Should Physical Therapists Use Isometrics to Treat Tendinopathy? | Evidence Based Guide [2023 Update] FPF Show Episode 66

By dpope2020

January 6, 2023

achilles tendinopathy, achilles tendinopathy exercises, achilles tendinopathy isometric exercises, achilles tendinopathy rehab, achilles tendinopathy treatment, achilles tendon, athletictrainer, chiro, chiropractic, correctiveexercise, dan pope, DPT, DPTstudent, eccentric exercise, eccentrics, exercise, fitness, fitness pain free, heavy slow loads, isometric exercises, personaltrainer, physicaltherapist, physicaltherapy, physio, physiotherapy, sportsrehab, strengthandconditioning, tendon pain

Should Physical Therapists Use Isometrics to Treat Tendinopathy? | Evidence Based Guide [2023 Update] FPF Show Episode 66

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In today's episode we go over Should Physical Therapists Use Isometrics to Treat Tendinopathy? | Evidence Based Guide [2023 Update] FPF Show Episode 66:

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Dan Pope DPT, OCS, CSCS

References:

  1. Rio E, Kidgell D, Purdam C, et alIsometric exercise induces analgesia and reduces inhibition in patellar tendinopathyBritish Journal of Sports Medicine 2015;49:1277-1283.

  2. van Ark M, Cook JL, Docking SI, Zwerver J, Gaida JE, van den Akker-Scheek I, Rio E. Do isometric and isotonic exercise programs reduce pain in athletes with patellar tendinopathy in-season? A randomised clinical trial. J Sci Med Sport. 2016 Sep;19(9):702-6. doi: 10.1016/j.jsams.2015.11.006. Epub 2015 Dec 7. PMID: 26707957

  3. Holden S, Lyng K, Graven-Nielsen T, Riel H, Olesen JL, Larsen LH, Rathleff MS. Isometric exercise and pain in patellar tendinopathy: A randomized crossover trial. J Sci Med Sport. 2020 Mar;23(3):208-214. doi: 10.1016/j.jsams.2019.09.015. Epub 2019 Oct 10. PMID: 31735531.

  4. Holden S, Lyng K, Graven-Nielsen T, Riel H, Olesen JL, Larsen LH, Rathleff MS. Isometric exercise and pain in patellar tendinopathy: A randomized crossover trial. J Sci Med Sport. 2020 Mar;23(3):208-214. doi: 10.1016/j.jsams.2019.09.015. Epub 2019 Oct 10. PMID: 31735531.

  5. Bradford B, Rio E, Murphy M, Wells J, Khondoker M, Clarke C, Chan Y, Chester R. Immediate Effects of two Isometric Calf Muscle Exercises on Mid-portion Achilles Tendon Pain. Int J Sports Med. 2021 Nov;42(12):1122-1127. doi: 10.1055/a-1398-5501. Epub 2021 Mar 29. PMID: 33782936.

  6. Clifford C, Challoumas D, Paul L, Syme G, Millar NL. Effectiveness of isometric exercise in the management of tendinopathy: a systematic review and meta-analysis of randomised trials. BMJ Open Sport Exerc Med. 2020 Aug 4;6(1):e000760. doi: 10.1136/bmjsem-2020-000760. PMID: 32818059; PMCID: PMC7406028.

  7. Sprague, A.L., Couppé, C., Pohlig, R.T. et al. Pain-guided activity modification during treatment for patellar tendinopathy: a feasibility and pilot randomized clinical trial. Pilot Feasibility Stud 7, 58 (2021). https://doi.org/10.1186/s40814-021-00792-5

  8. Malliaras P, Cook J, Purdam C, Rio E. Patellar Tendinopathy: Clinical Diagnosis, Load Management, and Advice for Challenging Case Presentations. J Orthop Sports Phys Ther. 2015 Nov;45(11):887-98. doi: 10.2519/jospt.2015.5987. Epub 2015 Sep 21. PMID: 26390269.