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The Role Of Stretching In Tendon Injuries

E. Witvrouw, N. Mahieu, P. Roosen, P. McNair
Published 2007 · Medicine

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The function of tendons can be classified into two categories: tensile force transmission, and storage and release of elastic energy during locomotion. The action of tendons in storing and releasing energy is mainly seen in sports activities with stretch-shortening cycles (SSCs). The more intense the SSC movements are (jumping-like activities), the more frequently tendon problems are observed. High SSC movements impose high loads on tendons. Consequently, tendons that frequently deal with high SSC motion require a high energy-absorbing capacity to store and release this large amount of elastic energy. As the elasticity of tendon structures is a leading factor in the amount of stored energy, prevention and rehabilitation programmes for tendon injuries should focus on increasing this tendon elasticity in athletes performing high SSC movements. Recently, it has been shown that ballistic stretching can significantly increase tendon elasticity. These findings have important clinical implications for treatment and prevention of tendon injuries.
This paper references
Types and epidemiology of tendinopathy.
N. Maffulli (2003)
Viscoelastic response to repeated static stretching in human skeletal muscle
SP Magnusson (1995)
Tensile strength properties of Achilles tendon systems in trained and untrained rabbits.
A. Viidik (1969)
Where is the pain coming from in tendinopathy? It may be biochemical, not only structural, in origin
K. Khan (2000)
Surgical treatment compared with eccentric training for patellar tendinopathy (Jumper's Knee). A randomized, controlled trial.
R. Bahr (2006)
In vivo pectoralis muscle force-length behavior during level flight in pigeons (Columba livia)
Biewener (1998)
Gains in range of ankle dorsiflexion using three popular stretching techniques.
B. Etnyre (1986)
What is the most appropriate treatment for patellar tendinopathy?
J. Cook (2001)
Non‐operative treatment regime including eccentric training for lateral humeral epicondylalgia
B. Svernlöv (2001)
Mechanical properties of tendon and aponeurosis of human gastrocnemius in vivo
T Muramatsu (2001)
A mechanism for altered flexibility in human skeletal muscle.
S. P. Magnusson (1996)
Clinical Sports Medicine
P. Brukner (1993)
Mechanical properties of tendon and aponeurosis of human gastrocnemius muscle in vivo.
T. Muramatsu (2001)
Superior results with eccentric compared to concentric quadriceps training in patients with jumper’s knee: a prospective randomised study
P. Jonsson (2005)
Histopathology of Common Tendinopathies
K. M. Khan (1999)
The role of recreational sport activity in Achilles tendon rupture
L. Józsa (1989)
Viscoelastic response to repeated static stretching in the human hamstring muscle
S. P. Magnusson (1995)
Effects on neovascularisation behind the good results with eccentric training in chronic mid-portion Achilles tendinosis?
L. Öhberg (2004)
Is passive stiffness in human related to the elasticity of tendon structures
K Kubo (2001)
The use of eccentric training and stretching in the treatment and prevention of tendon injuries.
I. Fyfe (1992)
Exercise and heart disease: cardiac findings in fatal cycle accidents.
A. Kennedy (1997)
Patellar Tendinopathy in Athletes: Current Diagnostic and Therapeutic RecommendationsPeers KHE, Lysens RJJ (Gasthuisberg and Pellenberg Univs, Leuven, Belgium) Sports Med 35:71–87, 2005§
Robert L. Cantu (2006)
Effects of transient muscle contractions and stretching on the tendon structures in vivo.
K. Kubo (2002)
Optimal stiffness of series elastic component in a stretch-shorten cycle activity.
G. Wilson (1991)
What is the appropiate treatment for patellar tendinopathy
JL Cook (2001)
Muscle stretching and motoneuron excitability
Nathalie Cuissard (2004)
Chronic Achilles tendon pain treated with eccentric calf-muscle training
M. Fahlström (2003)
Etiology and pathophysiology of chronic tendon disorders in sports
P. Kannus (1997)
A cross sectional study of 100 athletes with jumper ' s knee managed conservatively and surgically
J. Cook (2005)
Stretching and Injury Prevention An Obscure Relationship
E. Witvrouw (2004)
Non–operative treatment regime including eccentric training for lateral humeral epicodylalgia
B Svernlöv (2001)
A cross sectional study of 100 athletes with jumper's knee managed conservatively and surgically. The Victorian Institute of Sport Tendon Study Group.
J. Cook (1997)
Prevalence of Jumper's Knee among Elite Athletes from Different Sports: A Cross-sectional Study
Østein B. Lian (2005)
The Mechanics of the Medial Gastrocnemius Muscle in the Freely Hopping Wallaby (Thylogale Billardierii)
R. Griffiths (1989)
Ultrasonography gives directly but noninvasively elastic characteristic of human tendon in vivo
S. Fukashiro (2004)
Effects of neovascularisation behind the good results with eccentric training in chronic mid portion achilles tendinosis? Knee Surg Sports Traumatol Arthrosc 2004;12:465–70
L Öhberg (2004)
Comparative Study of Three Stretching Techniques
L. E. Holt (1970)
Pain in the Achilles region
P Brukner (2006)
Stretch shorten cycle performance enhancement through flexibility training.
G. Wilson (1992)
Is passive stiffness in human muscles related to the elasticity of tendon structures?
K. Kubo (2001)
Change in length of relaxed muscle fascicles and tendons with knee and ankle movement in humans
R. Herbert (2002)
Gains in range of ankle dorsiflexion using three popular stretching techniques.
Etnyre Br (1986)
Heavy-Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles Tendinosis
H. Alfredson (1998)
Effect of stretching training on the viscoelastic properties of human tendon structures in vivo.
K. Kubo (2002)
Patellar Tendinopathy in Athletes
K. Peers (2005)
Histopatholohy of common tendinopathies: update and implications for clinical management
KM (1999)
Passive tension of the ankle before and after stretching
E. Toft (1989)
Length-force characteristics of the aponeurosis in the passive and active muscle condition and in the isolated condition.
C. Zuurbier (1994)
Effect of static and ballistic stretching on the muscle-tendon tissue properties.
N. Mahieu (2007)

