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Heavy-Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles Tendinosis

肌腱炎 偏心训练 古怪的 医学 跟腱 物理医学与康复 肌腱病 小腿肌肉 物理疗法 外科 肌腱 工程类 机械工程
作者
Håkan Alfredson,Tom Pietilä,Per Jönsson,Ronny Lorentzon
出处
期刊:American Journal of Sports Medicine [SAGE]
卷期号:26 (3): 360-366 被引量:1125
标识
DOI:10.1177/03635465980260030301
摘要

We prospectively studied the effect of heavy-load eccentric calf muscle training in 15 recreational athletes (12 men and 3 women; mean age, 44.3 7.0 years) who had the diagnosis of chronic Achilles tendinosis (degenerative changes) with a long duration of symptoms despite conventional nonsurgical treatment. Calf muscle strength and the amount of pain during activity (recorded on a visual analog scale) were measured before onset of training and after 12 weeks of eccentric training. At week 0, all patients had Achilles tendon pain not allowing running activity, and there was significantly lower eccentric and concentric calf muscle strength on the injured compared with the noninjured side. After the 12-week training period, all 15 patients were back at their preinjury levels with full running activity. There was a significant decrease in pain during activity, and the calf muscle strength on the injured side had increased significantly and did not differ significantly from that of the noninjured side. A comparison group of 15 recreational athletes with the same diagnosis and a long duration of symptoms had been treated conventionally, i.e., rest, nonsteroidal antiinflammatory drugs, changes of shoes or orthoses, physical therapy, and in all cases also with ordinary training programs. In no case was the conventional treatment successful, and all patients were ultimately treated surgically. Our treatment model with heavy-load eccentric calf muscle training has a very good short-term effect on athletes in their early forties.
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