Isometric exercise for acute pain relief:is it relevant in tendinopathy management?
Autor: | Kristian Thorborg, Karin Grävare Silbernagel, Bill Vicenzino, Michael Skovdal Rathleff |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Acute effects
medicine.medical_specialty Sports medicine tendon medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation isometric Isometric exercise rehabilitation 03 medical and health sciences 0302 clinical medicine Acute Pain/therapy Medicine Humans Pain Management Orthopedics and Sports Medicine In patient 030212 general & internal medicine tendinopathy Acute pain Rehabilitation Tendinopathy/therapy business.industry exercise rehabilitation 030229 sport sciences General Medicine Pain management medicine.disease Acute Pain Exercise Therapy Tendinopathy Physical therapy business |
Zdroj: | Gravare Silbernagel, K, Vicenzino, B T, Rathleff, M S & Thorborg, K 2019, ' Isometric exercise for acute pain relief : is it relevant in tendinopathy management? ', British Journal of Sports Medicine, vol. 53, no. 21, pp. 1330-1331 . https://doi.org/10.1136/bjsports-2019-100591 |
DOI: | 10.1136/bjsports-2019-100591 |
Popis: | Isometric exercise as an initial treatment and in-season pain management for tendinopathies has become the latest trend, yet clear evidence in support of this approach is lacking. This new approach is based on a small cross-over study (n=6)1 and a small randomised control trial (n=20)2 comparing isometric and isotonic muscle contraction by Dr Ebonie Rio and colleagues. They reported substantial, acute effects of isometric exercise on pain in patients with patellar tendinopathy, which was greater than seen with isotonic exercise. While the pain relieving response of isometrics in the first trial1 was dramatic and homogenic, the pain relief response of the second trial2 was much more heterogenic. Based on these results an isometric management approach was quickly extrapolated to other tendons, as evinced in a popular recently updated sports medicine textbook.3 We contend that three important questions need to be answered before isometric exercise is widely adopted as standard valid first step in tendinopathy management. Does … |
Databáze: | OpenAIRE |
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