Eccentric exercises for the management of tendinopathy of the main body of the Achilles tendon with or without the AirHeel™ Brace. A randomized controlled trial. A: Effects on pain and microcirculation

@article{Knobloch2008EccentricEF,
  title={Eccentric exercises for the management of tendinopathy of the main body of the Achilles tendon with or without the AirHeel{\texttrademark} Brace. A randomized controlled trial. A: Effects on pain and microcirculation},
  author={Karsten Knobloch and Louisa Schreibmueller and Umile Giuseppe Longo and Peter M. Vogt},
  journal={Disability and Rehabilitation},
  year={2008},
  volume={30},
  pages={1685 - 1691}
}
Purpose. To compare eccentric training and the combination of eccentric training with the AirHeel™ Brace for the management of tendinopathy of the main body of the Achilles tendon. Methods. We recruited 116 subjects with unilateral tendinopathy of the main body of the Achilles tendon, who were randomized in two groups. Group A performed a regimen of daily eccentric training associated with the AirHeel™ Brace (Donjoy Orthopedics, Vista, CA, USA). Group B performed the same eccentric training… 
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A modified 6-week eccentric heel-drop training regimen as the only treatment for chronic Achilles tendinopathy resulted in a high degree of patient satisfaction, reduced pain and a successful return to pre-morbid activity levels.
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TLDR
A systematic review of the literature was performed in accordance with the PRISMA guidelines, in order to describe different exercise protocols and to determine the most effective training parameters, and strong evidence was found for the Alfredson exercise protocol.
Eccentric training decreases paratendon capillary blood flow and preserves paratendon oxygen saturation in chronic achilles tendinopathy.
TLDR
An eccentric-training program performed daily over 12 weeks reduced the increased paratendinous capillary blood flow in Achilles tendinopathy by as much as 45% and decreased pain level based on a visual analog scale, which appears to be beneficial from the perspective of microcirculation.
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The effect of eccentric and concentric calf muscle training on Achilles tendon stiffness
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Six weeks of eccentric training can alter Achilles tendon stiffness while a matched concentric programme shows no similar effects.
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An eccentric-training program performed daily over 12 weeks reduced the increased paratendinous capillary blood flow in Achilles tendinopathy by as much as 45% and decreased pain level based on a visual analog scale, which appears to be beneficial from the perspective of microcirculation.
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