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Abstract
Background:
Chronic Achilles tendinosis is commonly seen in clinical practice
however the causes are largely unknown. In the last ten years good
results have been reported with a range of approaches, one of which
is eccentric training. Objective: This study reports on a
systematic review of the literature to determine the effectiveness
of eccentric training compared with other types of interventions for
chronic Achilles tendinosis. Method: A systematic review of
the published research literature was conducted to examine the
quantity, nature, quality and significance of literature relevant to
the effectiveness of eccentric training for chronic Achilles
tendinosis. Subject inclusion criteria were being at least 16 years
of age, having a minimum of three months of complaints and no other
underlying pathologies. Results: Seven databases were
searched, and 25 studies were included. They reflected a variety of
research designs and study quality. Comparison interventions
included surgery, medications and passive treatment. An index
combining results and quality showed that the best options for
managing Achilles tendinosis were medication and eccentric
exercises. Taking account of factors such as cost, safety and
inconvenience, eccentric exercises are
favoured
over drug intervention. Conclusion: Eccentric exercises are
simple to perform and provide a cost effective, safe and efficient
way to treat Achilles tendinosis. They should be considered first
for all patients, before invasive interventions such as surgery and
drug therapy. |
