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British Journal of Sports Medicine 2008;42:233-234
Copyright © 2008 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.

SPORTSMEDUPDATE

SportsMedUpdate

Martin P Schwellnus

University of Cape Town, South Africa

The first 150 words of the full text of this article appear below.

ECCENTRIC REHABILITATION EXERCISE INCREASES PERITENDINOUS TYPE I COLLAGEN SYNTHESIS IN HUMANS WITH ACHILLES TENDINOSIS

Langberg H, Ellingsgaard H, Madsen T, . Scand J Med Sci Sports 2007;17:61–6.

Background:

Eccentric resistance training can reduce pain in athletes with chronic Achilles tendinosis, but the precise mechanism for this rehabilitation programme is not understood.

Research question/s:

Does a 12-week eccentric training programme alter turnover of peritendinous connective tissue in chronic Achilles tendinosis?

Methodology:

Subjects: 12 elite male soccer players (6 with unilateral Achilles tendinosis (AT group), 6 healthy controls (CON group)).

Experimental procedure: All the subjects underwent a 12 week heavy-resistance eccentric training program, in addition to their regular training and soccer activity. Using the microdialysis technique the tissue concentration of indicators of collagen turnover was measured before and after the 12 week training period. Clinical outcome was measured using the pain during standardised loading (VAS)

Measure of outcome: Collagen synthesis (carboxyterminal propeptide of type I collagen (PICP) concentration), collagen degradation (carboxyterminal telopeptide region of type I collagen (ICTP) concentration), pain . . . [Full text of this article]


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