Self-dosed and pre-determined progressive heavy-slow resistance training have similar effects in people with plantar fasciopathy: a randomised trial

Riel, Henrik; Jensen, Martin Bach; Olesen, Jens Lykkegaard; Vicenzino, B.; Rathleff, Michael Skovdal

doi:10.1016/j.jphys.2019.05.011

Cited by 37 publications

(97 citation statements)

References 55 publications

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“…Please consider donating at www.storkinesiology.org/annual 6 are likely based on something besides adaptations to high load. It is interesting that Riel et al, were unable to replicate previous results for relief of plantar heel pain (Riel et al, 2019).…”

Section: Time Under Tension and Rslcmentioning

confidence: 88%

“…This tempo is much quicker than most HSR DOI: 10.31236/osf.io/zju3h SportRxiv is free to access, but not to run. Please consider donating at www.storkinesiology.org/annual 5 studies that take 6 seconds per repetition (10r/m) or 8 seconds per repetition (7.5r/m) (Beyer et al, 2015;Kongsgaard et al, 2009;Malliaras et al, 2013;Riel et al, 2018;Riel et al, 2019).…”

Section: Time Under Tension and Rslcmentioning

confidence: 99%

“…The management of tendon pain via progressive loading is well documented and appears to be one of the best approaches available. Traditional approaches with an emphasis on eccentric loading have been shown as likely to be no better than other contraction types, and heavy slow resistance (HSR) has become an accepted approach in the early stages of management due to its ability to moderate the rate of loading (Beyer et al, 2015;Kongsgaard et al, 2009;Malliaras, Barton, Reeves, & Langberg, 2013;Riel et al, 2018;Riel, Jensen, Olesen, Vicenzino, & Rathleff, 2019). While the reason for the improvements seen are controversial (eg. adaptations in some or all of tendon, muscle, kinetic chain and/or brain), patient outcomes support the use of this intervention.…”

Section: Introductionmentioning

confidence: 99%

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Putting "Heavy" into heavy slow load.

Morrison¹,

Cook²

2020

Preprint

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The body of literature on tendinopathy management has come a long way in the last few decades and a variety of changes in the clinical approach have emerged from this research. One particular approach that shows promise has been called “heavy slow load” (HSL) and this has been the subject of investigation in a number of RCTs. While the premise for this approach is defensible, a critical examination of the implementation of these HSL protocols results in some concerns when compared to basic exercise science principles. This article lays out some considerations that will help future investigators to improve their exercise prescription approaches in this area.

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Section: Time Under Tension and Rslcmentioning

confidence: 88%

Section: Time Under Tension and Rslcmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Putting "Heavy" into heavy slow load.

Morrison¹,

Cook²

2020

Preprint

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“…Despite this, evidence suggests that even HSRT protocols do not reach intended dosage levels and may require better loading and progression methods and a more individualised approach rather than a standardised protocol [26].…”

Section: Resistance Training Protocolsmentioning

confidence: 99%

“…Despite positive short-term outcomes, longterm outcomes remain poor, with up to 40% of patients having symptoms two years after resistance training interventions [25]. Recent evidence suggests current resistance training interventions are not achieving the required loading dosages in order to stimulate mechanobiological changes, such as strength increases and tendon changes [26]. Current resistance training interventions may not follow scientific training principles, and may require more accurate modification of training variables, such as frequency, intensity and volume [19].…”

mentioning

confidence: 99%

Autoregulation in Resistance Training for Lower Limb Tendinopathy: A Potential Method for Addressing Individual Factors, Intervention Issues and Inadequate Outcomes

Burton¹

2020

Preprint

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Musculoskeletal disorders such as tendinopathy are having an increasing burden on society and health systems. Tendinopathy is responsible for up to 30% of musculoskeletal disorders, having a high incidence in athletes and the general population. Although resistance training has shown short-term effectiveness for treating lower limb tendinopathy, more comprehensive exercise protocols and progression methods are required due to poor long-term outcomes. The most common resistance training protocols are pre-determined and standardised, which presents significant limitations. Current standardized protocols do not adhere to scientific resistance training principles and do not consider individual factors or take the importance of individualised training into account. Resistance training programs in tendinopathy are currently not achieving required intensity and dosage, leading to high recurrence rates. Therefore, better methods for individualising and progressing resistance training are required to improve outcomes. One potential method is autoregulation, which allows individuals to progress training at their own rate, taking individual factors into account. Despite being found effective for increasing strength in healthy athletes, autoregulation methods have not been investigated in tendinopathy. The purpose of this article was threefold: first to give an overview of individual factors in tendinopathy and current resistance training protocols in tendinopathy and their limitations. Secondly, to give an overview of the history, methods and application of autoregulation strategies both in sports performance and physiotherapy. Finally, a theoretical adaptation of a tendinopathy resistance training protocol with autoregulation methods is presented, providing an example of how the method could be implemented in clinical practice or future research.

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