Effectiveness of the eccentric exercise therapy in physically active adults with symptomatic shoulder impingement or lateral epicondylar tendinopathy: A systematic review

Ortega-Castillo, Miguel; Medina-Porqueres, Iván

doi:10.1016/j.jsams.2015.06.007

Cited by 47 publications

(42 citation statements)

References 40 publications

(128 reference statements)

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“…The supervised therapeutic exercise will last approximately 25 min, which will be conducted in 3 progressive stages, 2 weeks each stage. Exercises used in previous studies have been selected such as scapulohumeral stabilization exercises [ 26 , 29 , 36 ], anterior [ 26 ] and posterior [ 37 ] flexibilization of the joint capsule, Codman exercises [ 26 ], proprioception, active and self-paced shoulder exercises [ 26 ], full-can exercise [ 26 , 38 ], strengthening of the rotator cuff and scapular muscles [ 26 , 39 , 40 ]. The description and dosage of the exercises are set out in Table 2 .…”

Section: Methodsmentioning

confidence: 99%

Dry needling in a manual physiotherapy and therapeutic exercise protocol for patients with chronic mechanical shoulder pain of unspecific origin: a protocol for a randomized control trial

Tejera-Falcón¹,

Toledo-Martel²,

Sosa-Medina³

et al. 2017

BMC Musculoskelet Disord

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BackgroundShoulder pain of musculoskeletal origin is the main cause of upper limb pain of non-traumatic origin. Despite being one of the most common reasons for consultation, there is no established protocol for treatment due to the complexity of its etiology. However, it has been shown that the presence of myofascial trigger points on the shoulder muscles is a common condition associated with patients suffering from shoulder pain. This protocol has been created which describes the design of a randomized controlled trial to evaluate the effectiveness of the inclusion of dry needling (DN) within a protocol of manual physiotherapy and therapeutic exercise in the treatment of chronic shoulder pain of unspecific origin.MethodsThirty-six participants aged 18–65 years will be recruited having mechanical chronic shoulder pain on unspecific origin and meeting the inclusion criteria. These will be randomized to one of two interventions, (i) DN, manual physiotherapy and therapeutic exercise or (ii) sham DN, manual physiotherapy and therapeutic exercise. The protocol will cover 6 weeks of treatment, with a 6-month follow-up. Our main outcome measure will be the Visual Analogue Scale for pain.DiscussionThis is the first study to combine the use of DN, manual physiotherapy and an exercise program with a 6-month follow-up, thus becoming a new contribution to the treatment of chronic shoulder pain, while new lines of research may be established to help determine the effects of DN on chronic shoulder pain and the frequency and proper dosage.Trial registrationsInternational Standard Randomized Controlled Trial Number Register: ISRCTN30604244 (http://www.controlled-trials.com) 29 June 2016.

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Section: Methodsmentioning

confidence: 99%

Dry needling in a manual physiotherapy and therapeutic exercise protocol for patients with chronic mechanical shoulder pain of unspecific origin: a protocol for a randomized control trial

Tejera-Falcón¹,

Toledo-Martel²,

Sosa-Medina³

et al. 2017

BMC Musculoskelet Disord

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“…The study protocol followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (PRISMA) guidelines [14]. The protocol was prospectively registered in PROSPERO, registration number CRD42014009952 [15]. A systematic, computerised search was performed using MEDLINE, SPORT Discus, CINAHL and Physiotherapy Evidence Database (PEDro) to gather information relating to the treatment of upper extremity tendinopathies with eccentric training in physically active adults.…”

Section: Methodsmentioning

confidence: 99%

A Systematic, Critical Review of the Literature to Evaluate the Effectiveness of the Eccentric Training in Symptomatic Upper Limb Tendinopathies

2015

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Objective: This systematic review aims to determine the effect of eccentric training in the management of upper limb tendinopathies. Method: A computer-assisted literature search of medical, sport Discus, Physiotherapy Evidence Database (Pedro), and CINAHL databases was conducted. Pedro scale was employed to assess methodological quality. Inclusion criteria were well specified. Results: After selection 12 studies satisfied the eligibility criteria with an average of 6/10 based on the Pedro score. In 11 studies, pain decreased significantly with eccentric. Strength was assessed in 9 studies; within-group evaluations show that strength significantly improved in the eccentric-group in 7 studies, whereas inter-group changes were only significantly better in the eccentric-group in 3 studies for all the parameters and in 2 studies for some of the parameters. Conclusion: Effectiveness of eccentric training compared with other forms of treatment remains questionable. Studies demonstrated that eccentric training may reduce pain and improve strength in upper limb tendinopathies.

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“…In 2012, EE was shown to be effective in the treatment of tendinopathies at various locations of the body, including PT, with a greater likelihood of clinical improvement when performed on a declined surface 6 8 9. In recent years, further evidence now supports the fact that exercise is more effective than other conventional treatments in tendinopathy, such as iontophoresis, ultrasound (US), Cyriax treatment, etc 10…”

Section: Introductionmentioning

confidence: 99%

Comparative study of treatment interventions for patellar tendinopathy: a protocol for a randomised controlled trial

et al. 2020

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IntroductionPatellar tendinopathy is a degenerative disease of the patellar tendon, which affects athletes from a variety of sports, and is especially predominant in sports involving high-impact jumping. The aim of this study is to determine the additional effect of two interventions combined with eccentric exercise and compare which one is the most effective at short-term and long-term follow-up for patients with patellar tendinopathy.Methods and analysisThis study is a randomised controlled trial with blinded participants. Measurements will be carried out by a specially trained blinded assessor. A sample of 57 patients with a medical diagnosis of patellar tendinopathy will participate in this study and will be divided into three treatment groups. Eligible participants will be randomly allocated to receive either: (a) treatment group with percutaneous needle electrolysis, (b) treatment group with dry needling or (c) treatment group with placebo needling. In addition, all groups will perform eccentric exercise. Functionality and muscle strength parameters, pain, ultrasound appearances and patient perceived quality of life shall be evaluated using the Victorian Institute of Sports Assessment for patellar (VISA-P), jump tests, Visual Analogue Scale, ultrasound images and Short Form-36 (SF-36), respectively. Participants will be assessed at baseline, at 10 weeks and at 22 weeks after baseline. The expected findings will allow us to advance in the treatment of this injury, as they will help determine whether a needling intervention has additional effects on an eccentric exercise programme and whether any of the needling modalities is more effective than the other.Ethics and disseminationThis protocol has been approved by the Ethics Committee of Aragon (N° PI15/0017). The trial will be conducted in accordance with the Declaration of Helsinki.Trial registration numberNCT02498795

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Effectiveness of the eccentric exercise therapy in physically active adults with symptomatic shoulder impingement or lateral epicondylar tendinopathy: A systematic review

Cited by 47 publications

References 40 publications

Dry needling in a manual physiotherapy and therapeutic exercise protocol for patients with chronic mechanical shoulder pain of unspecific origin: a protocol for a randomized control trial

Dry needling in a manual physiotherapy and therapeutic exercise protocol for patients with chronic mechanical shoulder pain of unspecific origin: a protocol for a randomized control trial

A Systematic, Critical Review of the Literature to Evaluate the Effectiveness of the Eccentric Training in Symptomatic Upper Limb Tendinopathies

Comparative study of treatment interventions for patellar tendinopathy: a protocol for a randomised controlled trial

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