Programa de ejercicios excéntricos en tendinopatías para atletas de alto rendimiento.
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Introducción: En 2017, en la Ciudad de México, se realizó una estadística sobre las principales patologías en atletas de alto rendimiento. Basado en los hallazgos encontrados, se revisan los conceptos, tratamientos y abordajes, con relación a las tendinopatías. Se describen protocolos de ejercicios excéntricos, que demostraron la eficacia del ejercicio excéntrico. La eficacia de este tipo de ejercicio, se debe a la respuesta de los tendones al entrenamiento excéntrico. La tendinopatía, nombre colectivo para tendinitis, tendinosis y paratendinitis, es el síndrome clínico, que describe las lesiones por uso excesivo del tendón. Se caracteriza por una combinación de dolor, inflamación difusa o localizada y pérdida de la función, daño térmico y... Ver más
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Pamela Guadalupe Castro Maldonado - 2021
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Programa de ejercicios excéntricos en tendinopatías para atletas de alto rendimiento. Eccentric exercise program in tendinopathies for high performance athletes. Introducción: En 2017, en la Ciudad de México, se realizó una estadística sobre las principales patologías en atletas de alto rendimiento. Basado en los hallazgos encontrados, se revisan los conceptos, tratamientos y abordajes, con relación a las tendinopatías. Se describen protocolos de ejercicios excéntricos, que demostraron la eficacia del ejercicio excéntrico. La eficacia de este tipo de ejercicio, se debe a la respuesta de los tendones al entrenamiento excéntrico. La tendinopatía, nombre colectivo para tendinitis, tendinosis y paratendinitis, es el síndrome clínico, que describe las lesiones por uso excesivo del tendón. Se caracteriza por una combinación de dolor, inflamación difusa o localizada y pérdida de la función, daño térmico y respuestas compresivas adaptativas. Objetivo: Establecer la eficacia de los protocolos de ejercicios excéntricos, desde su concepción hasta su aplicación, a padecimientos de tendinopatía y enunciar la ventaja que tienen sobre otros tipos de ejercicios. Metodología: Se describen los protocolos de ejercicios excéntricos, que demostraron la eficacia del ejercicio excéntrico. La eficacia de este tipo de ejercicio, se debe a la respuesta de los tendones al entrenamiento excéntrico. Resultados: En esta revisión bibliográfica, se reportan que los programas de ejercicios excéntricos, bien diseñados, mejoran significativamente a los pacientes con tendinopatías y los resultados se mantienen a medio-largo plazo. Conclusiones: La revisión de la literatura que aquí se presenta arroja luz sobre los beneficios que tienen los ejercicios excéntricos, especialmente, en el proceso metabólico y en las propiedades mecánicas en el tendón, lo cual, específicamente, ayuda a la evolución favorable de estas patologías. Introduction: In 2017, at Mexico City, a statistic about the main pathologies in High Performance Athletes was made. Injury prevalence in athletes was of 58.14%, tendinopathy was the 3rd more frequent injury (about 12.64%). Based on these findings, the concepts, treatments, and approaches to tendinopathy are review. Here are described eccentric exercises protocols which proved the efficacy of eccentric exercise. The efficacy of this kind of exercises is due to the response of tendons to eccentric training. Tendinopathy, collective name for tendinitis, tendinosis and paratendinitis, is a clinic