scholarly journals Revisión bibliográfica sobre la eficacia del ejercicio excéntrico como tratamiento para la tendinopatía del tendón de Aquiles

2020 ◽  
Vol 23 (2) ◽  
pp. 211-233
Author(s):  
Anna Arnal-Gómez ◽  
Gemma Victoria Espí-López ◽  
Diego Cano-Heras ◽  
Elena Muñoz-Gómez ◽  
Isabel Balbastre Tejedor ◽  
...  

Introducción: las tendinopatías son consecuencia de cargas excesivas en el tendón, por lo que son frecuentes en el ámbito laboral debido a movimientos repetitivos y posturas forzadas. La tendinopatía de Aquiles se caracteriza por una respuesta de curación desorganizada, asociada a cierto grado de neovascularización, siendo el tratamiento conservador la estrategia inicial. Objetivos realizar una revisión bibliográfica para analizr la efectividad de los tratamientos utilizados en la tendinopatía aquilea a partir de los estudios incluidos. Material y métodos: revisión bibliográfica de artículos científicos consultando las bases de datos PubMed y The Cochrane Library utilizando las palabras clave “((tendinopathy) AND (Achilles Tendon) AND (exercise OR exercise therapy OR Muscle Stretching Exercises OR physical therapy modalities OR rehabilitation))”.  Resultados: Se obtuvieron 635 refrencias en Pubmed y 134 en Cochrane Library, de los cuales 14 cumplieron los criterios de inclusión. Los estudios seleccionados mostraron que, en general, los ejercicios excéntricos son una terapia efectiva aplicada entre 6 y 12 semanas en la tendinopatía de Aquiles, sin combinar o combinada con la plataforma de vibración, complementos nutricionales, tratamiento de tejidos blandos, terapia de láser o terapia de ondas de choque. Conclusión: la revisión muestra que el ejercicio excéntrico presenta los mejores resultados en el tratamiento de la tendinopatía aquilea.

2017 ◽  
Vol 30 (2) ◽  
pp. 123-132 ◽  
Author(s):  
Simone Gouw ◽  
Anton de Wijer ◽  
Nico Creugers ◽  
Stanimira Kalaykova

2019 ◽  
Vol 100 (1) ◽  
pp. 8-13
Author(s):  
Débora Úrsula Fernandes Souza ◽  
Débora Pantuso Monteiro ◽  
Rafael Zambelli Pinto ◽  
Danielle Aparecida Gomes Pereira

Abstract <LEAP> Highlights the findings and application of Cochrane reviews and other evidence pertinent to the practice of physical therapy. The Cochrane Library is a respected source of reliable evidence related to health care. Cochrane systematic reviews explore the evidence for and against the effectiveness and appropriateness of interventions—medication, surgery, education, nutrition, and exercise—and the evidence for and against the use of diagnostic tests for specific conditions. Cochrane reviews are designed to facilitate the decisions of clinicians, patients, and others in health care by providing a careful review and interpretation of research studies published in the scientific literature. Each article in this Physical Therapy (PTJ) series will summarize a Cochrane review or other scientific evidence resource on a single topic and will present clinical scenarios based on real patients to illustrate how the results of the review can be used to directly inform clinical decisions. This article focuses on the effectiveness of supervised exercise therapy for intermittent claudication. Can supervised exercise therapy help a person with intermittent claudication?


2002 ◽  
Vol 20 (1) ◽  
pp. 2-10 ◽  
Author(s):  
Peter Baldry

Successful management of myofascial trigger point (MTrP) pain depends on the practitioner finding all of the MTrPs from which the pain is emanating, and then deactivating them by one of several currently used methods. These include deeply applied procedures, such as an injection of a local anaesthetic into MTrPs and deep dry needling (DDN), and superficially applied ones, including an injection of saline into the skin and superficial dry needling (SDN) at MTrP sites. Reasons are given for believing that DDN should be employed in cases where there is severe muscle spasm due to an underlying radiculopathy. For all other patients SDN is the treatment of choice. Following MTrP deactivation, correction of any postural disorder likely to cause MTrP reactivation is essential, as is the need to teach the patient how to carry out appropriate muscle stretching exercises. It is also important that the practitioner excludes certain biochemical disorders.


2021 ◽  
Vol 28 (11) ◽  
pp. 1-10
Author(s):  
Anelize Cini ◽  
Francesca Chaida Sonda ◽  
Mariana de Oliveira Borges ◽  
Marco Aurélio Vaz ◽  
Cláudia Silveira Lima

Background/Aims Little is known about the effectiveness of static stretching on the tendinous structures. The aim of this study was to verify the effect of acute static stretching on the passive mechanical properties of the Achilles tendon. Methods Databases were searched with the descriptors ‘muscle stretching exercises,’ ‘adult’ and ‘Achilles tendon’ with a sample consisting of physically active young adults. Two blind reviewers performed the review. Results A total of four studies were selected. After the meta-analysis, no significant difference was observed for range of motion (−0.73; 95% confidence interval −2.18–0.71; I2=0%), muscle-tendon unit (−0.02; 95% confidence interval −0.23–0.19; I2= 83%), muscle (−0.43; 95% confidence interval −0.92–0.06; I2= 0%) and tendon stiffness (3.70; 95% confidence interval 1.57–5,83; I2=0%; P=0.0007) and passive torque (−1.35; 95% confidence interval −4.75–2.05; I2= 0%). Maximum voluntary isometric contraction showed an alteration with a longer stretching time (1215 seconds). Conclusions Passive static stretching (60–1215 seconds) does not significantly alter the analysed variables.


2015 ◽  
Vol 55 (2) ◽  
pp. 167-173 ◽  
Author(s):  
Suélem Barros de Lorena ◽  
Maria do Carmo Correia de Lima ◽  
Aline Ranzolin ◽  
Ângela Luiza Branco Pinto Duarte

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