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Is compressive load a factor in the development of tendinopathy?
1School of Primary Health Care, Monash University, Frankston 3199, Victoria, Australia. jill.cook@monash.edu
British Journal of Sports Medicine
|November 25, 2011
Summary
Excessive load causes tendinopathy, leading to cellular and matrix changes. This study explores how compressive loads, not just tensile, may contribute to tendinopathy development and persistence.
Area of Science:
- Orthopedics
- Sports Medicine
- Biomechanical Engineering
Background:
- Tendons are adapted for tensile loads, but overuse can lead to tendinopathy.
- Overuse tendinopathy involves cellular activation, altered extracellular matrix, and collagen breakdown.
- Fibrocartilaginous metaplasia observed in tendinopathy may indicate a response to compressive forces.
Purpose of the Study:
- To investigate the potential role of compressive loads in the onset and progression of overuse tendinopathy.
- To review evidence supporting the consideration of compressive loads in tendinopathy management.
- To enhance understanding of load management strategies for tendinopathy.
Main Methods:
- Review of anatomical evidence related to tendon loading.
- Analysis of epidemiological data on tendinopathy prevalence.
- Examination of clinical findings and mechanotransduction models.
Main Results:
- Pathological changes in tendinopathy include fibrocartilaginous metaplasia, potentially linked to compression.
- Mechanotransduction models suggest compressive load as a factor in tendinopathy.
- Evidence supports the influence of both tensile and compressive loads on tendon health.
Conclusions:
- Compressive loads may play a significant role in the development and perpetuation of overuse tendinopathy.
- Load management strategies should consider both tensile and compressive forces for effective treatment.
- Further research into the biomechanics of compressive loading in tendons is warranted.
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