syndrome that describes tendon injuries upon excessive use. Tendinopathy is characterized as a combination of pain, diffuse or localized inflammation and function loss, thermic damage, and adaptive compressive responses. Objective: Through a review of the specialized literature on tendinopathies and their treatment, an attempt will be made to establish the efficacy of eccentric exercise protocols from their conception to their application to tendinopathy conditions and to present the advantage they have over other types of exercises. Methodology: Eccentric exercise protocols that demonstrate the efficacy of eccentric exercise are described. The effectiveness of this type of exercise is due to the response of the tendons to eccentric training. Results: In this literature review, it is reported that well-designed eccentric exercise programs significantly improve tendinopathy patients and results are maintained in the medium to long term. Conclusions: The review of the literature presented here sheds light on the benefits of eccentric exercise. Specifically, in the metabolic process and in the mechanical properties in the tendon, which helps the favorable evolution of these pathologies. Castro Maldonado, Pamela Guadalupe tendinopatía entrenamiento excéntrico ejercicio para tendinopatía ejercicio excéntrico tendinopathy eccentric training tendinopathy exercise eccentric exercise 7 1 Núm. 1 , Año 2021 :Revista digital: Actividad Física y Deporte. Enero-Junio Artículo de revista Journal article 2021-01-01T00:00:00Z 2021-01-01T00:00:00Z 2020-01-01 application/xml application/pdf Universidad de Ciencias Aplicadas y Ambientales U.D.C.A Revista digital: Actividad Física y Deporte 2462-8948 https://revistas.udca.edu.co/index.php/rdafd/article/view/1674 10.31910/rdafd.v7.n1.2021.1674 https://doi.org/10.31910/rdafd.v7.n1.2021.1674 spa https://creativecommons.org/licenses/by-nc-sa/4.0/ Pamela Guadalupe Castro Maldonado - 2021 1 16 ACKERMANN, P.; PHISITKUL, P.; PEARCE, C. 2018. Treatment of Achilles tendinopathy: state of the art. 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Guía de la práctica clínica de les tendinopaties: diagnóstic, tractament i prevenció. Apunts. Medicina de l’Esport. 47(176):143–168. https://doi.org/10.1016/j.apunts.2012.09.001 BLAZINA, M.; KERLAN, R.; JOBE, F.; CARTER, V.; CARLSON, G. 1973. Jumper’s knee. The Orthopedic Clinics of North America. 4(3):665–678. BLEY, B.; ABID, W. 2015. Imaging of tendinopathy: A physician’s perspective. Journal of Orthopaedic and Sports Physical Therapy. 45(11):826–828. https://doi.org/10.2519/jospt.2015.0113 BOSTRØM, K.; MAEHLUM, S.; SMÅSTUEN, M.; STORHEIM, K. 2019. Clinical comparative effectiveness of acupuncture versus manual therapy treatment of lateral epicondylitis: Feasibility randomized clinical trial. Pilot and Feasibility Studies. 5(1):1–10. https://doi.org/10.1186/s40814-019-0490-x CANEDO-GARCÍA, A.; PACHECO-SANZ, D.I.; GARCÍA-SÁNCHEZ, J.N. 2019. La actividad físico-deportiva y los programas intergeneracionales. In: Padilla, D.; Aguilar, J.; López, R. (eds). Salud y Ciclo Vital. 1st ed. Dykinson, S.L. p.319–331. https://doi.org/10.2307/j.ctvfb6z2h.31 CANNELL, L. 1982. The effects of an eccentric-type exercise versus a concentric-type exercise in the management of chronic patellar tendonitis. The University of British Columbia. 70p. CANNELL, L.; TAUNTON, J.; CLEMENT, D.; SMITH, C., KHAN, K. 2001. A randomised clinical trial of the efficacy of drop squats or leg extension/leg curl exercises to treat clinically diagnosed jumper’s knee in athletes: Pilot study. British Journal of Sports Medicine. 