Extremities: Reviews

Cook J, Rio E, Purdam C, Docking S, Revisiting the continuum model of tendon pathology: what is its merit in clinical practice and research?, Br J Sports Med, 50, 1187-1191, 2016

This discussion paper reviews and updates the continuum model of tendon pathology. The implicatiosn of new research is discussed, especially the relationship between structure, tendon pain and function. Clinical implications are also hignlighted.

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Cook JL and Purdam CR, Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy., Br J Sports Med, 43;409-416, 2009

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Habets B, van Cingel REH, Eccentric exercise training in chronic mid-portion Achilles tendinopathy: A systemic review on different protocols., Scandinavian Journal of Medicine and Science in Sports, 25(1):3-15, 2015

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Khan KM,Scott A, Mechanotherapy: how physical therapists' prescription of exercise promotes tissue repair., Br J Sports Med, 43:247-251, 2009

A summary of mechanotransduction, which describes the effect that mechanical loading exercise has on the biochemical responses of cells. Loading deforms cells, which causes chemical signals that stimulate growth and repair. The authors term this mechanotherapy.

 

Littlewood C, Contractile dysfunction of the shoulder (rotator cuff tendinopathy): an overview, J Man Manip Ther, 20:209-213, 2012

A narrative review of contractile dysfunction of the shoulder reporting what is known about pathology, diagnosis, treatment and prognosis. It is suggested that classification is based on excluding cervical spine, minimal resting pain, largely preserved range of movement, and consistent pain on resisted tests. And that management should be based on loaded exercises that are painful to perform.

 

Rio E, Moseley L, Purdam C, Samiric T, Kidgell D, Pearce AJ, Jaberzadeh S, Cook J., The pain of tendinopathy: physiological or pathophysiological., Sports Med, 44:1:9-23, 2014

A review of possible mechanisms for tendon pain, which includes local sources, but also central mechanisms.

 

Scott A, Huisman E, Khan K, Conservative treatment of chronic Achilles tendinopathy., Can Med Assoc J, 183.1159-1165, 2011

Review of treatments for chronic Achilles tendinopathy (contractile dysfunction in MDT terms); the only intervention with strong evidence for a treatment effect was loaded exercises, including eccentric exercises. Evidence was inconclusive or absent for all other interventions.