Eccentric training in patients with chronic Achilles tendinosis: Normalised tendon structure and decreased thickness at follow up

British Journal of Sports Medicine

Volumn 38, Issue 1, 2004, Pages 8-11

  Ohberg L ^a,b   Lorentzon, R ^b   Alfredson, H ^b  

^a UMEÅ UNIVERSITY HOSPITAL   (Sweden)

^b UMEÅ UNIVERSITY   (Sweden)

Author keywords

[No Author keywords available]

Indexed keywords

ACHILLES REFLEX; ADULT; AGED; ARTICLE; CHRONIC ACHILLES TENDINOSIS; CHRONIC DISEASE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DISEASE DURATION; ECHOGRAPHY; FEMALE; FOLLOW UP; GASTROCNEMIUS MUSCLE; HUMAN; MALE; MUSCLE TRAINING; PAIN; PATIENT SATISFACTION; PHYSICAL ACTIVITY; QUESTIONNAIRE; SYMPTOM; TENDON LESION; THICKNESS; TREATMENT OUTCOME;

ACHILLES TENDON; ADULT; AGED; CHRONIC DISEASE; EXERCISE THERAPY; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MIDDLE AGED; MUSCLE, SKELETAL; PATIENT SATISFACTION; PROSPECTIVE STUDIES; SPORTS; TENDINOPATHY; TREATMENT OUTCOME;

EID: 0842265793     PISSN: 03063674     EISSN: None     Source Type: Journal    
DOI: 10.1136/bjsm.2001.000284     Document Type: Article

References (16)

1. Kvist M. Achilles tendon injuries in athletes. Sports Med 1994;18:173-201.
2. Józsa L, Kannus P. Human tendons. Anatomy, physiology, and pathology. Champaign, IL: Human Kinetics, 1997.
3. Khan KM, Bonar F, Desmond PM, et al. Patellar tendinosis (jumper's knee): findings at histopathologic examination, US, and MR imaging. Victorian Institute of Sport tendon Study Group. Radiology 1996;200:821-7.
4. Neuhold A, Stiskal M, Kainberger F, et al. Degenerative Achilles tendon disease: assessment by magnetic resonance and ultrasonography. Eur J Radiol 1992;14:213-20.
5. Khan KM, Cook JL, Bonar F, et al. Histopathology of common tendinopathies. Update and implications for clinical management. Sports Med 1999;27:393-408.
6. Movin T, Gad A, Reinholt FP. Tendon pathology in long-standing Achillodynia. Biopsy findings in 40 patients. Acta Orthop Scand 1997;68:170-5.
7. 2 in chronic Achilles tendon pain. Knee Surg Sports Traumatol Arthrosc 1999;7:378-81.
8. Alfredson H, Pietilä T, Jonsson P, et al. Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. Am J Sports Med 1998;26:360-6.
9. Mafi N, Lorentson R, Alfredson H. Superior short-term results with eccentric calf muscle training compared to concentric training in a randomized prospective multicenter study on patients with chronic Achilles tendinosis. Knee Surg Sports Traumatol Arthrosc 2001;9:42-7.
10. Maffulli N, Regine R, Angelillo M, et al. Ultrasound diagnosis of Achilles tendon pathology in runners. Br J Sports Med 1987;21:158-62.
11. Paavola M, Paakkala T, Kannus P, et al. Ultrasonography in the differential diagnosis of Achilles tendon injuries and related disorders. Acta Radiol 1998;39:612-19.
12. Åström M, Gentz CF, Nilsson P, et al. Imaging in chronic Achilles tendinopathy: a comparison of ultrasonography, magnetic resonance imaging and surgical findings in 27 histologically verified cases. Skeletal Radiol 1996;I:615-20.
13. Weinberg EP, Adams MJ, Hollenberg GM. Color doppler sonography of patellar tendinosis. Am J Roentgenol 1998;171:743-44.
14. O'Reilly MA, Massouh H. Pictorial review: the sonographic diagnosis of pathology in the Achilles tendon. Clin Radiol 1993;48:202-6.
15. Alfredson H, Lorentzon R. Chronic Achilles tendinosis: recommendations for treatment and prevention. A review. Sports Med 2000;29:135-46.
16. Öhberg L, Lorentzon R, Alfredson H. Neovascularisation in Achilles tendons with painful tendinosis but not in normal tendons: an ultrasonographic investigation. Knee Surg Sports Traumatol Arthrosc 2001;9:233-8.