35(1):60–64. https://doi.org/10.1136/bjsm.35.1.60 CARDOSO, T.; PIZZARI, T.; KINSELLA, R.; HOPE, D.; COOK, J. 2019. Current trends in tendinopathy management. Best Practice and Research: Clinical Rheumatology. 33(1):122–140. https://doi.org/10.1016/j.berh.2019.02.001 CHENG, H.; WU, S.; KAO, M. 2005. Cardiopulmonary responses to isokinetic concentric/eccentric exercise of the quadriceps in healthy young adults. 10:S28–S36. COOK, J.; KHAN, K.; MAFULLI, N.; PURDAM, C. 2000. 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American Journal of Sports Medicine. 39(3):607–613. https://doi.org/10.1177/0363546510384789 GROSS, M. 1992. Chronic Tendinitis: Pathomechanics of Injury, Factors Affecting the Healing Response, and Treatment. Journal of Orthopaedic & Sports Physical Therapy. 16(6):248–261. https://doi.org/10.2519/jospt.1992.16.6.248 HEINEMEIER, K.; LANGBERG, H.; OLESEN, J.; KJAER, M. 2003. Role of TGF-B1 in relation to exercise-induced type I collagen synthesis in human tendinous tissue. Journal of Applied Physiology. 95:2390–2397. https://doi.org/10.1152/japplphysiol.00403.2003 HOLDEN, S.; LYNG, K.; GRAVEN-NIELSEN, T.; RIEL, H.; OLESEN, J.; LARSEN, L.; RATHLEFF, M. 2020. Isometric exercise and pain in patellar tendinopathy: A randomized crossover trial. Journal of Science and Medicine in Sport. 23(3):208–214. https://doi.org/10.1016/j.jsams.2019.09.015 HONG, Q.; DURAND, M.; LOISEL, P. 2003. Treatment of lateral epicondylitis: where is the evidence? 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The American Journal of Sports Medicine. 20:390–395. https://doi.org/10.1177/036354659202000404 KHAN, K.; BONAR, F.; DESMOND, P.; COOK, J.; YOUNG, D.; VISENTINI, P.; FEHRMANN, M.; KISS, Z.; O’BRIEN, P.; HARCOURT, P.; DOWLING, R.; O’SULLIVAN, R.; CRICHTON, K.; TRESS, B.; WARK, J. 1996. Patellar tendinosis (jumper’s knee): Findings at histopathologic examination, US, and MR imaging. Victorian Institute of Sport Tendon Study Group. Radiology. 200:821–827. https://doi.org/10.1148/radiology.200.3.8756939 KHAN, K.M.; COOK, J.L.; TAUNTON, J.E.; BONAR, F. 2000. Overuse tendinosis, not tendinitis part 1: a new paradigm for a difficult clinical problem. Phys Sportsmed. 28(5):38-48. https://doi.org/10.3810/psm.2000.05.890 KNOBLOCH, K.; KRAEMER, R.; JAGODZINSKI, M.; ZEICHEN, J.; MELLER, R.; VOGT, P. 2007. Eccentric training decreases paratendon capillary blood flow and preserves paratendon oxygen saturation in chronic achilles tendinopathy. Journal of Orthopaedic and Sports Physical Therapy. 37(5):269–276. https://doi.org/10.2519/jospt.2007.2296 KONGSGAARD, M.; REITELSEDER, S.; PEDERSEN, T.; HOLM, L.; AAGAARD, P.; KJAER, M.; MAGNUSSON, S. 2007. Region specific patellar tendon hypertrophy in humans following resistance training. Acta Physiologica (Oxford, England). 191:111–121. https://doi.org/10.1111/j.1748-1716.2007.01714.x LANGBERG, H. 2013. Tendinopathy: more questions than answers. British Journal of Sports Medicine. 47(9):e2. https://doi.org/10.1136/bjsports-2013-092459.18 MAFFULLI, N.; WALLEY, G.; SAYANA, M.; LONGO, U.; DENARO, V. 2008. Eccentric calf muscle training in athletic patients with Achilles tendinopathy. Disability and Rehabilitation. 30(20-22):1677–1684. https://doi.org/10.1080/09638280701786427 MAUTNER, K.; MALANGA, G.; COLBERG, R. 2011. Optimization of ingredients, procedures and rehabilitation for platelet-rich plasma injections for chronic tendinopathy. 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Age and Ageing. 