Infographic: Loading Programs for Patellar and Achilles Tendinopathies

Eccentric Training and Lower Limb Tendinopathy:

  • Athletic overuse injuries of the patellar and Achilles tendons are common
  • Eccentric muscle training is a popular conservative treatment approach
  • Up to 45% of patients do not respond to eccentric-only loading treatment

Common Loading Approaches to Tendinopathy Treatment:

  • Eccentric-concentric, progressing to eccentric-only
  • Eccentric-concentric, heavy slow resistance (HSR)
  • Eccentric-only

Research Questions:

  • What is the quality of the evidence in studies comparing loading programs?
  • What are the non-clinical outcomes associated with clinical outcomes?

Research Methods:

  • 32 studies reviewed
  • 10 studies compared loading programs
  • 28 studies investigated potential mechanisms
  • 6 studies did both

Results:

  • There is limited evidence that eccentric-only loading is superior to other loading programs
  • There is equivalent evidence for Silbernagel Combined loading for Achilles treatment, and greater evidence for HSR loading for patellar treatment
  • Improved neuromuscular performance was the only mechanism consistently associated with improved clinical outcomes
  • HSR loading and Silbernagel Combined loading both had equivalent or higher evidence compared to eccentric-only loading

Infographic: Loading Programs for Patellar and Achilles Tendinopathies Blog

130 West 42 Street, Suite 1055, New York, NY 10036
130 west 42 street, suite 1055 New York, NY 10036

Contact Us



You can call
or Send message
1-866-311-5889

error: Content is protected !!