     
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    Effects of Isokinetic Eccentric Training on
    the Human Achilles Tendon.
    Gomes ARS, Campos TF, Beckenkamp PR, Diong J, Clarke E,
    Clarke JL, Herbert RD.
    JEPonline 2016;19(2):46-54.
     
  10. NewsBot

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    Articles:
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    Effects of Isokinetic Eccentric Training on the Human Achilles Tendon.
    Silveira Gomes, Anna Raquel; Campos, Tarcisio Folly; Beckenkamp, Paula Regina; Diong, Joanna; Clarke, Elizabeth; Clarke, Jillian L.; Herbert, Robert D.
    Journal of Exercise Physiology Online . Apr2016, Vol. 19 Issue 2, p46-54. 9p. 1
     
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    The effect of eccentric training on tissue repair in individuals with Achilles tendinopathy: a literature review
    Rafael Virgínio Souza, Vanessa Lara Araújo
    Manual Therapy, Posturology & Rehabilitation Journal Vol 14 (2016)
     
  12. NewsBot

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    Achilles Tendon Loading During Heel-Raising and - Lowering Exercises.
    Revak A et al
    J Athl Train. 2017 Feb 1.
     
  13. gingerphysio

    gingerphysio Member

    In my treatments of those complaining of chronic achilles pain, it is rare to have that problem persist after having eliminated protective control behaviour at L5S1. Immediate and lasting amelioration takes one to three treatments of the lumbar spine in about 99% of cases under my care. Swelling , if present, is gone after 24hrs post first Rx. No attention to the tendon itself is required.
    I prefer to describe achilles problems as sciatica for this reason.
     
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    Articles:
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    Achilles Tendon Loading During Heel-Raising and -Lowering Exercises.
    Andrew Revak, DPT; Keith Diers, DPT, ATC; Thomas W. Kernozek, PhD, FACSM; Naghmeh Gheidi, PhD; Christina Olbrantz, SPT
    Journal of Athletic Training: February 2017, Vol. 52, No. 2, pp. 89-96.
     
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    Study Protocol:
    Alfredson versus Silbernagel exercise therapy in chronic midportion Achilles tendinopathy: study protocol for a randomized controlled trial.

    Habets B et al
    BMC Musculoskelet Disord. 2017 Jul 11;18(1):296. doi: 10.1186/s12891-017-1656-4.
     
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    Applying physical science principles to mid-substance Achilles tendinopathy and the relationship to eccentric lengthening exercises
    Geoffrey M Verrall, et al
    Scandinavian Journal of Medicine & Science in Sports: 26 September 2017
     
  17. https://www.ncbi.nlm.nih.gov/pubmed/28740756

    Sonographic evaluation of the immediate effects of eccentric heel drop exercise on Achilles tendon and gastrocnemius muscle stiffness using shear wave elastography.

    Leung WKC1, Chu KL1, Lai C1.
    Author information

    Abstract


    BACKGROUND:

    Mechanical loading is crucial for muscle and tendon tissue remodeling. Eccentric heel drop exercise has been proven to be effective in the management of Achilles tendinopathy, yet its induced change in the mechanical property (i.e., stiffness) of the Achilles tendon (AT), medial and lateral gastrocnemius muscles (MG and LG) was unknown. Given that shear wave elastography has emerged as a powerful tool in assessing soft tissue stiffness with promising intra- and inter-operator reliability, the objective of this study was hence to characterize the stiffness of the AT, MG and LG in response to an acute bout of eccentric heel drop exercise.
    METHODS:

    Forty-five healthy young adults (36 males and nine females) performed 10 sets of 15-repetition heel drop exercise on their dominant leg with fully-extended knee, during which the AT and gastrocnemius muscles, but not soleus, were highly stretched. Before and immediately after the heel drop exercise, elastic moduli of the AT, MG and LG were measured by shear wave elastography.
    RESULTS:

    After the heel drop exercise, the stiffness of AT increased significantly by 41.8 + 33.5% (P < 0.001), whereas the increases in the MG and LG stiffness were found to be more drastic by 75 + 47.7% (P < 0.001) and 71.7 + 51.8% (P < 0.001), respectively. Regarding the AT, MG and LG stiffness measurements, the inter-operator reliability was 0.940, 0.987 and 0.986, and the intra-operator reliability was 0.916 to 0.978, 0.801 to 0.961 and 0.889 to 0.985, respectively.
    DISCUSSION:

    The gastrocnemius muscles were shown to bear larger mechanical loads than the AT during an acute bout of eccentric heel drop exercise. The findings from this pilot study shed some light on how and to what extent the AT and gastrocnemius muscles mechanically responds to an isolated set of heel drop exercise. Taken together, appropriate eccentric load might potentially benefit mechanical adaptations of the AT and gastrocnemius muscles in the rehabilitation of patients with Achilles tendinopathy.
    KEYWORDS:

    Achilles tendon; Gastrocnemius muscle; Heel drop exercise; Mechanical adaptations; Shear wave elastography
     
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    Impact of rest duration on Achilles tendon structure and function following isometric training.
    Waugh CM et al
    Scand J Med Sci Sports. 2018 Feb;28(2):436-445.
     
  20. NewsBot

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    Articles:
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    Non-uniformity in pre-insertional Achilles tendon is not influenced by changing knee angle during isometric contractions.
    Bogaerts S et al
    Scand J Med Sci Sports. 2018 Jun 1.
     
  21. NewsBot

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    Articles:
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    Effects of high loading by eccentric triceps surae training on Achilles tendon properties in humans
    Jeam Marcel GeremiaBruno Manfredini BaroniMaarten Frank BobbertRodrigo Rico BiniFabio Juner LanferdiniMarco Aurélio Vaz
    European Journal of Applied Physiology: 01 June 2018
     
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    Efficacy of heavy eccentric calf training for treating mid-portion Achilles tendinopathy: a systematic review and meta-analysis
    Myles Calder Murphy et al
    Br J Sports Med Published Online First: 13 January 2019
     
  23. NewsBot

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    Articles:
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    Efficacy of heavy eccentric calf training for treating mid-portion Achilles tendinopathy: a systematic review and meta-analysis
    Myles Calder Murphy et al
    British Journal of Sports Medicine Published Online First: 13 January 2019.
     
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    Articles:
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    The efficacy of loading programmes for improving patient‐reported outcomes in chronic midportion Achilles tendinopathy: A systematic review
    John Head Adrian Mallows James Debenham Mervyn J. Travers Lorraine Allen
    MC: 25 November 2019
     
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    Articles:
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    Eccentric and Isometric Exercises in Achilles Tendinopathy Evaluated by the VISA-A Score and Shear Wave Elastography.
    Gatz M et al
    Sports Health. 2020 Jan 31
     
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    To Compare the Effect of Eccentric Exercises and Isometric Exercises for Achilles Tendinitis in Skaters
    Vadivelan Kanniappan et al
    J Lifestyle Med. 2020 Jan 31;10(1):49-54
     
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    Articles:
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    Isometric exercises do not provide immediate pain relief in Achilles tendinopathy: A quasi‐randomized clinical trial
    Arco C van der Vlist Peter LJ van Veldhoven Robert F van Oosterom Jan AN Verhaar Robert‐Jan de Vos
    31 May 2020
     
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