SynthesisBritish journal of sports medicine2007
Eccentric overload training in patients with chronic Achilles tendinopathy: a systematic review.
Synthesis in British journal of sports medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
54 citing papers in PubMed, 7 syntheses or guidelines pooled it, 215 citations in OpenAlex.
- Exercise therapy for tendinopathy: a mixed-methods evidence synthesis exploring feasibility, acceptability and effectiveness.Health technology assessment (Winchester, England) · 2023Pooled it
- Design of pulmonary rehabilitation programmes during acute exacerbations of COPD: a systematic review and network meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2020Pooled it
- Altered Strength Profile in Achilles Tendinopathy: A Systematic Review and Meta-Analysis.Journal of athletic training · 2019Pooled it
- The sympathetic nervous system and tendinopathy: a systematic review.Sports medicine (Auckland, N.Z.) · 2015Pooled it
- Achilles and patellar tendinopathy loading programmes : a systematic review comparing clinical outcomes and identifying potential mechanisms for effectiveness.Sports medicine (Auckland, N.Z.) · 2013Pooled it
- Conservative management of midportion Achilles tendinopathy: a mixed methods study, integrating systematic review and clinical reasoning.Sports medicine (Auckland, N.Z.) · 2012Pooled it
- A systematic review with procedural assessments and meta-analysis of low level laser therapy in lateral elbow tendinopathy (tennis elbow).BMC musculoskeletal disorders · 2008Pooled it
- No beneficial effect of Polidocanol treatment in Achilles tendinopathy: a randomised controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Trial
- Trial
- CHELT therapy in the treatment of chronic insertional Achilles tendinopathy.Lasers in medical science · 2014Trial
- Impact of autologous blood injections in treatment of mid-portion Achilles tendinopathy: double blind randomised controlled trial.BMJ (Clinical research ed.) · 2013Trial
- A 5-year follow-up study of Alfredson's heel-drop exercise programme in chronic midportion Achilles tendinopathy.British journal of sports medicine · 2012Trial
- Effect of specific exercise strategy on need for surgery in patients with subacromial impingement syndrome: randomised controlled study.BMJ (Clinical research ed.) · 2012Trial
- The additional value of a night splint to eccentric exercises in chronic midportion Achilles tendinopathy: a randomised controlled trial.British journal of sports medicine · 2007Trial
- Pathological Mechanisms of Tendinopathy Pain: From Mechanical Overload to Neuroimmune-Vascular Crosstalk.Pain research & management · 2026Review
- Increased loading of the lateral knee compartment in the unamputated knee during gait in people with unilateral transfemoral/through-knee amputations.Bone & joint research · 2025Article
- Effects of Inertial Flywheel Training vs. Accentuated Eccentric Loading Training on Strength, Power, and Speed in Well-Trained Male College Sprinters.Life (Basel, Switzerland) · 2024Article
- Article
- Systematic Review and Meta-analyses of Randomized Controlled Trials Comparing Exercise Loading Protocols With Passive Treatment Modalities or Other Loading Protocols for the Management of Midportion Achilles Tendinopathy.Orthopaedic journal of sports medicine · 2023Review
- A comparison between the efficacy of eccentric exercise and extracorporeal shock wave therapy on tendon thickness, vascularity, and elasticity in Achilles tendinopathy: A randomized controlled trial.Turkish journal of physical medicine and rehabilitation · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEccentric overload training seems to be a promising conservative intervention in patients with chronic Achilles tendinopathy. The efficacy of eccentric overload training on the outcome measures of pain and physical functioning are not exactly clear. STUDY
designSystematic review of the literature.
methodsElectronic databases were searched for randomised clinical trials concerning eccentric overload training in patients with chronic Achilles tendinopathy. The Delphi list was used to assess the methodological quality of the studies.
resultsNine clinical trials were included. Only one study had sufficient methodological quality. The included trials showed an improvement in pain after eccentric overload training. Because of the methodological shortcomings of the trials, no definite conclusion can be drawn concerning the effects of eccentric overload training in patients with chronic Achilles tendinopathy.
conclusionThe effects of eccentric exercise training in patients with chronic Achilles tendinopathy on pain are promising; however, the magnitude of the effects cannot be determined. Large, methodologically sound studies from multiple sites in which functional outcome measures are included are warranted.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.