This week I talk about a feasibility cohort study which sought to determine whether a larger cohort study addressing this question would be feasible. Listen to hear some interesting preliminary findings.

Merza, E.Y., Pearson, S.J., Mallows, A.J. and Malliaras, P., 2023. The relationship between psychological, cognitive, and contextual factors and rehabilitation outcomes in Achilles tendinopathy: A prospective feasibility cohort study. Physical Therapy in Sport.

Mallows, A., Jackson, J., Littlewood, C. and Debenham, J., 2020. The association of working alliance, outcome expectation, adherence and self‐efficacy with clinical outcomes for Achilles tendinopathy: A feasibility cohort study (the MAP study). Musculoskeletal Care, 18(2), pp.169-176.

See omnystudio.com/listener for privacy information.

We have known for a while that type of exercise intervention (e.g. intensity, frequency, etc) does not seem to influence self-reported outcomes such as pain. Maybe all the benefits from exercise are explained by non-specific effects, or maybe exercise has benefits that do not depend on the type of exercise.

In this episode, I discuss 3 studies that look into (at least partly) other benefits that we may see at the level of the muscle and tendon from higher-load exercise interventions.

References:

Radovanović, G., Kunz, J., Bohm, S., Arampatzis, A. and Legerlotz, K., 2021. Reliable and effective novel home-based training set-up for application of an evidence-based high-loading stimulus to improve triceps surae function. Journal of Sports Sciences, 39(24), pp.2786-2795.

Radovanović, G., Bohm, S., Peper, K.K., Arampatzis, A. and Legerlotz, K., 2022. Evidence-Based High-Loading Tendon Exercise for 12 Weeks Leads to Increased Tendon Stiffness and Cross-Sectional Area in Achilles Tendinopathy: A Controlled Clinical Trial. Sports Medicine-Open, 8(1), pp.1-19.

Radovanović, G., Bohm, S., Arampatzis, A. and Legerlotz, K., 2023. In Achilles Tendinopathy the Symptomatic Tendon Differs from the Asymptomatic Tendon While Exercise Therapy Has Little Effect on Asymmetries—An Ancillary Analysis of Data from a Controlled Clinical Trial. Journal of Clinical Medicine, 12(3),

See omnystudio.com/listener for privacy information.

This week, I had an engaging conversation with Anthony Nasser, an up-and-coming researcher on tendinopathy who recently completed his PhD on proximal hamstring tendinopathy. Our discussion covered the reasons for the lack of research attention towards this condition, the current state of evidence, and insights from his doctoral studies. You can find the full conversation here.

Here are Anthony's related publications:

Nasser, A.M., Pizzari, T., Grimaldi, A., Vicenzino, B., Rio, E. and Semciw, A.I., 2021. Proximal hamstring tendinopathy; expert physiotherapists’ perspectives on diagnosis, management and prevention. Physical Therapy in Sport, 48, pp.67-75.

Nasser, A.M., Vicenzino, B., Grimaldi, A., Anderson, J. and Semciw, A.I., 2021. Proximal hamstring tendinopathy: a systematic review of interventions. International journal of sports physical therapy, 16(2), p.288.

Nasser, A., Semciw, A., Grimaldi, A., Rio, E., Pizzari, T. and Vicenzino, B., 2022. Core outcome set development for proximal hamstring tendinopathy (COS-PHT): a study protocol. Physical Therapy Reviews, 27(4), pp.313-319.

See omnystudio.com/listener for privacy information.

Palpation can be useful for the diagnosis and assessment of tendinopathy, but there are limits. This is because non-painful tendons can be tender, and tenderness in painful tendons seems to be very slow to get better.

Link to Evidence for Improvement in Local but not Diffuse Pressure Pain Thresholds Following Physical Therapist Interventions for Tendinopathy: A Systematic Review

Link to Reproducibility and clinical utility of tendon palpation to detect patellar tendinopathy in young basketball players

See omnystudio.com/listener for privacy information.

Interesting perspective paper from Arampatzis et al talking about how we should consider tuning of muscle tendon unit in terms of muscle strength and tendon stiffness when considering training for specific groups.

See omnystudio.com/listener for privacy information.

This talking tendons episode will discuss a study by Igor Sancho, PhD, assessing Achilles forces during common rehab exercises and habitual activities and how this relates to reported pain among runners. Some interesting implications for practice.

Achilles tendon forces and pain during common rehabilitation exercises in male runners with Achilles tendinopathy. A laboratory study

See omnystudio.com/listener for privacy information.

Stress can have a negative impact on our mental and physical health, but you can easily relieve stress and find inner peace by listening to calming music. Calming music is specifically designed to reduce your heart rate, blood pressure, and stress hormone levels in your body. It can assist you in relaxing, focusing, and feeling more in command of your thoughts and emotions. Calming music is the ideal solution for unwinding after a long day, improving your sleep, or simply finding a moment of peace. It creates a calm and soothing environment that allows you to forget about your worries and concentrate on the present moment. You can also play it in the background while working, reading, or studying to create a relaxing and productive environment. Calming music is a simple and effective way to reduce stress and improve your overall health.

See omnystudio.com/listener for privacy information.

Flowing piano Jazz music is an excellent way to unwind while also increasing productivity. Jazz piano's soothing melodies and gentle rhythms create a relaxing and peaceful atmosphere that helps to reduce stress and improve focus. Jazz piano music is an excellent choice for anyone who is working, studying, or simply looking for a way to unwind after a long day. It's ideal for working or studying as background music, contributing to a calm and productive environment. Jazz piano music, with its smooth, mellow sound and improvisational style, is an excellent way to unwind and de-stress while keeping your mind sharp and focused. Its adaptability makes it ideal for any situation, whether you're working, studying, reading, or simply want to listen to beautiful music. Smooth piano jazz music is ideal for increasing productivity, reducing stress, and relaxing.

See omnystudio.com/listener for privacy information.