Tendons are fibrous connective tissues that are capable of transmitting mechanical loading and utilize elastic energy during locomotion. 29 Tendon adaptations to mechanical loads include changes in mechanical properties and metaboliccirculatory function. 11,13 Tendon mechanical properties determine stress and strain distribution within the tendon. 37,38,40 Tendon microcirculation reflects intratendinous metabolic demands and includes the distribution of blood flow and oxygen consumption in the arteriolar, capillary, and venular segments.
22,31Local blood flow is controlled by autoregulation (myogenic responses and metabolism) and shearing stress stimulation of the endothelium and neurohormones, 31 and is partially influenced by vessel radius and length (Poiseuille's equation).
5Viscoelastic behaviors of the vessels and tendons suggest that adaptation of tendon microcirculation during exercises may vary due to differences in tendons' plastic mechanical properties. 18,19,36 However, this theory has not been validated.Exercises involving movements that an individual is not used to and that reduce tendon stiffness, 26 as well as exercises that cause ischemia reperfusion, 1,21 are proposed as likely etiological factors in acute tendinopathies occurring when someone suddenly increases his or her level of physical activities ("weekend warrior" syndrome) or has eccentric exercise T T STUDY DESIGN: Controlled laboratory study.
T T OBJECTIVES:To measure and compare patellar tendon stiffness and microcirculation in college tennis players and nonathletic students when performing eccentric knee extension exercises that do and do not reduce tendon stiffness.
T T BACKGROUND:Previous studies suggest that tendon microcirculation response during exercises may vary based on the tendon's plastic properties.
T T METHODS:The study included 3 groups of college-age male students: tennis players who performed 4 sets of either 40 (n = 12) or 80 (n = 13) repetitions of eccentric knee extension exercise and nonathletic students (n = 14) who performed 4 sets of 40 repetitions. Tendon stiffness was measured before and after exercise completion. Changes in total hemoglobin and oxygen saturation (OSat) were analyzed while performing the 4 sets. Comparisons were made within and between the groups. The level of association between tendon microcirculation and stiffness reduction was assessed.
T T RESULTS:The 2 groups (player/4 × 80 and student/4 × 40) exhibiting patellar tendon stiffness reductions (P<.008) showed higher total hemoglobin and OSat levels, above the pre-exercise levels, in the fourth set compared to the first set of exercises (P<.004). The tennis players who performed 4 sets of 40 repetitions exhibited higher OSat levels in the fourth set than in the first set (P = .004) but had no reduction in tendon stiffness. Changes in OSat levels in the fourth set were correlated with patellar tendon stiffness reductions (r = -0.381, P = .02).
T T CONCLUSION:We conclude that there was increased patellar tendon microcirculation after performing...