Stretching for Prevention of Achilles Tendon Injuries: A Review of the Literature

@article{Park2006StretchingFP,
  title={Stretching for Prevention of Achilles Tendon Injuries: A Review of the Literature},
  author={Don-Young Park and Loretta B. Chou},
  journal={Foot \& Ankle International},
  year={2006},
  volume={27},
  pages={1086 - 1095}
}
Professional and recreational athletes commonly perform preexercise stretching to prevent musculoskeletal injuries. Little definitive evidence exists that clearly demonstrates the efficacy of stretching in reducing injury. Achilles tendon injuries are among the most common injuries affecting active individuals in the United States today. Clinicians commonly recommend stretching the Achilles tendon without concrete scientific evidence to support such a claim. Few studies have addressed the… 

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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
This thesis reports a mixed methods approach to analyse risk factors for AT development, multiple novel findings related to risk factors, the mechanism by which eccentric exercise may work, the effect of AT on plantarflexor function and how rehabilitation affects these deficits.

The Impact of Post Activation Potentiation on Achilles Tendon Stiffness, Elasticity and Thickness among Basketball Players

TLDR
Examination of the effects of post activation potentiation on Achilles tendon (AT) thickness, elasticity and stiffness among basketball players found stiffness increased significantly from the baseline post exercise, while AT thickness and elasticity decreased after the physical effort.

Achilles pain, stiffness, and muscle power deficits: achilles tendinitis.

The Orthopaedic Section of the American Physical Therapy Association presents this sixth set of clinical practice guidelines on Achilles pain, stiffness, and muscle power deficits that are

References

SHOWING 1-10 OF 41 REFERENCES

Achilles tendon overuse injuries.

Structural Achilles tendon properties in athletes subjected to different exercise modes and in Achilles tendon rupture patients.

TLDR
This study is the first to show larger CSA in tendons that are subjected to intermittent high loads in male elite athletes that subject their AT to different exercise modes as well as in Achilles rupture patients.

Intrinsic Risk Factors for the Development of Achilles Tendon Overuse Injury

TLDR
The strength of the plantar flexors and amount of dorsiflexion excursion were identified as significant predictors of an Achilles tendon overuse injury.

Tendon problems in athletic individuals.

Tendons attach muscle to bone and transmit the forces generated by muscles across joints to bone in order to achieve movement or stability of the body in space. Even when the muscle-tendon unit is

Warm-Up and Muscular Injury Prevention An Update

TLDR
The mechanics of muscular injury, associated and predisposing factors, and methods of prevention are reviewed with a review of the supporting research and rationale for these methods with an emphasis on warm-up, stretching and strengthening.

Total Achilles Tendon Rupture

TLDR
A new scoring method is assessed according to the criteria of Lindholm or Percy and Conochie, but no scoring is available for the analysis, and the prognostic factors related to the results are analysed.

Stretching before exercise does not reduce the risk of local muscle injury: a critical review of the clinical and basic science literature.

  • I. Shrier
  • Medicine
    Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
  • 1999
TLDR
The basic science literature supports the epidemiologic evidence that stretching before exercise does not reduce the risk of injury and appears to mask muscle pain in humans.

Complete Achilles tendon ruptures.

A randomized trial of preexercise stretching for prevention of lower-limb injury.

TLDR
A typical muscle stretching protocol performed during preexercise warm-ups does not produce clinically meaningful reductions in risk of exercise-related injury in army recruits, but fitness may be an important, modifiable risk factor.