Show simple item record

dc.contributor.authorWoodley, Brett L
dc.contributor.authorNewsham-West, Richard J
dc.contributor.authorBaxter, G David
dc.date.accessioned2017-05-03T15:52:11Z
dc.date.available2017-05-03T15:52:11Z
dc.date.issued2007
dc.date.modified2010-07-29T07:42:23Z
dc.identifier.issn0306-3674
dc.identifier.doi10.1136/bjsm.2006.029769
dc.identifier.urihttp://hdl.handle.net/10072/32797
dc.description.abstractObjectives: To determine the effectiveness of eccentric exercise (EE) programmes in the treatment of common tendinopathies. Data sources: Relevant randomised controlled trials (RCTs) were sourced using the OVID website databases: MEDLINE (1966-Jan 2006), CINAHL (1982-Jan 2006), AMED (1985-Jan 2006), EMBASE (1988-Jan 2006), and all EBM reviews - Cochrane DSR, ACP Journal Club, DARE, and CCTR (Jan 2006). The Physiotherapy Evidence Database (PEDro) was also searched using the keyword: eccentric. Review methods: The PEDro and van Tulder scales were employed to assess methodological quality. Levels of evidence were then obtained according to predefined thresholds: Strong-consistent findings among multiple high-quality RCTs. Moderate-consistent findings among multiple low-quality RCTs and/or clinically controlled trials (CCTs) and/or one high-quality RCT. Limited-one low-quality RCT and/or CCT. Conflicting-inconsistent findings among multiple trials (RCTs and/or CCTs). No evidence-no RCTs or CCTs. Results: Twenty relevant studies were sourced, 11 of which met the inclusion criteria. These included studies of Achilles tendinopathy (AT), patella tendinopathy (PT) and tendinopathy of the common wrist extensor tendon of the lateral elbow (LET). Limited levels of evidence exist to suggest that EE has a positive effect on clinical outcomes such as pain, function and patient satisfaction/return to work when compared to various control interventions such as concentric exercise (CE), stretching, splinting, frictions and ultrasound. Levels of evidence were found to be variable across the tendinopathies investigated. Conclusions: This review demonstrates the dearth of high-quality research in support of the clinical effectiveness of EE over other treatments in the management of tendinopathies. Further adequately powered studies that include appropriate randomisation procedures, standardised outcome measures and long-term follow-up are required.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherB M J Group
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom188
dc.relation.ispartofpageto199
dc.relation.ispartofissue4
dc.relation.ispartofjournalBritish Journal of Sports Medicine
dc.relation.ispartofvolume41
dc.rights.retentionY
dc.subject.fieldofresearchEngineering
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchSports science and exercise not elsewhere classified
dc.subject.fieldofresearchEducation
dc.subject.fieldofresearchcode40
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode420799
dc.subject.fieldofresearchcode39
dc.titleChronic tendinopathy: effectiveness of eccentric exercise
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.date.issued2007
gro.hasfulltextNo Full Text
gro.griffith.authorNewsham-West, Richard J.


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record