Evidence map›Paper›PMID 26407586›Full record

ReviewBritish journal of sports medicine2016

Tendon neuroplastic training: changing the way we think about tendon rehabilitation: a narrative review.

Ebonie Rio, Dawson Kidgell, G Lorimer Moseley, Jamie Gaida, Sean Docking, Craig Purdam, Jill Cook

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in British journal of sports medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ebonie RioDepartment of Physiotherapy, School of Primary Health Care, Monash University, Melbourne, Victoria, Australia The Australian Centre for Research into Injury in Sport and its Prevention, Ballarat Federation University, Victoria, Australia.
Dawson KidgellDepartment of Rehabilitation, Nutrition and Sport, School of Allied Health, La Trobe University, Melbourne, Victoria, Australia.
G Lorimer MoseleySansom Institute for Health Research, University of South Australia & Pain, Adelaide, South Australia, Australia.
Jamie GaidaDepartment of Physiotherapy, School of Primary Health Care, Monash University, Melbourne, Victoria, Australia Department of Physiotherapy, University of Canberra, Bruce, Australian Capital Territory, Australia University of Canberra Research Institute for Sport and Exercise, Australia.ORCID http://orcid.org/0000-0002-4504-9188
Sean DockingDepartment of Physiotherapy, School of Primary Health Care, Monash University, Melbourne, Victoria, Australia The Australian Centre for Research into Injury in Sport and its Prevention, Ballarat Federation University, Victoria, Australia.
Craig PurdamDepartment of Physical Therapies, Australian Institute of Sport, Bruce, Australian Capital Territory, Australia.
Jill CookDepartment of Physiotherapy, School of Primary Health Care, Monash University, Melbourne, Victoria, Australia The Australian Centre for Research into Injury in Sport and its Prevention, Ballarat Federation University, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tendinopathy can be resistant to treatment and often recurs, implying that current treatment approaches are suboptimal. Rehabilitation programmes that have been successful in terms of pain reduction and return to sport outcomes usually include strength training. Muscle activation can induce analgesia, improving self-efficacy associated with reducing one's own pain. Furthermore, strength training is beneficial for tendon matrix structure, muscle properties and limb biomechanics. However, current tendon rehabilitation may not adequately address the corticospinal control of the muscle, which may result in altered control of muscle recruitment and the consequent tendon load, and this may contribute to recalcitrance or symptom recurrence. Outcomes of interest include the effect of strength training on tendon pain, corticospinal excitability and short interval cortical inhibition. The aims of this concept paper are to: (1) review what is known about changes to the primary motor cortex and motor control in tendinopathy, (2) identify the parameters shown to induce neuroplasticity in strength training and (3) align these principles with tendon rehabilitation loading protocols to introduce a combination approach termed as tendon neuroplastic training. Strength training is a powerful modulator of the central nervous system. In particular, corticospinal inputs are essential for motor unit recruitment and activation; however, specific strength training parameters are important for neuroplasticity. Strength training that is externally paced and akin to a skilled movement task has been shown to not only reduce tendon pain, but modulate excitatory and inhibitory control of the muscle and therefore, potentially tendon load. An improved understanding of the methods that maximise the opportunity for neuroplasticity may be an important progression in how we prescribe exercise-based rehabilitation in tendinopathy for pain modulation and potentially restoration of the corticospinal control of the muscle-tendon complex.

Indexed as

Achilles TendonAthletic InjuriesBiomechanical PhenomenaHumansMotor CortexMuscle StrengthNeuronal PlasticityPsychomotor PerformanceQuadriceps MuscleResistance TrainingTendinopathyBrainExercisesQuadricepsTendinopathyTendon

Identifiers

PMID26407586
PMCPMC4752665

What OpenQuestion holds

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Registered trials

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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.