Is There a Best Way to Do Eccentric Training Exercises?

Here's a slightly shorter podcast version of the eccentric exercise video above.

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  • TAG : How do eccentric exercises work in tendinopathy
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  • 44. Gabbe BL, Branson R, Bennell KL. A pilot randomized controlled trial of eccentric exercise to prevent hamstring injuries in community-level Australian football. J Sci Med Sport 2006;9(1-2):103-109.

    Challenges for the sports rehab specialist include identifying the ideal time to start eccentrics as well as how to manipulate training variables (load, volume, intensity, and frequency) to provide a safe yet progressive stimulus for eventual return to sport. It is hoped that future research advocating the use of eccentric exercise will explore these variables.

  • 18. Langberg H, Ellingsgaard H, Madsen T, et al. Eccentric rehabilitation exercise increases peritendinous type I collagen synthesis in humans with Achilles tendinosis. Scand J Med Sci Sports 2007;17(1):61-66.

    18. Langberg H, Ellingsgaard H, Madsen T, et al. Eccentric rehabilitation exercise increases peritendinous type I collagen synthesis in humans with Achilles tendinosis. Scand J Med Sci Sports 2007;17(1):61-66.

    muscle soreness
    muscle function
    Muscle damage and recovery
    eccentric exercise

  • Clinical recommendationEvidence ratingReferences

    Eccentric exercise should be the first-line treatment for chronic midsubstance Achilles tendinopathy.

    A

    14, 15, 19

    Corticosteroid injections, bracing, and nonsteroidal anti-inflammatory drugs are not effective in providing long-term relief for chronic degenerative tendon injuries.

    B

    25, 31

    Rehabilitative exercise is an effective therapy for chronic tendon injuries.

    B

    14, 15, 19

    Challenges for the sports rehab specialist include identifying the ideal time to start eccentrics as well as how to manipulate training variables (load, volume, intensity, and frequency) to provide a safe yet progressive stimulus for eventual return to sport. It is hoped that future research advocating the use of eccentric exercise will explore these variables.

Eccentric Exercises for Shoulder Pain ..

All types of muscle contractions, especially in untrained individuals, can cause DOMS, but it is especially noticed after a bout of eccentric exercise. DOMS is typically characterized as the muscle soreness and swelling that become evident 8–10 hours after exercise and peak 24–48 hours after the activity (Balnave & Thompson 1993).