scholarly journals The implementation of resistance training principles in exercise interventions for lower limb tendinopathy: A systematic review

Author(s):  
Ian Burton ◽  
Aisling McCormack
2020 ◽  
Author(s):  
Ian Burton

Objectives: The primary purpose of this systematic review is to examine the literature on resistance training interventions for lower limb tendinopathy to evaluate the proportion of interventions that implemented key resistance training principles (specificity, progression, overload, individualisation) and reported relevant prescription components (frequency, intensity, sets, repetitions) and reported intervention adherence. Design: Two reviewers performed a qualitative systematic review after screening titles and abstracts based on eligibility criteria. Identified papers were obtained in full text, with data extracted regarding the implementation of resistance training principles. Included articles were evaluated by the Cochrane risk of bias tool, with a scoring tool out of 10 used for implementation and reporting of the 5 key principles. Scientific databases were searched in November 2020 and included Medline, CINAHL, AMED, and Sportsdiscus.Results: 52 randomised controlled trials investigating resistance training in five different lower limb tendinopathies were included. Although most studies considered the principles of progression (92%) and individualisation (88%), only 19 studies (37%) appropriately described how this progression in resistance was achieved, and only 18 studies (35%) reported specific instruction on how individualisation was applied. Adherence was considered in 27 studies (52%), with only 17 studies (33%) reporting the levels of adherence. In the scoring criteria, only 5 studies (10%) achieved a total maximum score of 10, with 17 studies (33%) achieving a maximum score of 8 for implementing and reporting the principles of specificity, overload, progression and individualisation.Conclusion: There is meaningful variability and methodological concerns regarding the application and reporting of resistance training principles, particularly progression and individualisation, along with intervention adherence throughout studies. Collectively, these findings have important implications for the prescription of current resistance training interventions, including the design and implementation of future interventions for populations with lower limb tendinopathies.


2015 ◽  
Vol 2015 ◽  
pp. 1-13 ◽  
Author(s):  
José Francisco Meneses-Echávez ◽  
Emilio González-Jiménez ◽  
Robinson Ramírez-Vélez

Objective. Cancer-related fatigue (CRF) is the most common and devastating problem in cancer patients even after successful treatment. This study aimed to determine the effects of supervised multimodal exercise interventions on cancer-related fatigue through a systematic review and meta-analysis.Design. A systematic review was conducted to determine the effectiveness of multimodal exercise interventions on CRF. Databases of PubMed, CENTRAL, EMBASE, and OVID were searched between January and March 2014 to retrieve randomized controlled trials. Risk of bias was evaluated using the PEDro scale.Results. Nine studiesn=772were included in both systematic review and meta-analysis. Multimodal interventions including aerobic exercise, resistance training, and stretching improved CRF symptoms (SMD=-0.23; 95% CI: −0.37 to −0.09;P=0.001). These effects were also significant in patients undergoing chemotherapyP<0.0001. Nonsignificant differences were found for resistance training interventionsP=0.30. Slight evidence of publication bias was observedP=0.04. The studies had a low risk of bias (PEDro scale mean score of 6.4 (standard deviation (SD) ± 1.0)).Conclusion. Supervised multimodal exercise interventions including aerobic, resistance, and stretching exercises are effective in controlling CRF. These findings suggest that these exercise protocols should be included as a crucial part of the rehabilitation programs for cancer survivors and patients during anticancer treatments.


2021 ◽  
Vol 20 (1) ◽  
pp. 83-92
Author(s):  
Rogério Santos Aguiar ◽  
Juliana Brandão Pinto de Castro ◽  
Andressa Oliveira Barros dos Santos Santos ◽  
Giullio César Pereira Salustiano Mallen da Silva ◽  
Fabiana Rodrigues Scartoni ◽  
...  

Aim: The aim of this study was to describe the effects of the back-squat exercise on the lower limb myoelectric activity in trained men. Methods: We conducted a systematic review following the recommendations of PRISMA. Medline (PubMed), Scielo, Scopus, SPORTDiscus, and Lilacs databases were searched. The search terms included electromyography, exercise, resistance training, and squat. We included experimental studies that described the back-squat exercise using surface electromyography (EMG) in men experienced in resistance training and back squat exercise at angles from 60º to 90º. Results: Eight studies met the inclusion criteria. The interventions of the included studies ranged from 2 to 7 days. The protocols demonstrated to improve the neuromuscular system and to provide greater acquisition of strength in the muscles involved in performing the back-squat exercise (p < 0.05). Thirty-seven muscles were analyzed, with a predominance of the vastus lateralis, vastus medialis, gluteus maximus, and rectus femoris muscles. Conclusion: The studies investigated in this review showed that the back-squat exercise at angles from 60º to 90º increased the lower limb myoelectric activity recorded in loads of 30% and 100% of 1RM in men experienced in resistance training. However, more studies with higher methodological quality are needed in the analysis of the squat exercise to reduce the risk of bias.


2021 ◽  
Author(s):  
Ian Burton

Introduction: Musculoskeletal disorders have a significant global burden, with tendinopathies of the lower limb having a high prevalence. Although the use of resistance training interventions as treatment for tendinopathies has become widespread, the reporting and description of these interventions is often poor, preventing translation to clinical practice. Specific exercise description and intervention variables must be reported in order to translate research findings into clinical practice. This scoping review aims to summarise reporting of current resistance training interventions as assessed by the Consensus on Exercise Reporting Template and Toigo and Boutellier Framework.Methods and analysis: The recommended methodological framework described by the Joanna Briggs Institute will be used to structure this review, with reporting in accordance with the PRISMA-ScR. Databases to be searched include MEDLINE, CINAHL, AMED, EMBase, SPORTDiscus, Cochrane library (Controlled trials, Systematic reviews), JBI Evidence Synthesis, and five trial registries. Two independent reviewers will screen studies at title/abstract and full text. Following screening, data will be extracted and charted, then presented as figures and table alongside a narrative synthesis. Dissemination: This scoping review will evaluate current resistance training exercise descriptors and program variables in lower limb tendinopathy using recommended frameworks for the first time in the literature. The results will allow dissemination of the parameters of research exercise interventions to clinical practitioners through peer-reviewed publication and social media outlets, allowing implementation in clinical practice. The review will also outline future research and exercise reporting needs within tendinopathy resistance training interventions.


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