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Exercise therapy for tendinopathy: a mixed-methods evidence synthesis exploring feasibility, acceptability and

Kay Cooper1, Lyndsay Alexander1, David Brandie2

  • 1School of Health Sciences, Robert Gordon University, Garthdee Road, Aberdeen, UK.

Health Technology Assessment (Winchester, England)
|November 6, 2023
PubMed
Summary

Exercise therapy is safe and beneficial for tendinopathy. Combining strengthening exercises and other conservative treatments may enhance outcomes, but evidence quality varies.

Keywords:
EXERCISE THERAPYMETA-ANALYSISMUSCULOSKELETAL DISEASESSYSTEMATIC REVIEWTENDINOPATHY

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Rehabilitation

Background:

  • Tendinopathy is a common, painful condition limiting function, often managed with exercise therapy.
  • A comprehensive review was conducted to map exercise interventions and outcomes for tendinopathies.

Approach:

  • A scoping review identified interventions and outcomes across various tendinopathies.
  • Systematic reviews evaluated exercise efficacy, moderators, and feasibility/acceptability.
  • Extensive literature searches were performed across databases and registries.

Key Points:

  • Exercise therapy is safe and beneficial for tendinopathy.
  • Shoulder tendinopathy may benefit from flexibility and proprioception exercises.
  • Combining concentric and eccentric strengthening, and exercise with other modalities, shows potential benefits.
  • Exercise interventions are generally feasible and acceptable, with patient factors being crucial.

Conclusions:

  • Exercise therapy is a safe and beneficial treatment for tendinopathy.
  • Specific exercise approaches, like combined strengthening and adjunct therapies, show promise.
  • High-quality research with standardized reporting is needed to confirm findings.