Heavy slow resistance training for Achilles tendinopathy associated with early patient satisfaction
Among patients with Achilles tendinopathy, both eccentric training and heavy slow resistance training had an equally good positive and lasting clinical effect in results of a level 1, randomized controlled trial.
Researchers randomly assigned 58 patients with chronic midportion Achilles tendinopathy to eccentric training or heavy slow resistance training for 12 weeks. At 0 weeks, as well as at 12 and 52 weeks follow-up, researchers assessed the patients’ function and symptoms, tendon pain during activity, tendon swelling, tendon neovascularization and treatment satisfaction.
Results of the Victorian Institute of Sports Assessment-Achilles questionnaire and VAS score showed both groups improved significantly between 0 and 12 weeks (P < .0001) and that improvement was maintained at the 52-week follow-up. Researchers noted there was a significant reduction in tendon thickness and neovascularization that differ between the groups. After 12 weeks, the heavy slow resistance training group reported greater patient satisfaction (100%) than the eccentric training group (80%), but this was not the case after 52 weeks, according to results of the study.
The mean compliance with the programs was 78% for the eccentric training group and 92% for the heavy slow resistance training group. – by Casey Tingle
Disclosure: The researchers report no relevant financial disclosures.