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Eccentric training programmes in the management of lateral elbow tendinopathy
Peter Malliaras1, Nicola Maffulli, Giorgio Garau
1Brunel University, UK.
Disability and Rehabilitation
|July 9, 2008
Summary
Eccentric training shows promise for lateral elbow tendinopathy (LET). While results are encouraging, more research is needed to optimize painful versus pain-free programs and training duration for LET management.
Area of Science:
- Orthopedics
- Sports Medicine
- Rehabilitation
Background:
- Eccentric training is effective for Achilles and patellar tendinopathy.
- Recent research explores eccentric training for lateral elbow tendinopathy (LET).
Purpose of the Study:
- To review eccentric training programs for LET treatment.
- To guide clinicians and identify research gaps in LET management.
Main Methods:
- Systematic literature search of MEDLINE database (May 2007).
- Included studies compared eccentric training with other interventions.
- Analyzed four studies with 248 participants.
Main Results:
- Three of four studies reported superior outcomes with eccentric training.
- Variations noted in pain protocols, duration (4-12 weeks), and setting (clinic vs. home).
- One pilot study and one study lacked extended follow-up.
Conclusions:
- Eccentric training demonstrates encouraging results for LET.
- The current literature is limited, with diverse program protocols.
- Future research should explore pain and duration variables in eccentric training for LET.
