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Indexed/Abstracted in: Chemical Abstracts, CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,111
SPORT INJURIES, REHABILITATION
Antonio FRIZZIERO 1, Filippo VITTADINI 1, Augusto FUSCO 2, 3, Arrigo GIOMBINI 2, 4, Stefano MASIERO 1
1 Department of Physical and Rehabilitation Medicine, University of Padua, Padua, Italy; 2 Institute of Sports Medicine and Science, Italian Olympic Committee, Rome, Italy; 3 Clinical Laboratory of Experimental Neurorehabilitation, Santa Lucia Foundation and Scientific Institute for Research and Care, Rome, Italy; 4 Department of Health Science and Medicine, University of Molise, Campobasso, Italy
Tendinopathies are among the most frequent sport injuries, therefore their correct treatment is a crucial issue in sports medicine practice. In most of the cases, these multifactorial conditions are related to overuse and characterized by activity-induced pain, local tenderness and swelling. Although tendinopathies are common, their treatment is not easy. Currently, it is generally accepted that their management should include early functional exercises. Eccentric exercise (EE) is considered a fundamental therapeutic resource, especially for the treatment of Achilles and patellar tendinopathies. This article focuses on the use of EE for the treatment and prevention of the lower limb tendinopathies, evaluates the existing programs and their efficacy, and reviews the possible mechanisms of the healing process and the action of EE on tendon structure. EE-based treatments are useful to improve symptoms and function in lower limb tendinopathies, but more evidence is still required to devise an adequate dose-response model and to determine their long-term effects.