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C. Bleakley (2013)
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A. Tardioli (2012)
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D. Vega (2011)
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N. Rossetto (2013)
Effects of flunixin meglumine on experimental tendon wound healing: A histopathological and mechanical study in rabbits
Mehdi Behfar (2013)
Finger forces in fastball baseball pitching.
H. Kinoshita (2017)
Effect of increased Achilles tendon stiffness on Gastrocnemius and Soleus fascicle behavior
A. V. Larsen (2018)
Developmental differences in dynamic muscle–tendon behaviour: implications for movement efficiency
C. Waugh (2017)
Effects of an acute bout of dynamic stretching on biomechanical properties of the gastrocnemius muscle determined by shear wave elastography
G. Pamboris (2018)
Flexibility for runners.
Jeffrey Jenkins (2010)
Effects of Core Muscle Strengthening Training on Flexibility, Muscular Strength and Driver Shot Performance in Female Professional Golfers
Kwang Jun Kim (2010)
Functionally distinct tendon fascicles exhibit different creep and stress relaxation behaviour
J. Shepherd (2014)
Investigation into the long-term effects of static and PNF stretching exercises on range of motion and jump performance.
Bekir Yuktasir (2009)
Effects of Taping on Achilles Tendon Protection and Kendo Performance.
F. Tsai (2018)
An investigation into the mechanisms of acute effects of dynamic stretching on ankle joint mechanics and running economy
G. Pamboris (2018)
Relationship between Achilles Tendon Stiffness and Ground Contact Time during Drop Jumps.
M. Abdelsattar (2018)
5a Addendum: spierrekken
K. Nugteren (2008)
The Effect of Loading Frequency on Tenocyte Metabolism
Chineye Princess Udeze-Jyambere (2017)
Keeping Bodies in Motion Getting a Leg Up on Shin Pain Review of Literature
Joshua C. Dubin ()
Tendinopathy II: Etiology, Pathology, and Healing of Tendon Injury and Disease
C. Riggin (2015)
NASA Human Research Program - Exploration Medical Capability: Approach to Musculoskeletal Injuries
E. W. Gallego (2015)
Mecanotransdução: Importância de Impor Stress na Reparação Tecidual
L. Lima (2017)
Lumbar-pelvic range and coordination during lifting tasks.
A. Maduri (2008)
Passive dorsiflexion stiffness is poorly correlated with passive dorsiflexion range of motion.
J. Whitting (2013)
Genetic Variation, Protein Composition and Potential Influences on Tendon Properties in Humans
B. P. Foster (2012)
Management of Tendinopathy
J. Rees (2009)
The Response to Training and Risk of Injuries in Elite Australian Footballers
Alireza Esmaeili (2018)
6 – Soft tissue stretching in sports massage
Anders Jelvéus (2011)
Intervention Strategies in the Prevention of Sports Injuries From Physical Activity
L. Casais (2012)
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