scholarly journals The EdUReP Model for Nonsurgical Management of Tendinopathy

2005 ◽  
Vol 85 (10) ◽  
pp. 1093-1103 ◽  
Author(s):  
Todd E Davenport ◽  
Kornelia Kulig ◽  
Yogi Matharu ◽  
Cesar E Blanco

AbstractTendinopathy is a common and substantial source of morbidity worldwide. Various anatomical and functional predispositions combine with abrupt changes in mechanical loading to cause characteristic histological maladaptations in tendons. The nature and latency of cellular changes in tendinopathy makes many common treatments lessthan-optimal options. This Perspective presents the EdUReP model for nonsurgical management of tendinopathy, a model that considers sources of pathology at the cellular, anatomical, and functional levels. The EdUReP model addresses possible sources of symptoms at the levels of pathology, impairment, functional limitation, and disability through Educational interventions, periods of tendon Unloading and controlled Reloading, and implementation of Prevention strategies. The EdUReP model is an evidence-based treatment construct that aims to reduce functional limitation and disability through amelioration of tissue pathology.

Author(s):  
Kevin C. Miller ◽  
Brendon P. McDermott ◽  
Susan W. Yeargin ◽  
Aidan Fiol ◽  
Martin P. Schwellnus

ABSTRACT Exercise-associated muscle cramps (EAMC) are common and frustrating for athletes and the physically active. We critically-appraised the EAMC literature to provide evidence-based treatment and prevention recommendations. While the pathophysiology of EAMC appears controversial, recent evidence suggests EAMC are due to a confluence of unique intrinsic and extrinsic factors rather than a singular etiology. The treatment of acute EAMC continues to include self-application or clinician-guided gentle static stretching until EAMC abatement. Once the painful EAMC are alleviated, clinicians can continue treatment on the sidelines by focusing on patient-specific risk factors that the clinician believes may have contributed to the genesis of EAMC. For EAMC prevention, clinicians should first perform a thorough medical history followed by identification of the patients' unique risk factors that could have coalesced to elicit EAMC. Individualizing EAMC prevention strategies will likely be more effective than generalized advice (e.g., drink more fluids).


Crisis ◽  
2000 ◽  
Vol 21 (4) ◽  
pp. 193-194
Author(s):  
Claire Henderson ◽  
Marija Brecelj ◽  
Paola Dazzan ◽  
Mojca Dernovsek ◽  
Oscar Meehan ◽  
...  

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