35(3):291–297. https://doi.org/10.1093/ageing/afj082 VAN RIJN, D.; VAN DEN AKKER-SCHEEK, I.; STEUNEBRINK, M.; DIERCKS, R.; ZWERVER, J.; VAN DER WORP, H. 2019. Comparison of the Effect of 5 Different Treatment Options for Managing Patellar Tendinopathy: A Secondary Analysis. Clinical Journal of Sport Medicine. 29(3):181–187. https://doi.org/10.1097/JSM.0000000000000520 https://revistas.udca.edu.co/index.php/rdafd/article/download/1674/2066 https://revistas.udca.edu.co/index.php/rdafd/article/download/1674/2069 info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/resource_type/c_dcae04bc http://purl.org/redcol/resource_type/ARTREV info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Publication |
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Revista digital: Actividad Física y Deporte |
title |
Programa de ejercicios excéntricos en tendinopatías para atletas de alto rendimiento. |
spellingShingle |
Programa de ejercicios excéntricos en tendinopatías para atletas de alto rendimiento. Castro Maldonado, Pamela Guadalupe tendinopatía entrenamiento excéntrico ejercicio para tendinopatía ejercicio excéntrico tendinopathy eccentric training tendinopathy exercise eccentric exercise |
title_short |
Programa de ejercicios excéntricos en tendinopatías para atletas de alto rendimiento. |
title_full |
Programa de ejercicios excéntricos en tendinopatías para atletas de alto rendimiento. |
title_fullStr |
Programa de ejercicios excéntricos en tendinopatías para atletas de alto rendimiento. |
title_full_unstemmed |
Programa de ejercicios excéntricos en tendinopatías para atletas de alto rendimiento. |
title_sort |
programa de ejercicios excéntricos en tendinopatías para atletas de alto rendimiento. |
title_eng |
Eccentric exercise program in tendinopathies for high performance athletes. |
description |
Introducción: En 2017, en la Ciudad de México, se realizó una estadística sobre las principales patologías en atletas de alto rendimiento. Basado en los hallazgos encontrados, se revisan los conceptos, tratamientos y abordajes, con relación a las tendinopatías. Se describen protocolos de ejercicios excéntricos, que demostraron la eficacia del ejercicio excéntrico. La eficacia de este tipo de ejercicio, se debe a la respuesta de los tendones al entrenamiento excéntrico. La tendinopatía, nombre colectivo para tendinitis, tendinosis y paratendinitis, es el síndrome clínico, que describe las lesiones por uso excesivo del tendón. Se caracteriza por una combinación de dolor, inflamación difusa o localizada y pérdida de la función, daño térmico y respuestas compresivas adaptativas. Objetivo: Establecer la eficacia de los protocolos de ejercicios excéntricos, desde su concepción hasta su aplicación, a padecimientos de tendinopatía y enunciar la ventaja que tienen sobre otros tipos de ejercicios. Metodología: Se describen los protocolos de ejercicios excéntricos, que demostraron la eficacia del ejercicio excéntrico. La eficacia de este tipo de ejercicio, se debe a la respuesta de los tendones al entrenamiento excéntrico. Resultados: En esta revisión bibliográfica, se reportan que los programas de ejercicios excéntricos, bien diseñados, mejoran significativamente a los pacientes con tendinopatías y los resultados se mantienen a medio-largo plazo. Conclusiones: La revisión de la literatura que aquí se presenta arroja luz sobre los beneficios que tienen los ejercicios excéntricos, especialmente, en el proceso metabólico y en las propiedades mecánicas en el tendón, lo cual, específicamente, ayuda a la evolución favorable de estas patologías.
