BEST EVIDENCE TOPIC REPORTS
BET 2: ECCENTRIC EXERCISE IN THE TREATMENT OF ACHILLES TENDINOPATHY
Manchester Royal Infirmary, Manchester, UK
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Report by: Davina Flint, Stephanie Pugh and Michael Callaghan, Physiotherapist, Senior Specialist Physiotherapist and Clinical Specialist and Research Associate
Institution: Manchester Royal Infirmary, Manchester, UK
A short-cut review was carried out to establish whether eccenctric exercise is beneficial in the treatment of Achilles tendinopathy. A total of 172 papers was found using the reported search, of which 14 represented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are shown in table 1. The clinical bottom line is that eccentric exercise is no better than other non-invasive treatments for Achilles tendinitis. There is, however, moderate evidence to suggest that when eccentric exercise is combined with other non-invasive treatment modalities, there is a significant improvement in outcome measures.
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View this table: Table 1 Relevant papers
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In [adults with Achilles tendinopathy] is [eccentric exercise
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