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description_eng |
Introduction: In 2017, at Mexico City, a statistic about the main pathologies in High Performance Athletes was made. Injury prevalence in athletes was of 58.14%, tendinopathy was the 3rd more frequent injury (about 12.64%). Based on these findings, the concepts, treatments, and approaches to tendinopathy are review. Here are described eccentric exercises protocols which proved the efficacy of eccentric exercise. The efficacy of this kind of exercises is due to the response of tendons to eccentric training. Tendinopathy, collective name for tendinitis, tendinosis and paratendinitis, is a clinic syndrome that describes tendon injuries upon excessive use. Tendinopathy is characterized as a combination of pain, diffuse or localized inflammation and function loss, thermic damage, and adaptive compressive responses. Objective: Through a review of the specialized literature on tendinopathies and their treatment, an attempt will be made to establish the efficacy of eccentric exercise protocols from their conception to their application to tendinopathy conditions and to present the advantage they have over other types of exercises. Methodology: Eccentric exercise protocols that demonstrate the efficacy of eccentric exercise are described. The effectiveness of this type of exercise is due to the response of the tendons to eccentric training. Results: In this literature review, it is reported that well-designed eccentric exercise programs significantly improve tendinopathy patients and results are maintained in the medium to long term. Conclusions: The review of the literature presented here sheds light on the benefits of eccentric exercise. Specifically, in the metabolic process and in the mechanical properties in the tendon, which helps the favorable evolution of these pathologies.
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author |
Castro Maldonado, Pamela Guadalupe |
author_facet |
Castro Maldonado, Pamela Guadalupe |
topicspa_str_mv |
tendinopatía entrenamiento excéntrico ejercicio para tendinopatía ejercicio excéntrico |
topic |
tendinopatía entrenamiento excéntrico ejercicio para tendinopatía ejercicio excéntrico tendinopathy eccentric training tendinopathy exercise eccentric exercise |
topic_facet |
tendinopatía entrenamiento excéntrico ejercicio para tendinopatía ejercicio excéntrico tendinopathy eccentric training tendinopathy exercise eccentric exercise |
citationvolume |
7 |
citationissue |
1 |
citationedition |
Núm. 1 , Año 2021 :Revista digital: Actividad Física y Deporte. Enero-Junio |
publisher |
Universidad de Ciencias Aplicadas y Ambientales U.D.C.A |
ispartofjournal |
Revista digital: Actividad Física y Deporte |
source |
https://revistas.udca.edu.co/index.php/rdafd/article/view/1674 |
language |
spa |
format |
Article |
rights |
https://creativecommons.org/licenses/by-nc-sa/4.0/ Pamela Guadalupe Castro Maldonado - 2021 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 |
references |
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Springer (Cham). p.707-710. https://doi.org/10.1007/978-3-319-99124-5_151 SUSSMILCH-LEITCH, S.; COLLINS, N.; BIALOCERKOWSKI, A.; WARDEN, S.; CROSSLEY, K. 2012. Physical therapies for Achilles tendinopathy: Systematic review and meta-analysis. Journal of Foot and Ankle Research. 5(1). https://doi.org/10.1186/1757-1146-5-15 TARPADA, S.; MORRIS, M.; LIAN, J.; RASHIDI, S. 2018. Current advances in the treatment of medial and lateral epicondylitis. Journal of Orthopaedics. 15(1):107–110. https://doi.org/10.1016/j.jor.2018.01.040 TORRECILLAS, J.; SEGURA, M. 2019. Influencia en la participación en actividades de ocio sobre la calidad de vida de las personas con diversidad funcional. In Padilla, D.; Aguilar, J.; López, R. (eds). Salud y Ciclo Vital. 1st ed. Dykinson, S.L. p.51–58. https://doi.org/10.2307/j.ctvfb6z2h.7 VALLEJO, A.; SCHROEDER, E.; ZHENG, L.; JENSKY, N.; SATTLER, F. 2006. Cardiopulmonary responses to eccentric and concentric resistance exercise in older adults. Age and Ageing. 35(3):291–297. https://doi.org/10.1093/ageing/afj082 VAN RIJN, D.; VAN DEN AKKER-SCHEEK, I.; STEUNEBRINK, M.; DIERCKS, R.; ZWERVER, J.; VAN DER WORP, H. 2019. Comparison of the Effect of 5 Different Treatment Options for Managing Patellar Tendinopathy: A Secondary Analysis. Clinical Journal of Sport Medicine. 29(3):181–187. https://doi.org/10.1097/JSM.0000000000000520 |
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10.31910/rdafd.v7.n1.2021.1674 |
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